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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501178
Report Date: 02/22/2024
Date Signed: 02/22/2024 05:52:25 PM

Document Has Been Signed on 02/22/2024 05:52 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BURDICK'S SCHOOL FOR LITTLE CHILDRENFACILITY NUMBER:
191501178
ADMINISTRATOR:HEREDIA, TONY F.FACILITY TYPE:
850
ADDRESS:4124 MAXSON ROADTELEPHONE:
(626) 442-6719
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 64TOTAL ENROLLED CHILDREN: 27CENSUS: 26DATE:
02/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Elodia Barnhart, Director TIME COMPLETED:
06:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Roxana Lopez conducted a Case Management Deficiencies visit on this date to address deficiencies revealed during a Case Management Lead inspection. Census was taken.

Initially LPA arrived at the facility at 1:50 pm. Upon entering the facility there was no one in the front office, therefore LPA went inside the 4-5 year old classroom were there was 1 teacher with 13 children 3 of them awake. Per teacher, they were by themselves and informed LPA that Director was in the next classroom. LPA then proceeded to the 2's classroom, LPA observed the Director with 13 children 3 of them awake. Director informed LPA that she was short staff and out of ratio across the board- including infants. This poses an immediate health and safety risk for children in care. A visit was conducted in infant facility too.

As LPA was getting ready to print the report at around 5:00 pm, LPA observed a child walking through the empty 3 year old classroom by themselves. LPA approached the child and ask where they were going? Child pointed to the 4-5 year old classroom- LPA asked teacher in the classroom if the child was from the 4-5 year old class and or if parents were here. Teacher advised that child was from the 2 year old class. LPA then walked to the two year class and asked the teacher if they were missing a child- teacher proceeded to count and realized that 1 child was missing. Per teacher they were changing a diaper and did not observed child leave the classroom. This poses an immediate health and safety risk for children in care.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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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: BURDICK'S SCHOOL FOR LITTLE CHILDREN
FACILITY NUMBER: 191501178
VISIT DATE: 02/22/2024
NARRATIVE
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Based on LPA observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety-

LPA Roxana Lopez informed Facility Representative Elodia Barnhart that this report dated 2/22/2024 document(s) 2 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA Roxana Lopez informed the Licensee to provide a copy of this licensing report dated 2/22/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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.

Exit interview conducted and report was reviewed with the Facility Representative Elodia Barnhart.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/22/2024 05:52 PM - It Cannot Be Edited


Created By: Roxana Lopez On 02/22/2024 at 04:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BURDICK'S SCHOOL FOR LITTLE CHILDREN
FACILITY NUMBER: 191501178

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/22/2024
Section Cited
CCR
101216.3(a)

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101216.3 Teacher-Child Ratio (a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance. This requirement was not met as evidenced by:
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Per Director- they are short staff- they called the sub list and were not able to get a sub. Director states that they are working on hiring a new teacher and will not accept children if not enough coverage. Written plan will be submitted to LPA by 3/1/24.
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Based on observation, LPA observed 13 children with 1 teacher in classroom # 1 and 13 children with 1 teacher in classroom # 2 which poses an immediate health and safety risk to children in care.
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Type A
02/22/2024
Section Cited
CCR101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time,
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During inspection- the Director stepped in to the classroom. Per Director they will have a staff meeting to addressing the lack of supervison and will submit a written plan on how direct supervision will take place at all times. Plan will be submitted to LPA by 3/1/24
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Based on observation, LPA observed 1 child from the 2s classroom- walking through an empty classroom by themselves, which poses an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Brandi VanOosten
LICENSING EVALUATOR NAME:Roxana Lopez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/22/2024


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