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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006095
Report Date: 11/29/2022
Date Signed: 11/29/2022 01:58:17 PM

Document Has Been Signed on 11/29/2022 01:58 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:PICO GARDENFACILITY NUMBER:
198006095
ADMINISTRATOR:MARIA CASTILLOFACILITY TYPE:
850
ADDRESS:1500 E. 4TH STREETTELEPHONE:
(323) 264-3649
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 51TOTAL ENROLLED CHILDREN: 47CENSUS: 38DATE:
11/29/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Maria Castillo TIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Judy Mora conducted a case management inspection due to three incidents that occurred at the facility on 10/12/22, 10/19/22 and 11/14/22. LPA met with Center Manager, Maria Castillo and Site Supervisor, Norma Juarez. LPA was guided on a tour of the preschool classrooms by Maria Castillo. LPA conducted interviews and obtained documentation during this visit.

All three incidents were reported to the Department within the required 24 hours of occurrence. All three incidents have consisted of biting incidents.

Based on all information obtained and interviews conducted with the Teacher and the Site Supervisor who have observed the incidents; no follow-up is necessary regarding the incidents. Facility staff are addressing the issue on a case by case basis and referrals have been made. The facility staff could not have done anything to prevent the incidents from occurring and preventative measures are being taken in order to prevent a similar incidents.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

There were no deficiencies observed in regards to today's inspection.

Exit interview was conducted with Site Supervisor, Norma Juarez. Appeal rights explained & provided.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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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