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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000225
Report Date: 02/07/2025
Date Signed: 02/07/2025 11:22:19 AM

Document Has Been Signed on 02/07/2025 11:22 AM - 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: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: 29DATE:
02/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Mercedes GomezTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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On 2/7/2025, at 10:30 am Licensing Program Analyst (LPA) Carolyn Tuba conducted a case management inspection regarding an incident reported on 1/13/2025. LPA met with Child Development Supervisor, Mercedes Gomez. LPA observed a census of 29 children with 15 staff.

An incident report was called in on 1/13/2025 and an Unusual Incident Report (UIR) was submitted confirming 4 cases of conjunctives (pink eye) that began on 1/8/2025 and on 1/13/2025. The Department of Health was notified and came to the facility to conduct a visit on January 30, 2025. According to Child Development Director, Rosie Ducoing when LPA spoke to her on 1/30/205 there had been 7 more confirmed cases as of 1/24/2025 and all the cases occurred in room 27. The Health Department conducted a visit and the Director will be forwarding the report to the LPA. All surfaces, toys, furniture and walls in room 27 has been disinfected by using bleach and water. The children have been encouraged with more hand washing and a well check is conducted each morning to see if any symptoms are displayed. A letter was given to all parents notifying them of the conjunctives outbreak. As of today, 2/7/2025 there have not been any more confirmed cases. Program Nurse, Carmen Robles followed up by informing the families of the exposure to and provided material on steps to take in case they exhibit like symptoms. Program custodial staff were instructed to clean, disinfect and sanitize the classroom,materials and play equipment.

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

No citations were given during today's visit.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the. Child Development Supervisor, Mercedes Gomez.

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SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
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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