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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018561
Report Date: 10/18/2024
Date Signed: 10/18/2024 11:27:27 AM

Document Has Been Signed on 10/18/2024 11:27 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:COVINA DEVELOPMENT CENTERFACILITY NUMBER:
198018561
ADMINISTRATOR/
DIRECTOR:
SHEENA MINAYAFACILITY TYPE:
850
ADDRESS:437 W. SAN BERNARDINO RD. #111TELEPHONE:
(626) 967-7153
CITY:COVINASTATE: CAZIP CODE:
91723
CAPACITY: 66TOTAL ENROLLED CHILDREN: 46CENSUS: 29DATE:
10/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:31 AM
MET WITH:Yesenia Arteaga Program ManagerTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/18/2024 Licensing Program Analyst (LPA) Mary Silva conducted an unannounced case management inspection to follow up on an incident that was reported to the regional office on 10/15/24. At the time of arrival licensing staff met with Program Manager Yesenia Arteaga. The purpose of the inspection was explained. There was a total of 29 children present with 8 staff.

The department was made aware of an incident that occurred at the facility on 10/15/24 involving a child with a head injury needing medical attention. Facility called the regional office on 10/15/24 to report the incident and submitted a written report on the same day.



During the inspection LPA conducted interviews with Program Manager, and Staff #1. Based on the disclosures made during interviews the incident occurred in the preschool playground at approximately 11:35am. One teacher and two assistants were present with 10 children. Per Staff #1, child #1 was playing soccer with other children in the preschool playground, lose balance, tripped, fells and hit the right side of head by right ear on the bottom of a wooden play structure. Staff #1 approached child and assessed for injuries; no bleeding was observed. Staff stayed with child #1 until balance was regained and child returned to play. Parent was notified of incident immediately and requested facility contact 911. Child #1 was transported to local hospital for medical attention with parent. On 10/15/24 Parent notified facility child was released from the hospital and returned to daycare with no restrictions on 10/16/24.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were given.

Exit interview conducted and report was reviewed with Program Manager Yesenia Arteaga
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2024
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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