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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016248
Report Date: 10/13/2021
Date Signed: 10/14/2021 12:25:29 PM

Document Has Been Signed on 10/14/2021 12:25 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:MARYVALE EARLY EDUCATION CENTERFACILITY NUMBER:
198016248
ADMINISTRATOR:STEVE GUNTHERFACILITY TYPE:
850
ADDRESS:2502 HUNTINGTON DR.TELEPHONE:
(626) 357-1514
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY: 112TOTAL ENROLLED CHILDREN: 112CENSUS: 69DATE:
10/13/2021
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Stephanie Garcia, StaffTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Thelma Razo and LPA Lilli Babcock conducted a subsequent unannounced Required - 1 Year inspection. LPAs held this visit due to Maryvale provides services to military families. According to Director Stephanie Garcia, licensee has no child of military families enrolled at this time. Maryvale also has an infant/toddler program LIC #198016250 and school age program LIC #198016249. Waiver on school age license to allow preschool and school age programs to use entire yard on staggered schedule.

On 10/6/2021, LPA Razo conducted a facility tour to include 6 classrooms, outdoor playground, bathrooms, kitchen and lead teacher office where medications are centrally stored. Today, LPAs reviewed children, staff and facility records. Per Director, fire and earthquake drill is being held every month (logs provided).

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. The review of Staff records was documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file and proof against TB, measles, pertussis, and influenza. All staff have been given on the job training on sanitation principles, housekeeping, including universal health precautions.

The following were obtained from Director Garcia:

  • LIC500 Personnel Report
  • LIC 9040 Child Care Facility Roster
  • Updated LIC309 - terms of the board of directors expires November 2021
  • Updated facility sketch to indicate the room #/Classroom names
  • Designation of Facility Responsibility LIC 308 for Stephanie Garcia
  • Board Resolution designating Stephanie Garcia as the Site Director
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2021
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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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: MARYVALE EARLY EDUCATION CENTER
FACILITY NUMBER: 198016248
VISIT DATE: 10/13/2021
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  • Updated Maryvale Board of Directors 2020-2021
  • Incidental Medical Services Plan


For additional information regarding Compliance and Regulatory Enforcement (CARE) tool used on today's inspection, please visit the program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process. Please share your inspection experience by completing the survey to help improve the inspection process.

There were no deficiencies cited during today’s inspection. The Notice of Site Visit 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.

Exit interview conducted. Appeal Rights and report were reviewed with Director.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2021
LIC809 (FAS) - (06/04)
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