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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274410788
Report Date: 08/16/2022
Date Signed: 08/30/2022 08:55:16 PM

Document Has Been Signed on 08/30/2022 08:55 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:M.A.O.F. MOUNTAIN VALLEY EARLY LEARNING CENTERFACILITY NUMBER:
274410788
ADMINISTRATOR:VICKY SANTOSFACILITY TYPE:
850
ADDRESS:115 BARDIN ROADTELEPHONE:
(831) 771-9291
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 120TOTAL ENROLLED CHILDREN: 77CENSUS: 60DATE:
08/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Dina Lozoya & Sandra FletesTIME COMPLETED:
03:45 PM
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Licensing Program Analysts(LPAs), Teodoro Trujillo and Elizabeth Larios, met with Sandra Fletes, Site Supervisor, for an unannounced case management inspection in response to a self reported Unusual Incident that the Facility reported to the Department on August 11, 2022.

On July 29, 2022 a parent reported her child was hit in the hand by a teacher during diaper change.

LPAs were provided with investigation documents that the center conducted. Site Supervisor stated staff (S1) was placed on administrative leave while an investigation was conducted by the center. The conclusion of center investigation was found to be unsubstantiated.

LPAs conducted additional staff and children interviews who were present during the incident. The staff (S1) and child (C1) were not available for interview. LPAs obtained staff and children records. Based on the available information, further investigation is required and shall be continued on a later date.

Exit interview was conducted with Site Supervisor, Sandra Fletes and Administrative Program Director, Dina Lozoya,

No deficiencies were issues during today's inspection.

A notice of Site Visit was issued and must remain posted for 30 day.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Teodoro Trujillo
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2022
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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