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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815787
Report Date: 05/26/2021
Date Signed: 05/26/2021 02:51:06 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: 7DATE:
05/26/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Susan GarciaTIME COMPLETED:
03:00 PM
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On date and time listed, Licensing Program Analyst (LPA) Nelson Zuniga conducted a case management tele- inspection with the Licensee, due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 and Department of Health guidelines of social distancing.

This tele-Inspection is a follow-up of two unusual incident reports submitted by the facility. LPA Zuniga interviewed parents, children and staff. The reports indicated an alleged possible personal rights violation.

Based on the information obtained from the investigation, there appeared to be no violations of Title 22 Regulations pertaining to the reported incident.

A copy of this report is sent via email to center director to print and maintain if requested by the public, for 3 years. A read receipt e-mail from center director will be in lieu of the signature for this Case Management Tele-Inspection.


An exit interview was held.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Nelson ZunigaTELEPHONE: (951) 782-6634
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2021
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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