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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890351
Report Date: 01/30/2023
Date Signed: 01/30/2023 05:02:02 PM

Document Has Been Signed on 01/30/2023 05:02 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GATES STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890351
ADMINISTRATOR:SCARLETT RAMIREZ-HOLGUINFACILITY TYPE:
850
ADDRESS:2306 THOMAS STREETTELEPHONE:
(323) 222-0277
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 114TOTAL ENROLLED CHILDREN: 57CENSUS: 37DATE:
01/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Cindy Pulido, Head Teacher &
Scarlett Ramirez-Holguin, Principal
TIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Mireya GarcĂ­a conducted an unannounced Case Management inspection due to incidents that were reported to the Department on December 7, 2022, December 12, 2022, and January 27, 2023. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Head Teacher Cindy Pulido who guided LPA on a tour of the facility. Principal, Scarlett Ramirez-Holguin later arrived during this inspection. Census was taken.


On December 7, 2022, one incident was self reported to the Department via Email by the facility who reported a child was injured while in care.

On December 12, 2022, one incident was self reported to the Department via Email by the facility who reported a parent alleges that a child's personal rights were violated while in care.

On January 27, 2023, one incident was self reported to the Department via Email by the facility who reported a child was injured while in care.

The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.

During the inspection, LPA Garcia conducted interviews with Principal, eight (8) staff and attempted to interview (1) day care child. LPA was unable to complete interviews on this date. Due to additional staff/children were not available for interview at this time, a follow up visit will be required at a later date in order to conduct further interviews and/or obtain additional documentation.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Scarlett Ramirez-Holguin.



END OF REPORT: PAGE 1 OF 1.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2023
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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