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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005675
Report Date: 12/12/2023
Date Signed: 12/12/2023 11:10:27 AM

Document Has Been Signed on 12/12/2023 11:10 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTERFACILITY NUMBER:
198005675
ADMINISTRATOR:CHRISTINE GARCIAFACILITY TYPE:
850
ADDRESS:841 S. GLENWICK AVE.TELEPHONE:
(909) 595-1261
CITY:WALNUTSTATE: CAZIP CODE:
91789
CAPACITY: 72TOTAL ENROLLED CHILDREN: 63CENSUS: 50DATE:
12/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:44 AM
MET WITH:Christine GarciaTIME COMPLETED:
11:15 AM
NARRATIVE
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Case management inspection conducted by Licensing Program Analyst Jennifer Hua. LPA met with Site Supervisor, Christine Garcia. The purpose of the visit was announced. The purpose of the visit is to follow up on the incident that was reported on 12/7/2023. It was reported that on 12/6/2023, a child was left unattended on the playground during transition from outside to inside.

During the visit, interviews conducted with site supervisor and staff. Staff stated that a child was left outside the classroom for about 1 minute, from the time the group went inside to the time staff found child sitting outside the classroom door.

Based on information received, the following deficiency is cited on attached 809D.

Upon receipt of this report documenting a substantiated complaint allegation and a Type A deficiency, the licensee shall do the following:
1. Post the Notice of Site visit and any licensing report documenting a Type “A” deficiency.
2. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.
3. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year).
4. The Acknowledgement form (LIC 9224) must be maintained in each child’s file immediately upon receipt from parent. A copy of the parent Acknowledgement of Receipt of Licensing Reports Form was provided during this visit.

Exit interview was conducted with Christine Garcia, Site Supervisor, including, but not limited to Provider Rights, Appeal
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Jennifer Hua
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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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Document Has Been Signed on 12/12/2023 11:10 AM - It Cannot Be Edited


Created By: Jennifer Hua On 12/12/2023 at 10:29 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WALNUT VALLEY PRESCHOOL AND EARLY LEARNING CENTER
FACILITY NUMBER: 198005675

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/22/2024
Section Cited
CCR
101229(a)(1)

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Responsibility For Providing Care and Supervision. The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Per Site Supervision, staff have been talked to, will re-train all staffl focusing on supervision, also procedures have been revised focusing on transitions. Will submit copy of training agenda, with staff sign in, copy of procedures by POC due date.
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The requirement is not met as evidenced by: A child was left on the playground unattended during transition from outside to inside. This poses an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ana Chico
LICENSING EVALUATOR NAME:Jennifer Hua
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2023


LIC809 (FAS) - (06/04)
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