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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501974
Report Date: 10/25/2024
Date Signed: 10/25/2024 12:54:09 PM

Document Has Been Signed on 10/25/2024 12:54 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KATHY KREDEL NURSERY SCHOOL-PRESCHOOLFACILITY NUMBER:
191501974
ADMINISTRATOR/
DIRECTOR:
GWEN BLACKMONFACILITY TYPE:
850
ADDRESS:300 WEST HUNTINGTON DRIVETELEPHONE:
(626) 574-3524
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: 25DATE:
10/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Gwen Blackmon - DirectorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management inspection to follow up on a report submitted on 10/17/2024. Upon arrival at 12:30pm, LPA met with Director Gwen Blackmon, to whom the purpose of the inspection was explained. A tour of the facility was provided. There were children present during the time of inspection.

Census was taken. There were 25 children with 4 staff members.

Per report, on 10/15/2024, a child was playing on the outdoor play structure and fell, landing on their stomach. There were no visual injuries observed on the child, who continued the rest of the day in care. Facility was notified on 10/17/2024 that further medical evaluation took place and child was diagnosed with more serious injury.

During today's inspection, LPA reviewed the play structure and conducted interviews with two staff members. PIctures were taken and obtained from facility. Documents in the form of medical release form and messages were provided to LPA.

After review of the information above, it was determined that facility staff could not have done anything to prevent the incidents from occurring and preventative measures are being taken in order to prevent a similar incidents. Play equipment is age appropriate and in good condition.

No citations are being issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Gwen Blackmon, at 1:15pm. Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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