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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500260
Report Date: 12/20/2022
Date Signed: 12/20/2022 10:30:56 AM

Document Has Been Signed on 12/20/2022 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DEWEY SCHOOL- HEAD STARTFACILITY NUMBER:
191500260
ADMINISTRATOR:WENDY MOLINA-SOLISFACILITY TYPE:
850
ADDRESS:525 DEWEY AVENUETELEPHONE:
(626) 573-4121
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 19DATE:
12/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:27 AM
MET WITH:Teacher, Vicky ChavarriaTIME COMPLETED:
10:45 AM
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An unannounced Required Annual Site Inspection was conducted on this day by Licensing Program Analyst (LPA) Bardo Baluyot. Facility is currently licensed for a capacity of 38 Preschool children. Upon arrival, LPA met with Teacher, Vickie Chavarria who guided analyst on a tour of the facility. This is a Head Start preschool program which is operated by Garvey School District. Facility is located on the on the northeast corner of Dewey Elementary School campus. Facility is fully fenced and gated.

The Head Start program consists of two sessions (full day and extended day). Dewey Room #1 operates from 8:00am to 2:00p.m. (dosage) and Dewey Room #2 from 8:00a.m. to 4:00pm (full day session) Monday through Friday. The indoors and outdoors of the facility were inspected. LPA observed 10 children with 3 staff in Room #1 and 9 children with 2 staff in Room #2. Teacher child ratios were observed and staff names recorded. Sign in and out sheets were reviewed and found to be complete.

Furniture and equipment were inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment (mats) and bedding were inspected for good condition, appropriate storage and cleanliness. The children take their blankets home to be laundered weekly on Friday. Storage for children's belongings and isolation area were inspected. Ill isolation area is in the reading area of each room. Drinking water is readily available indoors for children via a water fountain.

Both classrooms share the restrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE: DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DEWEY SCHOOL- HEAD START
FACILITY NUMBER: 191500260
VISIT DATE: 12/20/2022
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Food preparation and storage areas were observed to be clean, free of litter, rubbish and free of rodents and other vermin. Food is provided by the School District Cafeteria. The facility provides, breakfast, lunch and PM snack to the full day program; breakfast and lunch to the extended day program. Proper storage of food, beverages and snacks was reviewed. Food menus were posted in a place that is visible by the child’s authorized representative. All storage containers for solid waste, including moveable bins had tight-fitting covers. All floors were observed to be clean and safe. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible. First Aid supplies were reviewed and inventoried. Medications are stored in locked metal boxes either in the kitchen (Dewey Room #2) or in the teacher’s office (cabinet). Protocols and emergency protocols are in place with each medication. Medications inventoried to ensure all are within the expiration date.


The outdoor play area is fully fenced. Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. The surface of the outdoor activity area was observed to be maintained in a safe condition and free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water fountain. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed. LPA observed an indoor gate barrier located by the children’s playground to be damaged (door drags) and the hand closure of the gate door sits at eye level of the children in care.


A sampling of children’s emergency information was reviewed. Staff files were not reviewed as staff files are kept at the Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. All staff is fingerprint cleared, as a condition of employment through the school district. Ms. Chavarria's Pediatric First Aid and CPR certification were reviewed and expire on 6/6/2024. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence has been reported to the department.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DEWEY SCHOOL- HEAD START
FACILITY NUMBER: 191500260
VISIT DATE: 12/20/2022
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The facility provides Incidental Medical Services-IMS. Per staff, there is (1) child currently with an inhaler. An IMS Plan is on file for this facility. A review of the medication policy, including administering, labeling, storage, and records was made. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided; US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.


No deficiencies cited during today's visit in accordance with California Code of Regulations Title 22.

Exit interview conducted and report was reviewed with Teacher, Vickie Chavarria.


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.


To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.


END OF REPORT: PAGE 3 OF 3
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Bardo Baluyot
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2022
LIC809 (FAS) - (06/04)
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