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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493538
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:49:43 PM

Document Has Been Signed on 03/07/2024 03:49 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:EVERGREEN EARLY LEARNING HEAD STARTFACILITY NUMBER:
197493538
ADMINISTRATOR:CARDENAS, LAURAFACILITY TYPE:
850
ADDRESS:312 S OLEANDER AVENUETELEPHONE:
(323) 421-1100
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 80TOTAL ENROLLED CHILDREN: 76CENSUS: 68DATE:
03/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Candice BondadTIME COMPLETED:
04:00 PM
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Licensing Program Analysts (LPAs) T. Tran and A. Padilla made an unannounced visit at the above licensed to conduct a Case Management Incident occurred on 02/13/2024. The Monterey Park Southwest Office received the writing report on 02/14/2024. Upon arrival, LPA met with Site Supervisor, Candice Bondad and toured the facility. LPAs observed proper care and supervision.

LPA completed child and staff’s files reviewed. LPA obtained child's document, doctor’s note, and personnel report.
On the day of the incident, there were two staff supervised 18 children. Based on the interview conducted with staff and other, it revealed that C1 was dehydrated causing child looking pale, sweating, and lips were turning blue. Staff immediately call 911 and parent was contacted. Facility had a meeting with child’s parent to develop a meal plan upon child returning to school. Per staff, child has been trying new food and drink more water at school.

No deficiency was found during today's inspection. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Candice Bondad.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 03/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/07/2024
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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