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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570862
Report Date: 11/07/2024
Date Signed: 11/07/2024 03:25:36 PM

Document Has Been Signed on 11/07/2024 03:25 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:RAMONA SCHOOLFACILITY NUMBER:
191570862
ADMINISTRATOR/
DIRECTOR:
LAUREL PARKERFACILITY TYPE:
850
ADDRESS:14616 DINARDTELEPHONE:
(562) 210-4205
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 341TOTAL ENROLLED CHILDREN: 159CENSUS: 143DATE:
11/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:50 AM
MET WITH:Loretta GallegosTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) T. Tran arrived at the above facility to conduct an unannounced Case Management Incident inspection that was self-reported on 09/05/2024. Monterey Park SW Regional Office received the writing incident report on 09/06/2024. LPA met with Assistant Director, Loretta Gallegos and toured the facility. LPA observed proper care and supervision. All center staff that was present during today’s inspection had fingerprint cleared and associated to the designated license number.

LPA completed staff and child's record review. LPA obtained child's documents.

LPA conducted interviews with staff and other. Based on the information that was gathered during today's visit, it revealed that on the day of the accident there were three staff supervising 10 children. During outdoor play at yard 2, staff observed C1 was running from the swing tripped over own feet and hit the forehead on the edge seat of the teeter totter. C1 sustained a cut above the left eyebrow. Staff immediately provided first aid and school nurse was present for assistance. Parent was contacted. Parent took C1 to the hospital and received skin glue treatment. C1 was home resting for 5 days. No restrictions upon returning to school.

At this time based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

No deficiency was cited during today’s visit. Notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative, Loretta Gallegos.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2024
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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