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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570895
Report Date: 11/14/2024
Date Signed: 11/14/2024 02:56:51 PM

Document Has Been Signed on 11/14/2024 02:56 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:LINDBERGH FULL DAYFACILITY NUMBER:
191570895
ADMINISTRATOR/
DIRECTOR:
VERONICA BLOOMFIELDFACILITY TYPE:
850
ADDRESS:12120 LINDBERGH ROADTELEPHONE:
(310) 631-7308
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 73TOTAL ENROLLED CHILDREN: 73CENSUS: 38DATE:
11/14/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Gisele Ochoa-Education SpecialistTIME VISIT/
INSPECTION COMPLETED:
11:29 AM
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Licensing Program Analysts(LPAs) Jeanette Estrada and Keneisha Dunlap conducted a case management- incident inspection at the facility. LPAs met with Education Specialist, Gisele Ochoa and explained the reason for the visit. There were 15 children and four staff in classroom 1 and 23 children with # staff in classroom 2.

The facility submitted an Unusual Incident Report (UIR) to the Department on 11/01/2024. The UIR described an incident which occurred on 10/31/24 in which three children ran into a gated electrical panel area during outside time. Per the UIR, the children were noticed to be running around the gated electrical panel area by staff 1. Staff 1 alerted Staff 2 who attempted to stop the children when the children made their way into the gated area. Per the UIR, the gate was slightly open at the time which allowed the children to go inside. During today's visit, LPAs conducted staff interviews, made observations and took photos of the gated electrical panel area. LPAs observed that the gate has been secured and there is no access to the locked gate.

At this time, further investigation will be conducted by CCLD. No deficiencies cited at this time.

Exit interview conducted with Facility Representatives. A copy of this report and a Notice of Site Visit were provided. Facility Representatives were advised Notice of Site Visit must remain posted for 30 days.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2024
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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