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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013448
Report Date: 09/01/2021
Date Signed: 09/01/2021 12:35:51 PM

Document Has Been Signed on 09/01/2021 12:35 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:EAST WHITTIER CENTERFACILITY NUMBER:
198013448
ADMINISTRATOR:RACHEL LUNA GONZALESFACILITY TYPE:
850
ADDRESS:9951 S. MILLS AVENUETELEPHONE:
(562) 907-1840
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 42DATE:
09/01/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:53 AM
MET WITH:Araceli Brion, Education CoordinatorTIME COMPLETED:
12:47 PM
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At 09:42AM an unannounced Case Management-Incident inspection was conducted by Licensing Program Analyst (LPA) Lissete Gonzalez to follow up on an Unusual Incident. The incident was self reported via telephone on 08/23/2021 (Monday) and via fax on 08/26/2021 to Community Care Licensing. It was reported to the Department that the incident occurred at the facility on 8/20/2021 (Friday). At 10:32AM, Education Coordinator, Araceli Brion, arrived at the facility to conclude the inspection.

Upon LPA's arrival to the building at 09:42AM, LPA Gonzalez entered the facility and met with Lead Teacher, Inez Landin. The purpose of the inspection was announced to the Lead Teacher.

The Lead Teacher guided LPA on a tour of the facility. Census was taken. The following staff were present during this inspection: Room #01: 2 Staff with 13 preschoolers; Room #02: 3 Staff with 18 preschoolers; Room #03: 2 Staff with 11 preschoolers.

The Unusual Incident reported concerns of a possible violation of the Personal Rights of Child #1 by Staff #3 in Room #02. During today's inspection, LPA obtained documentation including the children’s roster and interviews were conducted with staff and witnesses. Due to insufficient information available at this time, the above allegation needs further investigation.

A printed copy of this report and appeal rights (LIC 9058) was provided to Education Coordinator, Araceli Brion, at the conclusion of the visit and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Lissete Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 09/01/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2021
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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