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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570686
Report Date: 04/24/2024
Date Signed: 04/24/2024 03:40:59 PM

Document Has Been Signed on 04/24/2024 03:40 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:FLANNER HEAD START PRESCHOOLFACILITY NUMBER:
191570686
ADMINISTRATOR/
DIRECTOR:
DARLENE MATAFACILITY TYPE:
850
ADDRESS:1314 N. LEBORGNETELEPHONE:
(626) 931-3151
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 96TOTAL ENROLLED CHILDREN: 38CENSUS: 29DATE:
04/24/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Rosie DucoingTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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On 4/24/2024 at 3:00 pm, Licensing Program Analysts (LPAs), Carolyn Tuba and Priscilla Ochoa conducted an unannounced POC (plan of correction) inspection. A COVID risk assessment was conducted. LPAs met with Program Director, Rosie Ducoing who guided LPAs and observed 29 children and 8 staff present at the facility during this inspection.

During the visit LPAs were given an itinerary and signatures of staff in attendance for the deficiency cited on 04/18/2024 on Personal Rights California Code of Regulations (CCR) Title 22 101223(a)(2). LPAs cleared the deficiency on this date and provided a copy of the Proof of Correction (POC) clearance letter.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Program Director, Rosie Ducoing.



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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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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