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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597454
Report Date: 12/17/2024
Date Signed: 12/17/2024 03:12:28 PM

Document Has Been Signed on 12/17/2024 03:12 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:HACIENDA LA PUENTE PRESCHOOL (VALINDA)FACILITY NUMBER:
191597454
ADMINISTRATOR/
DIRECTOR:		ELIZABETH LAZOFACILITY TYPE:
850
ADDRESS:1030 INDIAN SUMMERTELEPHONE:
(626) 933-4756
CITY:VALINDASTATE: CAZIP CODE:
91744
CAPACITY: 24TOTAL ENROLLED CHILDREN: 14CENSUS: 13DATE:
12/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Elizabeth Catan & Ryan MartinezTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On 12/17/2024, at 1:05 pm Licensing Program Analysts (LPAs) Carolyn Tuba and Monica Ruiz conducted a case management inspection due to an incident that was self-reported and submitted by the facility. The incident occurred on 12/5/2024 at pick time approximately 2:00 pm. Covid risk assessment was conducted. LPAs met with Child Development Supervisor, Ryan Martinez who arrived shortly after, to facilitate the visit. LPAs observed and took a census of 13 children with 2 staff during naptime.

The incident was reported to the Department within the required 24 hours of occurrence.

During this investigation, LPAs conducted interviews with Staff #1 (S1), and Staff #2 (S2) and received via email an email from Child #1 (C1)’ parent. According to the Child Development Supervisor they conducted their own investigation and have since close the incident.

According to the Staff and Child Development Supervisor, C1 no longer attends this facility and has moved to another license facility within the Hacienda La Puente School District. C1 had stated that a S2 had hurt their arm. LPAs were not able to interview C1 due to not being available.

No citations have been issued at this time.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Child Development Supervisor, Ryan Martinez.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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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