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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191595866
Report Date: 09/12/2024
Date Signed: 09/12/2024 01:27:30 PM

Document Has Been Signed on 09/12/2024 01:27 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'S CENTERFACILITY NUMBER:
191595866
ADMINISTRATOR/
DIRECTOR:		ALMA GONZALESFACILITY TYPE:
840
ADDRESS:2109 BURKETT RD.TELEPHONE:
(626) 652-4250
CITY:EL MONTESTATE: CAZIP CODE:
91732
CAPACITY: 30TOTAL ENROLLED CHILDREN: 23CENSUS: 0DATE:
09/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Glenda Giron & Samara Baker TIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced case management inspection to follow up with an incident that was reported to the department. LPA met with Facility Representatives Glenda Giron and Samara Baker who guided LPA on a tour of the facility.

On 7/29/2024, it was reported to the department that child # 1 fell off a swing onto the soft turf spraining their right wrist. . The incident was reported to the Department within the 24-hour period and the written report was received via mail on 08/1/2024.

During today’s inspection staff interviews were conducted and documentation was reviewed. Child fell on 7/23/2024- incident was observed and ice was provided. Though no swelling was noticed and child was able to move wrist- child had discomfort. Child was taken to the doctor and did not returned until 7/29 with a doctor's note stating wrist was sprained. Child had restrictions for two weeks after the incident. Child continues attending with no restrictions.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

At this time, 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.

Exit interview conducted and report was reviewed with the facility representatives Glenda Giron and Samara Baker ------------------------------------- pg. 1 of 1 --------------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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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