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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593621
Report Date: 02/07/2023
Date Signed: 02/07/2023 10:32:32 AM

Document Has Been Signed on 02/07/2023 10:32 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:MONTE VISTA HEAD START/STATE PRESCHOOLFACILITY NUMBER:
191593621
ADMINISTRATOR:ALMA GONZALEZFACILITY TYPE:
850
ADDRESS:11111 THIENES AVE.TELEPHONE:
(626) 652-4250
CITY:EL MONTESTATE: CAZIP CODE:
91733
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 11DATE:
02/07/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Dinorah Jimenez, PM TeacherTIME COMPLETED:
10:50 AM
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Licensing Program Analyst (LPA) Cynthia Reyes, conducted an unannounced case management, decrease in capacity inspection, to ensure the health and safety standards as required by the regulations governing child care centers. LPA met with Dinorah Jimenez, PM Teacher, also present was Substitute Teacher, George Soffa and Paulette Jacquez, AM Instructional Assistant. Claudia Casillas Program Facilitator arrived shortly after. A risk assessment was conducted prior to entering the facility. Due to COVID- 19 precautionary measures were taken during the entire inspection and LPA wore appropriate personal protective equipment. This is a Head Start preschool program that is operated by Mountain View school district on the Monte Vista Elementary School site.

This facility is licensed to care for 45 preschoolers, and is requesting to decrease to 35. This is a licensed preschool age head start program which operates an AM session Monday – Friday 8:00 am to 11:30 am, and a PM session Monday- Friday 12:00 PM to 3:30 PM. All areas identified on the Facility Sketch were inspected. Facility is located in 2 classrooms MV # 1 and MV# 2. Per program facilitator, classroom MV# 2 is used for the Early Head Start Home Based program twice a month for socialization and parents are present during that time

LPA observed the child care has 1 bathroom with 3 toilets and 3 sinks. (Cap:45). Claudia Casillas Program Facilitator, states will submit a waiver request for the licensed preschool program to share the bathroom with the early head start program.

LPA observed the Preschool Outdoor playground and it is separate from the early head start program, However the early head start program children needs to walk through the preschool play ground to get to their own enclosed play ground. A waiver is needed for them to walk though the preschool yard.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2023
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: MONTE VISTA HEAD START/STATE PRESCHOOL
FACILITY NUMBER: 191593621
VISIT DATE: 02/07/2023
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Helpful Resources:

Access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Reporting Unusual Incidents: MPROIncidentReports@dss.ca.gov. CCL Resources for Parents & Providers: https://ccld.childcarevideos.org/ Provider Information Notices (PINs): https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care


At this time, the facility was observed to be operating in compliance with California Title 22 Regulations.

Decrease will be approved once the waiver is approved for shared bathroom space and a waiver for the Early head start to walk though the preschool play yard.

Based on facility file review, measurements and observations of the facility’s existing two licensed classrooms and the preschool outdoor play yard, the capacity for the preschool program will be decreased to a capacity of 20 (Twenty) preschool children in class room MV1.

Exit interview conducted and report was reviewed and given to Claudia Casillas, Program Facilitator.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
LIC809 (FAS) - (06/04)
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