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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501178
Report Date: 02/29/2024
Date Signed: 02/29/2024 04:07:04 PM

Document Has Been Signed on 02/29/2024 04:07 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: 27DATE:
02/29/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:58 PM
MET WITH:Director Elodia Barnhart TIME COMPLETED:
03:30 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 POC inspection. Census was taken.

LPA arrived at 1:58 pm, walked in through the back of the facility and observed Director Elodia coming out of the infant facility. Director, took LPA to the office to set up- when entering the kitchen area in the preschool facility, LPA observed Staff # 1 clocking in.

LPA and Director walked into the 4-5 year old classroom, there was Staff # 2 out of ratio with 14 children, with children awake. LPA then proceeded to the 2's classroom, LPA observed Staff # 1 out of ratio with 13 children, with children awake. LPA did not observed any other teachers in the classroom and asked Staff # 1 who was watching the children before they clocked in from lunch. Staff # 1 disclosed that Staff # 2 was watching the 2's classroom as well. Director stated that they were in the 2s classroom but stepped out to the infants and asked Staff # 2 to watched both classrooms from the middle area in the hallway. This poses an immediate health and safety risk for children in care- civil penalties were assessed on this date. During the inspection Director stepped into the classrooms to be counted in ratio and combined some children for both classrooms to be in compliance.

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-
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/29/2024
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: BURDICK'S SCHOOL FOR LITTLE CHILDREN
FACILITY NUMBER: 191501178
VISIT DATE: 02/29/2024
NARRATIVE
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LPA Roxana Lopez informed Facility Representative Elodia Barnhart that this report dated 2/29/2024 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 2/29/2024 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.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/29/2024 04:07 PM - It Cannot Be Edited


Created By: Roxana Lopez On 02/29/2024 at 02:56 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: 02/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/29/2024
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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During the inspection Director stepped into the classroom for coverage and combined classrooms. Per Director- they are short staff- they called the sub list and were not able to get a sub. Director states that they are going to ask to hire a permanent sub- to have a back up. Written plan will be submitted
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Based on observation, LPA observed 14 children with 1 teacher in 4's classroom with 14 children and 2's classroom 1 teacher with 13 children which poses an immediate health and safety risk to children in care.
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Type A
02/29/2024
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- LPA obseerved staff # 1 come into the classroom- Per Director they will have a staff meeting 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
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Based on observation and interview, Classroom # 2 (13 children) was not directly supervised. Staff # 2 was watching both 2's and 4's classroom (14 children) from the middle of hallway. 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: 02/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/29/2024


LIC809 (FAS) - (06/04)
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