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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890434
Report Date: 10/12/2022
Date Signed: 10/12/2022 01:28:33 PM

Document Has Been Signed on 10/12/2022 01:28 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:MONTE VISTA EARLY EDUCATION CENTERFACILITY NUMBER:
191890434
ADMINISTRATOR:BARBARA PAGEFACILITY TYPE:
850
ADDRESS:5509 ASH STREETTELEPHONE:
(323) 258-3842
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 162TOTAL ENROLLED CHILDREN: 62CENSUS: 46DATE:
10/12/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:16 AM
MET WITH:Office Manager, Marfa Garcia &
Head Teacher, Narine Barutyan		TIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Mireya García conducted an unannounced case management follow up inspection due to incidents that occurred on August 23, 2022 and September 14, 2022. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Office Manager, Marfa Garcia, who guided LPA on a tour of the facility. Principal, Barbara Walker was not present during this inspection. There were forty-six (46) children observed to be present at the facility during LPAs arrival.

LPA Mireya Garcia conducted interviews and obtained documentation during visits conducted on September 21, 2022 and October 12, 2022.

The incident that occurred on 08/23/22 was reported to the facility representative on 08/24/22 and the facility reported to the Department on 08/25/22, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #4 violated Child #1’s personal rights.


REPORT CONTINUES ON NEXT PAGE 1 OF 3.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTE VISTA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890434
VISIT DATE: 10/12/2022
NARRATIVE
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The second incident that occurred on 09/14/22 was reported to the Department on 09/15/22, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Staff #1 violated Child #1’s personal rights.

Based upon information received from the interviews conducted by LPA Mireya Garcia on September 21, 2022 and October 12, 2022, it was determined that the personal rights of Child #1 were violated by Staff #1 and by Staff #4 on two separate occasions. During this investigation, disclosures were made by staff who confirm that Staff #1 has a history of violating children's personal rights.

This poses an immediate health and safety risk to children in care. Title 22 Regulation Section 101223 Personal Rights states (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.


REPORT CONTINUES ON NEXT PAGE 2 OF 3.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
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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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTE VISTA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890434
VISIT DATE: 10/12/2022
NARRATIVE
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The following deficiency listed on the attached LIC 809 deficiencies page is being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). Acknowledgement of Receipt (LIC 9224 form) must be maintained in each child’s file immediately upon receipt from parent. Head Teacher, Narine Barutyan was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) Form (English/Spanish).

A notice of site visit and a copy of this report was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Head Teacher, Narine Barutyan.


END OF REPORT: PAGE 3 OF 3.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mireya Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2022
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Document Has Been Signed on 10/12/2022 01:28 PM - It Cannot Be Edited


Created By: Mireya Garcia On 10/12/2022 at 12:19 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: MONTE VISTA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890434

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/12/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/12/2022
Section Cited
CCR
101223(a)(3)

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101223-Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:
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Per Head Teacher, on 09/20/22 Principal provided training to all staff in regards to personal rights to ensure that staff is following Title 22 Regulations.
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Based on interviews conducted by LPA Mireya Garcia on September 21, 2022 and October 12, 2022, it was determined that the personal rights of Child #1 were violated by Staff #1 and by Staff #4 on two separate occasions. This poses an immediate health and safety risk to children in care.
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Per Head Teacher the Principal will submit via email to LPA Garica a compliance/action plan to ensure staff are in compliance with Tittle 22 regulations, in order to clear this citation.

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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.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Mireya Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 10/12/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/12/2022


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