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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815787
Report Date: 03/11/2020
Date Signed: 03/11/2020 05:19:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.FACILITY NUMBER:
364815787
ADMINISTRATOR:SUSAN GARCIAFACILITY TYPE:
850
ADDRESS:9950 FREMONT AVENUETELEPHONE:
(909) 626-1092
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:72CENSUS: 52DATE:
03/11/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Susan GarciaTIME COMPLETED:
02:39 PM
NARRATIVE
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An unannounced case management investigation was conducted due to a self reported incident. Licensing Program Analyst (LPA) Nelson Zuniga met with Susan Garcia, Director.

The report stated that on 3/3/20 approximately 11:05 AM. Director, S. Garcia, was walking out of the adult bathroom, she noticed a child standing in the hallway outside of the children's bathroom; alone. Director stated she did not see any teachers in the vicinity.

During the visit, LPA conducted interviews in person and over the telephone with staff, viewed the area where the incident occurred, and obtained additional documentation from the child's file.

The following is learned from the interviews.
Classroom #4 and #5 rooms and doors to the classroom, face the front of the building, parking lot and city street. Classroom # 4 is the closes room to the bathroom as classroom #5 is farther away. In order for children in rooms #4 and #5 to use the bathroom, the children have to be walked on the sidewalk, located along the front of the building/classrooms, about 50 feet and around the corner where there is an pass way/hall way area, about 20 feet, opened the wrought iron gate and use bathroom. The children bathrooms are located behind this wrought iron gate: On 3/3/2020 at around 11:05 AM; Staff #1(S1) and Staff #2 (S2) had a total of 10 children in care in classroom #4. S1 took 7 children to the bathroom and left 3 children with S2 in the classroom. Children used the bathroom and returned to the classroom. Once in the classroom, S1 realized that Child #1 (C1) was not in the classroom. S1 returned to the bathroom and found child with Director in the pass way/hallway area about 50-60 feet away from the front door of the classroom. Per Director, Director was coming back from across her office opened the door to pass way/hallway area and found C1 alone/unattended. Per director she waited at least a minute before S1 realized that C1 was not in the classroom and was missing. Parents of C1 have not been informed of this incident. (CONTINUE ON LIC809C AND LIC809D)
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.
FACILITY NUMBER: 364815787
VISIT DATE: 03/11/2020
NARRATIVE
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Per Title 22 regulations, , children shall be supervised at all times.
See LIC 809D for cited deficiency per Section 101229 and 101212 of the California Code of Regulations, Title 22, Division 12. Lack of Supervision and Reporting Requirements.

An exit interview was conducted, appeal rights discussed and provided, and a copy of this report was provided to representative.

Notice of Site Visit was provided.

SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.
FACILITY NUMBER: 364815787
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/12/2020
Section Cited

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101229 Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, ...Supervision shall include visual observation. This requirement was not met as evidence by:
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A child in care was found alone, without adult supervision by the center director. Director waited at least one minute before the child teacher realized that child was not in the classroom. Child was found in the front of the building where there is no fence and child was exposed to the front of building where the parking lot and street face....
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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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.
FACILITY NUMBER: 364815787
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/23/2020
Section Cited

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101212 REPORTING REQUIREMENTS: The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.This requirement was not met as evidence by: A child in care was found alone, without adult supervision by the center director. Director waited at least one minute before the child teacher realized
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that child was not in the classroom. Child was found in the front of the building where there is no fence and child was exposed to the front of building where the parking lot and street face. Child's authorized representative were not notified of incident. This poses a potential immediate health and safety hazard to the 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: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4