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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021205
Report Date: 07/08/2024
Date Signed: 07/08/2024 10:30:16 AM

Document Has Been Signed on 07/08/2024 10:30 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:HART PRESCHOOLFACILITY NUMBER:
198021205
ADMINISTRATOR/
DIRECTOR:		MONIQUE ORNELASFACILITY TYPE:
850
ADDRESS:859 S. RAYMOND AVE.TELEPHONE:
(213) 422-2176
CITY:PASADENASTATE: CAZIP CODE:
91105
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 15DATE:
07/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Monique Ornelas TIME VISIT/
INSPECTION COMPLETED:
10:45 AM
NARRATIVE
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On 07/08/24 , at 08:30 am ,Licensing Program Analyst (LPA ) Shushanik Safaryan conducted unannounced Case Management follow up Inspection for an unusual incident report .Upon arrival at 08:30 am , LPA met with the Facility representatives , Monique Ornelas and Emily Laguna , to whom the purpose of the visit was explained . Tour was provided . During the tour, LPA observed 15 children with 4 staff members .

On 06/05/24 an incident was reported where a child's personal rights may have been violated . During this inspection ,LPA conducted interviews with three children . The children who were allegedly involved with this incident were interviewed and did not make any disclosures.

During the investigation , based on the information obtained , Department found no evidence that would support the allegation.



Exit interview conducted with Facility Representative ,Emily Laguna and Appeal Rights explained.

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.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
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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