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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191595830
Report Date: 12/06/2024
Date Signed: 12/09/2024 10:46:52 AM

Document Has Been Signed on 12/09/2024 10:46 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:FOSTER ROAD STATE PRESCHOOLFACILITY NUMBER:
191595830
ADMINISTRATOR/
DIRECTOR:
YOLANDA GONZALEZFACILITY TYPE:
850
ADDRESS:13930 E. FOSTER RD.TELEPHONE:
(562) 921-9908
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 28DATE:
12/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Loretta Gallegos Assistant Director TIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Patricia Duron conducted an unannounced case management investigation for the incident which the facility self reported to licensing office on 12/03/24. The unusual incident report stated an unusual incident occurred at the facility on 12/2/24, Assistant Director received a phone call on 12/2/24 stating staff 2 (S2) witnessed staff 1 (S1) spank Child 1(C1).

On 12/6/24 Assistant Director stated an investigation was conducted with S1, S2, and C1 were interviewed. S1 was interviewed regarding the incident and S1 is on a temporary leave.

Upon arrival LPA, was met by Assistant Director Loretta Gallegos, LPA explained the reason for today's visit. Director provided a tour of the facility. LPA observed 5 preschool staff and 28 preschool children in care during today’s visit.

A review of facility Personnel Report Summary on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. During today's inspection, LPA Duron interviewed 2 staff members, 4 children and reviewed records . LPA obtained facility roster.

Due to additional information needed the case management needs further investigation at this time. An exit interview conducted with Assistant Director, Loretta Gallegos. The Assistant Director was provided a copy of appeal rights (LIC 9058 ) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.
Notice of Site Visit was provided and posted. Notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.00.

End of Report.
SUPERVISORS NAME: Thuy Ho
LICENSING EVALUATOR NAME: Patricia Duron
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2024
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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