191805630-3-4-2026-33-CC-MRUZ-DRUUP4-20260304144454

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191805630
Report Date: 03/04/2026
Date Signed: 03/04/2026 02:45:44 PM

Document Has Been Signed on 03/04/2026 02:45 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	JOSEPH A. GASCON ELEMENTARY HEAD START		FACILITY NUMBER:	191805630
ADMINISTRATOR/ DIRECTOR:	MARIANA SANCHEZ		FACILITY TYPE:	850
ADDRESS:	630 S. LEONARD AVE.		TELEPHONE:	(323) 721-2025
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90022
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 17	CENSUS: 13	DATE:	03/04/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:15 AM
MET WITH:	Facility Representative, Laura Fernandez		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

NARRATIVE

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On 3/04/2026 Licensing Program Analyst (LPA) Monica Ruiz arrived at the facility noted above to conduct an unannounced annual random inspection. A risk assessment was conducted prior to entry. LPA presented identification, explained reason for the visit, and provided the Entrance Checklist - Child Care Centers form (LIC 125) to Facility Representative, Laura Fernandez (FR) who guided LPA Ruiz on a tour of the facility, both indoors and outdoors.

This is a Head Start preschool program which is operated by Montebello Unified School District and is located on the premises of Joseph A. Gascon Elementary School. Licensing/Visitors must check in at the main office of the elementary school. Drop off and pick up takes place at Gate 16, located on School Avenue. A staff member is readily available at the gate during drop off and pick up time to allow parents entry to the preschool, so they may sign their child in or out.

This is a preschool program that operates from 8:15AM to 2:15PM, Monday through Friday. Per FR, Room 113 is not in use at this time, due to low enrollment. The elementary school on the premise offers a Transitional Kindergarten program.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection; Room #112: 13 preschoolers with 3 teachers, the facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility:

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOSEPH A. GASCON ELEMENTARY HEAD START	FACILITY NUMBER: 191805630
	VISIT DATE: 03/04/2026

NARRATIVE

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Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are taken home to be washed by parents on Friday, each week.
Napping equipment (cots) were observed to be stored in the staff office/isolation area. Age-appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in the classrooms.
Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. FR states there are no poisons stored at the facility. Carbon monoxide detector, located on the ceiling of Room 112, was tested and functioning on this day.

All children were observed by LPA to be under supervision, including visual supervision, of a teacher at all times.

All areas identified on the Facility Sketch were inspected and the following were observed: Indoor classrooms were inspected to ensure that furniture and equipment are age-appropriate and in good repair, and the floors have a surface that is safe and clean.

Napping equipment and bedding were inspected for good condition and appropriate storage. LPA observed children’s bedding to be individually stored so that each child's bedding is identifiable, and no child's used bedding comes into contact with other bedding. FR states that parents take children’s bedding home on Fridays to be washed and returned on Mondays.

Storage for children's belongings was inspected and LPA observed children to have their own labeled cubbies to store their belongings in all classrooms. Facility provides children with paper cups for water and are allowed to drink freely at any time. Children also bring cups from home to keep in the classroom. LPA reminded Director to ensure that all of children’s cups, bedding, and belongings should be labelled with the child’s name.

LPA observed toys and materials for children in the classrooms such as books, art supplies, blocks, dramatic play areas, sensory toys and manipulatives. Restrooms used by children were inspected for availability and good repair.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC809 (FAS) - (06/04)

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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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOSEPH A. GASCON ELEMENTARY HEAD START	FACILITY NUMBER: 191805630
	VISIT DATE: 03/04/2026

NARRATIVE

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All materials and surfaces accessible to children appear to be toxic free.

There is an isolation room in the staff break room, located next to the Director’s office, for a sick child to rest. There is a cot available for children to rest. Staff provide 100% supervision when an ill child is using the isolation area and/or restroom, and parents are contacted immediately when children are determined to be ill, and staff are ensuring that children with obvious symptoms of illness are not accepted.

