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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015323
Report Date: 11/04/2021
Date Signed: 11/04/2021 12:34:28 PM

Document Has Been Signed on 11/04/2021 12:34 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:EL MONTE CITY S.D. - MULHALL SCHOOL(HEAD START)FACILITY NUMBER:
198015323
ADMINISTRATOR:LISA DUNBARFACILITY TYPE:
850
ADDRESS:10900 MULHALL STREETTELEPHONE:
(626) 452-9164
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 40TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Carol GregoryTIME COMPLETED:
12:45 PM
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An unannounced case management inspection was conducted today by Licensing Program Analysts (LPA) Crystal Green and Lissete Gonzalez to inspect and measure facility for capacity determination. Licensee is requesting to decrease preschool capacity and add a toddler option program. Due to COVID- 19 precautionary measures were taken, individuals present during inspection wore appropriate personal protective equipment. Facility was observed to be adhering to local public health guidelines. Upon arrival, Licensing staff met with Family Service Specialist, Jacqueline Godina and Lead Techer, Raquel Barbara, who assisted until Assistant Program Director, Carol Gregory arrived to resume providing a tour of the facility.

During today’s visit, it was disclosed that the applicant will be updating the LIC 200A application form with a change to request 0 Preschoolers and 18 Toddlers; Original application request indicated a request for 20 Preschoolers and 16 Toddlers. Based on the new request to serve Toddlers (18-36 months), prior to providing care to preschoolers, Licensee acknowledges that Community Care Licensing will be notified. Licensee is choosing to provide care for only the toddler age group. Currently, the facility is licensed for 40 Preschoolers.

There were no children present during today’s visit. The proposed Toddler classrooms are Room #1 and Room #2. Licensing staff observed age appropriate equipment, toys, and supplies for children. The Toddlers designated isolation is located in the office area. A cot is available for ill children waiting to be picked up.

Per Facility Representative, linens and bedding are laundered weekly and as needed by a staff member. There are changing tables located in Room #1 and Room #2 within arm's reach of a sink. LPA observed a landline in each classroom. There are emergency supplies and a first aid kit located in Room #1 and Room #2. There is drinking water available in form of a water dispenser with disposable cups. There are trash cans with tight fitting lids available in the classrooms. There is a restroom located in each classroom. There is a parent board with the required postings at the entrance to the facility. Report Continues Page 1 of 3
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EL MONTE CITY S.D. - MULHALL SCHOOL(HEAD START)
FACILITY NUMBER: 198015323
VISIT DATE: 11/04/2021
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LPA observed snack and meal menus in the classrooms. Facility provides Breakfast, Lunch, and PM snacks. Food is brought in daily by a caterer and meals are maintained warm through the food warmer.

The Toddler outdoor playground was inspected and measured. There is age appropriate play equipment in the playground. The outdoor space is fenced. Drinking water will be available to children via a water pitcher and disposable cups. There is adequate shade in the yard. Licensing staff observed the structure poles located around the shade area to be missing protective cushion barriers to prevent possible injury.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm


LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Based on the LPA’s observation, the following corrections need to be corrected prior to obtaining the capacity decrease with toddler option child care license. Corrections are due by 11/30/2021:


1. Licensee is requesting to serve 0 Preschoolers and 18 Toddlers. Licensee will submit a new LIC 200A Application reflecting the new request.
2. Installation of protective cushion barriers to the four (4) shade structure poles located on the outdoor playground.

Report Continues Page 2 of 3.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: EL MONTE CITY S.D. - MULHALL SCHOOL(HEAD START)
FACILITY NUMBER: 198015323
VISIT DATE: 11/04/2021
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No deficiencies cited during this visit. There is an approved Fire Clearance on file. Exit interview conducted with Supervisor, Ana Heredia, A copy of this report and appeal rights were provided and explained.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Report Ends Page 3 of 3.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Crystal Green
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
LIC809 (FAS) - (06/04)
Page: 3 of 3