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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000225
Report Date: 08/22/2024
Date Signed: 08/22/2024 03:19:09 PM

Document Has Been Signed on 08/22/2024 03:19 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:BASSETT HEAD START/ERWINFACILITY NUMBER:
198000225
ADMINISTRATOR/
DIRECTOR:		R. DUCOING/Y. OROZCOFACILITY TYPE:
850
ADDRESS:943 N. SUNKIST AVENUETELEPHONE:
(626) 931-3161
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 168TOTAL ENROLLED CHILDREN: 168CENSUS: DATE:
08/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Rosie Ducoing & Gladys VargasTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On August 22, 2024, at 11:30 am Licensing Program Analyst (LPA) Carolyn Tuba conducted a case management inspection due to 3 individual incidents that occurred at the facility on 8/14/2024, and two (2) on 8/16/2024. LPA called and spoke to Child Development Director, Rosie Ducoing who works off-site and met LPA at approximately 12:00 pm, meanwhile LPA was greeted by Site Supervisor, Gladys Vargas. LPA took a census of 53 children with 13 staff.

LPA conducted interviews with Child Development Director and Site Supervisor. During this visit photos, emails (sign-in and out sheets), diaper log for 8/16/2024 and children’s roster were obtained.

The incident was reported to the Department within the required 24 hours of occurrence.



Incident # 1 - The incident pertained to the personal rights of a child that occurred on 8/14/2024. Staff and children were not available to interview, but LPA obtained staff information and schedule of the classroom. LPA was forwarded photos.

Incident #2 – The incident pertained to injuries of a child that did not require medical attention, however parents stated that had not received an injury report by the facility. LPA learned that subs were present the day of the incident (8/16/2024) and Child Development Director will be forwarding LPA the subs information. The child was too young to interview.

Incident #3 – The incident pertained to diapering. The parent alleged that the child had a diaper rash on 8/16/2024. LPA observed the photos provided by the parent, which based on the photos appeared to be a heat rash around the creases of the child’s legs. LPA also obtained the diaper log for 8/16/2024 which indicates that the child was changed at least 6 times through-out the day. Child attends a full day program.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: BASSETT HEAD START/ERWIN
FACILITY NUMBER: 198000225
VISIT DATE: 08/22/2024
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LPA advised that the facility could ask parent to provide an ointment for the child. Site Supervisor stated that staff has already approached parent.

Based on all the information obtained for Incident #3 LPA found that the incident was not breaking any Title 22 or Health and Safety Regulations. Incident #1 and Incident #2 will require additional investigation.

At this time, the facility is in compliance with California Code of Regulations Title 22, therefore no deficiencies were cited during today’s visit inspection.



A notice of site visit was given to Licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Child Development Director, Rosie Ducoing.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2024
LIC809 (FAS) - (06/04)
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