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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 09:59:17 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:
09:02 AM
MET WITH:Alexis Vasquez, DirectorTIME COMPLETED:
09:45 AM
NARRATIVE
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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 09/09/2019 on 10:15am. The Monterey Park South West Child Care Office received the incident report on 09/09/2019 by Director,Alexis Vasquez. Report stated that on 09/09/2019 a child was napping on the cot, he stood up, bumped his left eyebrow on the foot of the cot. There was a cut on his left eyebrow. The mother took the child to the primary doctor but did not require stitches. The child is still currently enrolled at the center.

LPA met with licensee and confirmed facility was properly cared for during the incident. On 02/14/2020, at 8:15am, 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.

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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