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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500276
Report Date: 07/02/2024
Date Signed: 07/02/2024 03:48:40 PM

Document Has Been Signed on 07/02/2024 03:48 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GOLDEN WEST PRESCHOOLFACILITY NUMBER:
191500276
ADMINISTRATOR/
DIRECTOR:
EMILY NALASAFACILITY TYPE:
850
ADDRESS:10248 ALONDRA BLVD.TELEPHONE:
(562) 866-5616
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 77TOTAL ENROLLED CHILDREN: 77CENSUS: 42DATE:
07/02/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Emily "Amy" NalasaTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analysts (LPAs) Alicia Mooberry and Portia Bowden conducted an unannounced case management inspection due to an incident that occurred on 06/20/2024. LPAs met with Amy Nalasa, Director, who guided LPA on a tour of the facility.

There were 42 children supervised by 6 staff present upon arrival. LPAs and inspected the classroom toys, reviewed child #1's file and took photo of toy during this visit.

The purpose of the inspection was to follow-up on an incident that was reported to the department where Child #1 got their finger stuck in the hole a wooden track, the staff attempted to dislodge the finger and called 911 for assistance. No injury resulted from the incident.

The incident that occurred on 6/20/24, was reported to the Department on 06/20/24, via phone. The written LIC 624 was received by the department on 6/26/24. The facility is in compliance in Reporting requirements.



Based upon information received and observations recorded, the toys in the facility are age appropriate and in good repair. Per Director, Child #1 will be supervised while they play with the train tracks.

No deficiencies cited as a result of this inspection

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. Exit interview was conducted with Emily "Amy" Nalasa, Director.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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