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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018027
Report Date: 10/27/2022
Date Signed: 10/27/2022 02:09:29 PM


Document Has Been Signed on 10/27/2022 02:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:SCHOOL OF LITTLE SCHOLARSFACILITY NUMBER:
198018027
ADMINISTRATOR:BETTY CASTILLOFACILITY TYPE:
850
ADDRESS:932 BUENA VISTA STREETTELEPHONE:
(626) 357-9660
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY:80CENSUS: 43DATE:
10/27/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Betty Castillo - DirectorTIME COMPLETED:
02:30 PM
NARRATIVE
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At 12:31PM, Licensing Program Analyst (LPA) Steven Tung conducted an unannounced case management visit regarding an unusual incident report submitted to the Department on 10/12/2022. The unusual incident report from the facility stated that a child was left unsupervised outdoors on the playground for 5 minutes. LPA met with Director Betty Castillo who led LPA on a tour of the facility. Census was taken.

LPA obtained class roster, class schedule, and sign-in sheet as well as conducted interviews with staff and child.

Interviews and statements obtained from Staff and Child confirmed the incident. Staff providing care and supervision disclosed being in a separate area with the classroom children while the child involved was left alone without supervision on the playground - this poses a potential health and safety risk to children in care.

The following deficiency listed on the attached LIC 809 deficiencies page is being cited in accordance with California Code of Regulations Title 22.

A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with Director Betty Castillo.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/27/2022 02:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: SCHOOL OF LITTLE SCHOLARS
FACILITY NUMBER: 198018027

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/11/2022
Section Cited

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(1) No child(ren) shall be left without the supervision of a teacher at any time... shall include visual observation.

This requirement is not met as evidenced by:
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Staff and child interviews confirmed submitted report of incident that took place where a child was left unsupervised. This poses a potential risk to the health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Steven TungTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2022
LIC809 (FAS) - (06/04)
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