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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198006261
Report Date: 04/22/2024
Date Signed: 04/22/2024 01:01:15 PM

Document Has Been Signed on 04/22/2024 01:01 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:VAN WIG HEAD START/STATE PRESCHOOLFACILITY NUMBER:
198006261
ADMINISTRATOR:JOANNE MENDEZFACILITY TYPE:
850
ADDRESS:1151 VAN WIG AVE.TELEPHONE:
(626) 931-8000
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 72TOTAL ENROLLED CHILDREN: 15CENSUS: 11DATE:
04/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Socorro Ruiz & Mercedes GomezTIME COMPLETED:
01:15 PM
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On April 22, 2024, at 9:00 am Licensing Program Analyst (LPA) Carolyn Tuba conducted a Case Management inspection due to an incident that allegedly occurred at the facility on 03/08/2024. A Covid Risk assessment was conducted. LPA met with Staff, Socorro Mata who guided LPA on a tour to obtain the census of 11 children with 2 staff, as well as an in additional adult was present conducting observations during the visit. Child Development Supervisor, Mercedes Gomez arrived at the facility at 9:30 am who works offsite and supervises this facility.

The incident was reported to the Department within the required 24 hours of occurrence. The incident consisted with a child disclosing to their parents that the staff had violated their Personal Rights.

Based on all the interviews conducted with the Child Development Supervisor (CDS), Staff #1(S1), Staff #2 (S2) and Child#1 (C1), LPA found that there were no disclosures made that C1's personal rights were violated. The facility conducted their own investigation and did not discover staff behaving inappropriately with the incident reported by C1’s parents. C1 continues to attend the facility and parents of C1 have not communicated any further with staff or administrators after the initial disclosure. The administration stated that they have made several attempts to hold a meeting with parents of C1, but they have not responded.

No deficiencies were cited during today’s inspection.

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

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 04/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/22/2024
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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