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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015323
Report Date: 01/23/2026
Date Signed: 01/23/2026 11:24:39 AM

Document Has Been Signed on 01/23/2026 11:24 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
MONTEREY PARK CC RO, 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/
DIRECTOR:		LISA DUNBARFACILITY TYPE:
850
ADDRESS:10900 MULHALL STREETTELEPHONE:
(626) 452-9164
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 18TOTAL ENROLLED CHILDREN: 16CENSUS: 10DATE:
01/23/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Guillermina Diaz HuertaTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 01/23/26 at 09:05 a.m. The purpose of this inspection is to follow up on an incident that was reported to the Department within 24 hours on 11/18/25. LPA met with facility representative Angelica Ramos who guided LPA on a tour of the facility and census was taken. According to the facility representative, there are no preschool children enrolled in the program as this is an Early Head Start program serving toddler ages 18 months-36 months. Guillermina Diaz Huerta later arrived and assisted LPA with the rest of the inspection.

On 11/17/25 at approximately 09:00 a.m. Child #1 (C1) was transitioning out of circle time and headed to a table activity when he tripped on the carpet. After C1 tripped, S2 assisted the child since the child complained and pointed to their left foot. Staff interviewed revealed that the carpet was free of any items that could pose a tripping hazard. Per S2, they were next to the child and observed when the child tripped. S2 removed the child’s shoes and socks to assess the area; however, there was no bruising, bumps, scratches or anything observed on the child’s left foot. According to staff, an ice pack was applied onto the child’s foot. Staff revealed that the child was observed to be limping and called the registered nurse. The registered nurse assessed the child and advised that the child should be picked up if he continued to limp. On the same day, the program FSA spoke with the parent who shared that the child was seen by a doctor and x-rays were taken. The registered nurse also contacted the parent on 11/18/25 and was informed that x-rays were taken of the child’s left foot; however, x-ray results will be available in three days. On 11/21/25 the registered nurse contacted the child’s parent who stated that they are still waiting for the x-ray results. On 11/24/25, the child’s parent shared with the registered nurse that the child had been clear to return to the facility. Per staff, x-rays did not reveal any fractures.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK CC RO, 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: 01/23/2026
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According to staff, the child returned without any restrictions and parent provided a doctor’s clearance letter. Interviews with staff revealed that this is the first and only incident that has occurred in the carpet area. LPA attempted to conduct an interview with C1; however, child was distracted and returned to play outdoors. LPA observed C1 could move both of his feet without any issues or pain. LPA also observed that C1s shoes are a little big as the shoes can come off easily. LPA advised staff to be aware of children’s clothing and shoes to ensure they are appropriate to prevent any incidents. Also, LPA advised staff to document any communication with parents regarding concerns or observations of children’s clothing and shoes.

LPA toured the area of where the incident occurred and observed furniture is age appropriate and in good repair. LPA also observed that the carpets are well maintained and the corners are not lifting. LPA took a picture of the carpet area and obtained a copy of the doctor’s note.

During this inspection, LPA interviewed Staff 1 (S1 thru 2), and Child 1 (C1).



At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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, a civil penalty of $100 can be assessed.

An exit interview was conducted, and a copy of this report was provided to the facility representative Guillermina Diaz-Huerta




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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026
LIC809 (FAS) - (06/04)
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