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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597634
Report Date: 05/08/2024
Date Signed: 05/08/2024 02:11:19 PM

Document Has Been Signed on 05/08/2024 02:11 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:HOPE LUTHERAN PRESCHOOLFACILITY NUMBER:
191597634
ADMINISTRATOR/
DIRECTOR:
HEAD, ELLENFACILITY TYPE:
850
ADDRESS:1041 E. FOOTHILL BLVD.TELEPHONE:
(626) 335-5315
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 40DATE:
05/08/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Ellen Head - DirectorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an announced Case Management inspection on this date for the purpose of to verify that the licensee received and has abided by the letter regarding, Sherry Keller: ORDER TO INDIVIDUAL/FACILITY OF IMMEDIATE EXCLUSION.

Upon arrival LPA met with Director, Ellen Head and the nature of the inspection was discussed. LPA advised Director that as of April 26,29024, Sherry Keller is excluded from Hope Lutheran Preschool and any other facility licensed by Department of Social Services. Director was advised that the immediate exclusion letter is a public document. The Director was advised of the appeal process for this exclusion.

Director Head stated she received the Exclusion letter handed to her by the church school administrative staff on Monday, April 29, 2024. The letter was by certified mail and dated on the front of the envelope 04/26/2024. Director Head stated she read and understood the letter. Director Head stated she has not terminated Sherry Keller or disassociated her from the facility as of this date, due to Sherry Keller having her court date today 05/08/2024 and was waiting on the Board of the schools instructions. LPA informed Director Head, due to the Immediate Exclusion order, she has 24 hours to comply as she has not complied with the departments decision as of this date. Director Head stated Sherry has been on administrative leave as of 12/13/2024 and has not return to the facility. Sherry Killers child is in care, however Sherry does not and will not pick up or drop off her child as she is excluded from the day care. Director Head stated Sherry's husband and the child grandparents do pick up and drop off. (Copy of child's ID emergency form was obtained on this date).
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: HOPE LUTHERAN PRESCHOOL
FACILITY NUMBER: 191597634
VISIT DATE: 05/08/2024
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The facility had an informal office meeting on 04/092024 with director Head and she had agreed to to contact her local R&R (Pomona Unified) to seek professional services that will assist her with reviewing the facility noncompliance history and assist with any appropriate training's and recommendations to maintain compliance with the state laws and regulations. Director Head stated she has not complied with this request as of this date. Director Head also stated she has not complied with this requirement. To view the following videos on the Department website https://ccld.childcarevideos.org/:
Teacher-to Child Ratios in Child Care Centers
Supervising Children in Child Care Centers
Children’s Personal Right in Child Care Reporting Requirements.
LPA advised Director Head she has a week to comply with the request from the informal meeting by Wednesday May 15, 2024. Director Head is to submit in writing by Email, details of what she viewed and learned regarding each of the videos she viewed and Who she spoke with at the R&R, when, and what information she received and what she will be utilizing with the professional services and when. If all the corrections are not made on the date given to b completed by the department the department will then issue citation and hold a Non-compliance conference with the facility and legal action maybe taken.

A copy of the 101208 Exclusions and Health and Safety code Regulation was provided to Director Head on this date.

Exit Interview conducted with Director, Ellen Head. Notice of Site Visit (LIC 9213) posted and – must remain posted for 30 consecutive days. Failure to maintain posting as required will result in a civil penalty of $100.00. A copy of Appeal Rights was explained and provided.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC809 (FAS) - (06/04)
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