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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570789
Report Date: 08/16/2024
Date Signed: 08/16/2024 01:50:05 PM

Document Has Been Signed on 08/16/2024 01:50 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:MOUNTAIN VIEW CHILDREN CENTERFACILITY NUMBER:
191570789
ADMINISTRATOR/
DIRECTOR:		ALMA GONZALESFACILITY TYPE:
850
ADDRESS:2109 BURKETT RDTELEPHONE:
(626) 652-4250
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 55DATE:
08/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Glenda Hiron, TIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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At 11:30 am Licensing Program Analysts (LPAs) Roxana Lopez and Priscilla Ochoa conducted an unannounced case management- incident inspection to the above facility. The purpose of this inspection was to follow-up on an incident that was self- reported to the department on 05/10/2024 LPAs met with Principal of Preschool Programs, Glenda Hiron, who gave LPAs a tour of the facility.

On 05/10/2024 an incident was self reported to the department within the required 24 hours. Per Incident reported On 5/09/2024 Child # 1 was pulled down from a small step-2 slide by child # 2, child # 1 fell backwards hitting the back of their head.

LPA conducted interviews with staff, incident was observed and first aid was provided. Parents were called to pick up child and were encouraged to take child to the doctor. Doctor's note was provided with no restrictions.

For this inspection, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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 Samara Baker.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2024
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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