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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019052
Report Date: 07/11/2024
Date Signed: 07/11/2024 11:02:26 AM

Document Has Been Signed on 07/11/2024 11:02 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:POMONA HIGH CHILD DEVELOPMENT CENTER, ROOM P88FACILITY NUMBER:
198019052
ADMINISTRATOR/
DIRECTOR:		KYM ALLENFACILITY TYPE:
850
ADDRESS:475 BANGOR ST.TELEPHONE:
(909) 397-4438
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 23TOTAL ENROLLED CHILDREN: 23CENSUS: 0DATE:
07/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH:Infant Lead Teacher Kerri Hawke-JereTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Stephanie Li conducted an unannounced Case Management inspection due to an incident that occurred on 4/9/24 and was reported to the Department on 4/10/24. The preschool head start program was closed for the summer. 0 Preschool children were present, but the toddler and infant program was operating. Toddler and infant teachers confirmed that the previous Preschool lead Teacher was no longer working at their site since the end of last school year.

On 4/12/24, an unusual incident report was made to the department regarding Head Start Lead Teacher and Para professional teacher. LPA contacted Head Start Supervisor Laura Borja. Laura confirmed that Lead Teacher was placed on administrative leave on April 15, 2024 and did not return to employment. Laura confirmed that the Para professional Teacher was also placed on administrative leave a week after. Supervisor stated that it is not decided if para professional will be returning in the fall. Based on information obtained during this investigation, no additional follow up is necessary regarding the incident reported.

No deficiencies are being cited at this time.

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.

Exit interview conducted and report was reviewed with Infant Lead Teacher Kerri Hawke-Jere.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 07/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/11/2024
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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