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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018752
Report Date: 02/14/2020
Date Signed: 02/14/2020 10:00:20 AM

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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ECO HOUSE- PRESCHOOLFACILITY NUMBER:
198018752
ADMINISTRATOR:ALEXIS VAZQUEZFACILITY TYPE:
850
ADDRESS:2951 LONG BEACH BLVD.TELEPHONE:
(562) 997-8800
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:70CENSUS: 21DATE:
02/14/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Director, Alexis VasquezTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA), Dayna Chambers, conducted a Case Management Incident inspection to follow up on self-reported incident that occurred on 11/06/2019 at 10:40am. The Monterey Park South West Child Care Office received the incident report on 11/07/2019 by Director, Alexis Vasquez. Report stated that on 11/06/2019, a teacher was carryiing the child when she slipped falling on knees and the child hit the back of head on the floor. The child became unresponsive. Paramedics were dispatched and child was taken to hospital and released that same day. No further medical treatment was needed. The child is still currently enrolled at the center.

LPA met with Director, Alexis Vasquez and confirmed facility was properly cared for during the incident. On 02/14/2020, at 8:15 am LPA and licensee toured the facility, at the time of the inspection all ratios were compliant according to Title 22 Regulations.

Based on today’s inspection, and interviews conducted, the facility followed the appropriate Reporting Requirements and Notified Parents. LPA obtained documents from the incident.

At this time based on the available information it does not appear this incident was the result of a Title 22 violation and the facility followed the appropriate regulations.

The content of this report was read and discussed in detail at the time of with Director, Alexis Vasquez.

Upon receipt, Notice of Site Visit shall be posted. Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted, and a copy of this report was provided to Director, Alexis Vasquez. Notice of Site visit was issued.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 02/14/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2020
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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