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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191596644
Report Date: 10/26/2022
Date Signed: 10/26/2022 02:17:49 PM

Document Has Been Signed on 10/26/2022 02:17 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:DUARTE USD PRESCHOOL-ANDRES DUARTE SITEFACILITY NUMBER:
191596644
ADMINISTRATOR:NADIA HILLMANFACILITY TYPE:
850
ADDRESS:1433 CRESTFIELD DRIVETELEPHONE:
(626) 599-5000
CITY:DUARTESTATE: CAZIP CODE:
91010
CAPACITY: 114TOTAL ENROLLED CHILDREN: 114CENSUS: 50DATE:
10/26/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:52 PM
MET WITH:Annabelle Lopez - Office ManagerTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Steven Tung conducted an unannounced Case Management inspection due to an incident that was reported to the Department on 9/2/2022. Due to COVID- 19 precautionary measures were taken, licensing staff present during inspection wore appropriate personal protective equipment. LPA met with Office Manager Annabelle Lopez, Account Technician LaVena Martinez, and Program Coordinator Sofia Valdez (phoned in).

On 09/02/2022, it was reported that a staff member observed 2 children together - 1 of the children with their shorts down. Facility reported this incident to the Department within the required 24 hours. Based on information obtained during interviews conducted with staff and children and reports submitted, LPA determined that the incident occurred at the end of outdoor play time when staff was gathering children and conducting a head count. During the head count, staff observed the 2 children to be missing from the group. During the inspection, LPA observed the tube bridge where the incident occurred to be observable from the middle of the playground where staff were gathering the children.


Based on information obtained during this investigation, no follow up is necessary regarding the incident reported. The facility followed all proper procedures - Staff spoke with the children involved, children’s parents were notified, incident report was sent in properly and timely. Per Program Coordinator Sofia Valdez, the 2 children were separated and placed into different classes.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Office Manager Annabelle Lopez, Program Coordinator Sofia Valdez (phoned in), and Account Technician LaVena Martinez.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Steven Tung
LICENSING EVALUATOR SIGNATURE: DATE: 10/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/26/2022
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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