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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815787
Report Date: 07/11/2024
Date Signed: 07/11/2024 12:37:54 PM

Document Has Been Signed on 07/11/2024 12:37 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
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.FACILITY NUMBER:
364815787
ADMINISTRATOR/
DIRECTOR:		LIZ MARTINEZFACILITY TYPE:
850
ADDRESS:9950 FREMONT AVENUETELEPHONE:
(909) 626-1092
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 38DATE:
07/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Liz MartinezTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 07/11/2024 at 9:00 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Site Supervisor Liz Martinez for the purpose of an unannounced case management inspection to follow up on an Unusual Incident Report (UIR) submitted to the Department on 06/10/2024. The incident was reported by the facility within the required timeframe. LPA was greeted by a staff member (S2) upon arrival as Site Supervisor was not present at the time, and S2 guided LPA on a tour of the facility. LPA observed ten staff supervising 38 children. At 11:00 AM, Site Supervisor arrived to the facility.

All individuals subject to a criminal record review have obtained a criminal record clearance. Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of five days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Continues on LIC 809-C
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE CC RO, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.
FACILITY NUMBER: 364815787
VISIT DATE: 07/11/2024
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Continued from LIC 809 (Page 2)

LPA made observations at the facility, obtained supporting documentation pertinent to the incident, and conducted interviews with staff during today's visit. Information obtained revealed that a child (C1) sustained an injury when they were pushed by another child (C2) while children were transitioning from outdoor play to the classroom. Interviews conducted disclosed that staff immediately attended to C1 and contacted all relevant parties in a timely manner. It was disclosed staff have observed C2 with challenging behavior. Information obtained revealed staff have been actively working with C2 and their family to identify potential triggers, implement social emotional support strategies, and offer educational parenting programs. Interviews conducted disclosed staff have observed improvement with C2’s behavior utilizing these methods. Records indicated medical professionals determined C1’s injury was not of major concern. It was revealed that C1 returned to the facility shortly after the incident. Based on observations made at the facility, information obtained during interviews, and records reviewed, it is determined there were no violations pertaining to the incident.

There were no deficiencies cited at this time. An exit interview was conducted and report was reviewed with the site supervisor, Liz Martinez. A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Ana Noble
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024
LIC809 (FAS) - (06/04)
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