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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020800
Report Date: 07/15/2024
Date Signed: 07/15/2024 11:09:32 AM

Document Has Been Signed on 07/15/2024 11:09 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PUENTE AVE PRESCHOOLFACILITY NUMBER:
198020800
ADMINISTRATOR/
DIRECTOR:		KIMBERLY NGUYENFACILITY TYPE:
850
ADDRESS:802 VINELAND AVETELEPHONE:
(626) 277-9700
CITY:LA PUENTESTATE: CAZIP CODE:
91746
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 29DATE:
07/15/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Abigail Mauleon ANd Kimberly NguyenTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 7/15/2024 at 10:00 am, Licensing Program Analyst (LPA), Carolyn Tuba conducted an unannounced POC (plan of correction) inspection to ensure the deficiency cited on 6/26/2024 during a complaint visit has been corrected. A COVID risk assessment was conducted. LPA met with staff member and approximately 5 minutes later Assistant Director, Abagail Mauleon made herself available. LPA observed 29 children and 7 staff during this visit.

Assistant Director provided LPA a write-up of what she learned on the training module of Reporting Requirements. Director, Kimberly Nguyen was also present and consulted with LPA that they would like to have Technical Support Program (TSP) contact them to gain further understanding of Title 22 regulations and Personal Rights of children. LPA suggested that the training modules can be useful to present to staff during their monthly meetings. LPA, Assistant Director and Director consulted with regards to the relocation of the children in case of an emergency. LPA informed that the Emergency Disaster Plan needs to be updated, as well as informing parents and updating the Parent Handbook.

LPA cleared the deficiency on this date and provided a copy of the Licensing Report to Assistant Director. LPA also issued POC clearance letter during the visit.

At this time, the facility is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

A notice of site visit was given must remain posted for 30 days. Exit interview conducted and report was reviewed with the Assistant Director, Abagail Mauleon.


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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 07/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/15/2024
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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