FR states food is prepared in the school’s cafeteria and brought into the classroom by staff. LPA informed FR and advised that all doors leading to off-limit areas must remain closed while children are in care. LPA reminded FR that off-limit areas must be made inaccessible to children during preschool operating hours.

Food menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. Menus for the past 30 days are available upon request.

All kitchen, food preparation, and food storage areas are clean and free of litter, rubbish, and rodents, and other vermin. All food is protected from contamination, and LPA inspected that any contaminated food is discarded immediately.

LPA observed 2 unlabeled plastic jugs containing what appeared to be left over milk, to be stored in the refrigerator in the kitchen. Per FR, jugs contain milk left over from the milk in the cafeteria. Requirements for food and beverage storage were discussed with FR. LPA observed FR remove the jugs from the refrigerator and discard of the milk.

LPA advised FR that any food or beverage removed from its original container must be labeled with the name of the original contents’, the contents’ original expiration date, and the date it was put into the alternate container or package.

LPA reminded FR that staff’s refrigerated food and beverages should be labelled and stored apart from the children’s food and beverages.

Facility Representative states that there are no poisons or firearms on the premises.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC809 (FAS) - (06/04)

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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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOSEPH A. GASCON ELEMENTARY HEAD START	FACILITY NUMBER: 191805630
	VISIT DATE: 03/04/2026

NARRATIVE

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First aid kits are located by the sinks in the classroom and there is an emergency backpack for staff to take outdoors. Telephone service, heating, lighting and ventilation were evaluated. LPA observed the facility to have operable carbon monoxide and smoke detectors located in each classroom. At 11:00am, the carbon monoxide detector was tested and functioning on this day.

The preschool has an outdoor play area that is fully fenced. There is shade in the play yard. Per Director children are on a rainy day schedule. LPA advised Director to maintain cushioning under outdoor equipment and to maintain a fall space around climbing equipment.

LPA reviewed facility roster and Disaster Drill log. Last drill was conducted 2/24/2026. LPA observed all required posted forms to be posted on the parent board by the entrance of the classroom.

At 12:00PM the Site Supervisor arrived and brought Staff Records from headquarters. Staff files were reviewed and found to be complete. Children’s Records were reviewed. LPA observed children’s files reviewed to be complete. Inspection of required forms was made. Children’s files reviewed contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA observed at least one person present during the inspection to be trained in Pediatric First Aid and CPR. LPA reviewed staff files, including Health Screenings. Staff immunization records (Influenza, Measles, and Pertussis) were reviewed and observed all staff files to be complete.

LPA advised the FR to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC809 (FAS) - (06/04)

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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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOSEPH A. GASCON ELEMENTARY HEAD START	FACILITY NUMBER: 191805630
	VISIT DATE: 03/04/2026

NARRATIVE

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FR was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions

about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.PIN 22-05-CCP.

Director, Shaki Anwar, was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA’s observations and records reviewed, the following deficiencies listed on the attached LIC809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety. Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report reviewed with the FR, Laura Fernandez.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/04/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/04/2026 02:45 PM - It Cannot Be Edited

Created By: Monica Ruiz On 03/04/2026 at 02:21 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: JOSEPH A. GASCON ELEMENTARY HEAD START	FACILITY NUMBER: 191805630
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(19)

Food Service

(19) All food shall be protected against contamination. Contaminated food shall be discarded immediately. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation,and interview the licensee did not comply with the section cited above in 2 plastic jugs of milk were unlabeled which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2026
	Plan of Correction
1 2 3 4	FR states they will review the requirements of storing, packaging and labeling food and beverages with the teaching staff and will have each staff member write a declaration of their understanding of how food and beverages are to be stored in a child care facility. Facility will ensure all staff is aware of policy and policy will be reviewed at next staff meeting.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Katrina Chicote
NAME OF LICENSING PROGRAM MANAGER:

	Monica Ruiz
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/04/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026

LIC809 (FAS) - (06/04)

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