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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191608474
Report Date: 09/03/2026
Date Signed: 09/03/2026 12:32:04 PM

Document Has Been Signed on 09/03/2026 12:32 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:GARFIELD HEAD STARTFACILITY NUMBER:
191608474
ADMINISTRATOR/
DIRECTOR:		BLANCA URETA & CHANTHY LIMFACILITY TYPE:
850
ADDRESS:2240 BALTIC AVENUETELEPHONE:
(562) 492-9259
CITY:LONG BEACHSTATE: CAZIP CODE:
90810
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 49DATE:
09/03/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Head Teacher Carla Martinez TIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced case management visit to follow up on an Unusual Incident Report (UIR) submitted to the Department. LPA met with Head Teacher and informed her of the reason for the visit. Early Learning Center Managers Keokuk Legarde and Vicente Alvarez continued the visit with LPA. Present during today's inspection were 49 children supervised by 10 staff.

On 8/27/26 the facility submitted a UIR for an incident that occurred on 8/26/26. Per the UIR, Child 1 ran to the back of the classroom and ran into a cabinet which caused a laptop to fall on their head and caused an open wound. LPA conducted a visit to the facility on 8/27/26 for the purpose of interviewing staff about the incident and to collect documents. Per staff interviews, Child 1 had been observed running around the classroom before the incident occurred. There is a teacher desk area in the classroom where the napping cots are usually placed so that children don't have access. During this particular incident, Staff 1 stated they went into the teacher desk area and forgot to push the cots back into place. Child 1 made his way into that area of the classroom and Staff 2 stated they heard as if Child 1 crashed into a file cabinet on which Staff 1's laptop had been placed. Child 1 was attended to immediately by Staff 1 and it was then noticed Child 1 was bleeding from their head. Staff applied first aid and Child 1's parent was called and informed of the incident.
Child 1 was taken to the Emergency room by their parent and no stitches were received. Child 1 was cleared to return to the facility with no restrictions. Per Facility Representatives, staff have been reminded of appropriate times to use the classroom laptop and appropriate ways to keep children safe. Staff have been performing safety sweeps in the classroom to ensure that there are no hazards out that may affect children.

Based on interview, record review and observation, a type B citation for Personal Rights 101223 (a)(2) will be issued today. The California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 809D.
Warren Birks
Jeanette Estrada
DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GARFIELD HEAD START
FACILITY NUMBER: 191608474
VISIT DATE: 09/03/2026
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A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Early Learning Center Managers Vicente Alvarez Keokuk Legarde
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jeanette Estrada
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/03/2026 12:32 PM - It Cannot Be Edited


Created By: Jeanette Estrada On 09/03/2026 at 12:12 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GARFIELD HEAD START
FACILITY NUMBER: 191608474

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/14/2026
Section Cited
CCR
101223(a)(2)

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101223(a)The licensee shall ensure that each child is accorded the following personal rights:(2) To be accorded safe accommodations, furnishings and equipment to meet his/her needs.
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Per Facility Representatives, staff is performing safety sweeps in the classroom daily before children arrive, staff have been re-trained on safety practices in the classroom and staff 1 has received a personnel write up.
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This requirement is not met based on interviews, record review and observation, the facility did not provide a safe environment which caused child 1 to obtain a wound due to a laptop falling on their head. This is a potential risk to the safety of children in care.
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Facility representatives will submit proof of participation of new safety procedures by due date.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Jeanette Estrada
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/03/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2026


LIC809 (FAS) - (06/04)
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