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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018769
Report Date: 10/11/2022
Date Signed: 10/13/2022 08:51:48 AM


Document Has Been Signed on 10/13/2022 08:51 AM - 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:PLAZA DE LA RAZA C.D.S.- MAIZELANDFACILITY NUMBER:
198018769
ADMINISTRATOR:CABOT, NORAYMAFACILITY TYPE:
830
ADDRESS:7601 CORD AVE.TELEPHONE:
(562) 205-2789
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:96CENSUS: 42DATE:
10/11/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Cathy Gaeta, Site Supervisor TIME COMPLETED:
05:15 PM
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Cynthia Reyes, Licensing Program Analyst, (LPA) conducted an unannounced Case Management, Incident report Inspection on this date. There was one (1) Incident report that came into the office on 10/05/2022, regarding an outbreak of hand, foot, mouth.

LPA met with Cathy Gaeta, Site Supervisor and Araceli Brion, Education Coordinator, who guided the analyst on a tour of the facility. LPA interviewed, reviewed and received records. LPA went over Incident report with Cathy and Araceli. Incident is regarding Hand, Foot, and Mouth outbreak in this infant/toddler program and in the preschool program. The Health department was notified as well as parents and were given all the required information.

Site supervisor states some children returned to school without symptoms and a doctors note and 2 infants have not returned to school as of yet. Exposure Notice was sent home to the parents in the exposure class room, however LPA informed site supervisor to send exposure notice out to all parents in both programs infant and preschool. Site supervisor stated the entire school has a janitor that cleans daily and all staff has also cleaned and disinfected each of their class rooms.

Based on information obtained on this date, no follow up is necessary regarding the incident report listed above. The facility followed all proper procedures per the parent hand book/admission agreement, incident reports were sent in properly and timely, all medical needs were met if needed, public health and parents notified.

Exit interview conducted and a copy of this report and the notice of site visit was given to Cathy Gaeta, Site Supervisor and Araceli Brion, Education Coordinator. The notice of site visit must remain posted for 30 days. No Citation given.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2022
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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