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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815787
Report Date: 12/18/2023
Date Signed: 12/18/2023 05:14:43 PM

Document Has Been Signed on 12/18/2023 05:14 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.FACILITY NUMBER:
364815787
ADMINISTRATOR:PAULA GOMEZFACILITY TYPE:
850
ADDRESS:9950 FREMONT AVENUETELEPHONE:
(909) 626-1092
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 14DATE:
12/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Program Manager, Teresa Mondragon TIME COMPLETED:
05:25 PM
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On 12/18/23 a case management inspection is being conducted in response to the receipt of an unusual incident report (UIR) from the facility. Licensing Program Analyst (LPA) Blanca Ruiz met with Program Manager, Teresa Mondragon to follow-up on the UIR submitted to the department. Facility was toured and census was taken. The UIR received indicate an allegation of Staff #1 grabbing Child#1’s hand during lunch time and slapping the child in the hand several times for not following directions. Facility records were review and observations were conducted to verify substantial compliance of Personal Rights, Ratio and Supervision.

Staff and child(ren)interviews were conducted, and facility records were reviewed. Based on the information gather, there was not substantial evidence that the incident occurred as stated; therefore, no violation(s) have been identified. In addition, facility administration conducted and internal investigation immediately after the incident took place and it was reported to licensing in a timely manner. Parent(s) of Child#1 were informed of the allegation. Child#1 was never taken out the facility and still in attendance and doing well. No deficiencies were cited during inspection.

An exit interview conducted, and report was reviewed with Program Manager, Teresa Mondragon. Appeal rights were discussed, and A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.


THIS REPORT MUST BE AVAILABLE TO THE PUBLIC, UPON THEIR REQUEST, FOR THREE YEARS.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023
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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