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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570686
Report Date: 05/07/2024
Date Signed: 05/07/2024 04:53:33 PM

Document Has Been Signed on 05/07/2024 04:53 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: 14DATE:
05/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Rosie DucoingTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On May 7, 2024, at 2:00 pm Licensing Program Analyst (LPA) Carolyn Tuba conducted a Case Management inspection due to an incident that allegedly occurred at the facility on 04/18/2024. A Covid Risk assessment was conducted and 1 Case has been disclosed. LPA met with Program Director, Rosie Ducoing, who guided LPA on a tour to obtain the census of 14 children with 4 staff.

The incident was reported to the Department within the required 24 hours of occurrence. The incident consisted with a child disclosing to their parent that the staff had allegedly violated their Personal Rights.

LPA conducted interviews with Staff and children, Staff #4 (S4), and #5 (S5) and Children #1 (C1) #2
(C2) #3 (C3). Additional Staff are needed to interview, but were not available and Program Director provided their contact information. The facility provided LPA with a facility roster during the visit.

No deficiencies were cited during today’s inspection.

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

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 05/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2024
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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