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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191594166
Report Date: 02/22/2024
Date Signed: 02/22/2024 04:54:50 PM

Document Has Been Signed on 02/22/2024 04:54 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:
191594166
ADMINISTRATOR:HEREDIA, TONYFACILITY TYPE:
830
ADDRESS:4124 MAXSON RD.TELEPHONE:
(626) 442-6719
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 48TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
02/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH: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 Case Management inspection. LPA toured facility by themselves as the Director was covering in the preschool classroom. Census was taken.

Upon entering the facility LPA observed 11 infants with 2 staff. 8 of the infants were observed to be sitting in high chairs, with no adult supervision. Some of the infants were eating and others were waiting for food. LPA observed 1 teacher in the classroom behind the baby gate with 2 infants. From the kitchen area LPA observed a teacher assistant walking towards the infants in high chairs with plates of food. The area where high chairs are located is not visible from the kitchen or classroom which was where both staff were located. LPA toured the nap room and observed 1 infant asleep with no supervision and both doors of nap room closed. LPA looked at cameras and noticed that the area where infant was sleeping is not viewed in cameras. Per Teacher they check on the child through the side door. LPA did not observed a current sleep log. This poses an immediate health and safety risk for children in care.

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(s) 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.------------------pg. 1 of 2
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: 191594166
VISIT DATE: 02/22/2024
NARRATIVE
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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.
----------------------------------------------- pg. 2 of 2 --------------------------------------------
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)
Page: 2 of 4
Document Has Been Signed on 02/22/2024 04:54 PM - It Cannot Be Edited


Created By: Roxana Lopez On 02/22/2024 at 03:05 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: 191594166

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
101416.5(b)

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101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. This requirement was not met as eveidenced 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 there is not enough teacher coverage. Written plan submitted
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Based on observation, LPA observed 11 infants present with only 2 staff in the classroom which poses an immediate health and safety risk to children in care.
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Type A
02/22/2024
Section Cited
CCR101429(a)(1)

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101429 (a) In add.. to Sec. 101229, the following shall apply:(1)Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement is not met as
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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 8 unsupervised infants in high chairs and 1 infant unsupervised in the nap room with both nap room doors closed 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


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/22/2024 04:54 PM - It Cannot Be Edited


Created By: Roxana Lopez On 02/22/2024 at 03:18 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: 191594166

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/01/2024
Section Cited
CCR
10429(2)(b)

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101429 Responsibility for Providing Care and Supervision for Infants (2) Sleeping infant(s) shall be directly observed by sight and sound at all times.
(B)Staff shall physically check on sleeping infant(s) every 15 minutes. This requirement was not met as evidenced by

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Per Director they will continue updating all sleep logs every 15 minutes. Sleep logs will be submitted to LPA by 3/1/24 and available for review to the department.
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Based on observation, LPA observed that their was no current sleep log for infant observed to be sleeping in the nap room, 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


LIC809 (FAS) - (06/04)
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