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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597494
Report Date: 09/19/2023
Date Signed: 09/19/2023 02:38:17 PM

Document Has Been Signed on 09/19/2023 02:38 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ARROYO/CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191597494
ADMINISTRATOR:KYM ALLENFACILITY TYPE:
850
ADDRESS:1605 W. ARROYO AVE.TELEPHONE:
(909) 620-8250
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY: 143TOTAL ENROLLED CHILDREN: 25CENSUS: 15DATE:
09/19/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Program Manager Maria RodriguezTIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Mary Silva conducted an unannounced case management inspection. Upon arrival LPA met with office manager Reyna Johnson and Maria Rodriguez, who guided LPA to the HeadStart Class Rooms. The purpose of the inspection was to obtain additional information from the facility regarding an incident reported to the regional office. Census was taken. LPA observed 8 children and 3 staff in Room HS 1 and 7 children with 2 staff in Room HS 2. This is a full day HeadStart program from 7:30am-2:00pm.

The department received an incident report via email from this facility on 02/09/2023 for an incident that occurred at the facility in Room HS 1 on 02/06/2023 involving possible violation of a child personal rights while in care.

During the inspection LPA conducted (2) staff interviews regarding the allegation. LPA obtained documentation in the form of facility roster.

Based on the information that was verified during the inspection and the information on the incident report, LPA Silva did not observe any type of deficiencies that warranted a citation at this time.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting will result in a civil penalty of $100.00 dollars.

Exit interview conducted with program manager Maria Rodriguez, in the absence of coordinator Mukta Cham. Appeal rights discussed and explained.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
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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