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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015323
Report Date: 05/26/2026
Date Signed: 05/26/2026 01:23:36 PM

Document Has Been Signed on 05/26/2026 01:23 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
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: 15CENSUS: 15DATE:
05/26/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:05 AM
MET WITH:Monica BonillaTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 05/26/26 at 11:05 a.m. The purpose of this inspection is to follow up on an incident reported to the Department within 24 hours. At 11:09 a.m., LPA met with the facility representative Raquel Barber. LPA conducted a self-tour and census was taken. Facility representative Monica Bonilla later arrived and assisted LPA with the rest of the inspection.

During this inspection, LPA interviewed Staff 1 (S1) and S2 was not available during the inspection. LPA wasn’t able to interview Child 1 (C1) due to the child having lunch then taking a nap.

On 05/05/26 at approx. 09:09 a.m. child 1 (C1) was walking in the classroom and tripped over his shoe. C1 went forward and hit his right eye on the rocking chair. Staff followed health and safety policy and procedures and also contacted the child’s parents. The child was taken to the doctor and was cleared to return to the facility on 05/06/26.

Interview conducted with S1 revealed that they were walking towards the library area where C1 was waiting for assistance from the staff. According to S1, C1 wanted a book and was going around a green calming colors giant pillow from Lakeshore that was on the floor in the rug area when the child’s foot/shoe got stuck and caused the child to fall forward. Per S1, they grabbed C1 as the child fell forward; however, the child was still able to hit their right eye on the right corner of the rocking chair leg. S1 immediately provided first aid, ice pack, and cleaned the area. S1 stated that the child sustained a cut and minimal blood was observed. S2 called parents, their manager, and the program nurse. C1 was picked up and was taken to the doctor where the child was cleared to return to the facility on 05/06/26. S1 recalls that C1 returned to the facility with a doctor’s note and the child had no restrictions. Per S1, C1 did not receive any stitches and only had a scab that fell the next day.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2026
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: 05/26/2026
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During today’s inspection, LPA toured the area where the incident occurred and observed age-appropriate toys, materials, and equipment in good condition. LPA also took pictures of the library area which included the green calming colors giant pillow from Lakeshore, rocking chair, and rug. LPA observed that the rug is in place and is not easily moved or lifted. Per S1, the green calming colors giant pillow has always been in the library area/carpet as it’s used for children to sit during story time; however, the pillow is removed when children use the blow up animals or during nap time. S1 also revealed that parents of C1 have been advised in the past that the child’s shoes are not appropriate since the shoes seem to fit too big or are slip-ons; however, parents have recently provided shoes that are fitted. LPA advised the facility representative to assess the area/room and items used as decorations or pillows as needed to ensure that those items do not pose a tripping hazard. LPA provided a technical assistance. LPA also advised staff to be aware of children’s clothing and shoes to ensure they are appropriate to prevent any incidents as previously discussed on 01/23/26. The facility should follow their policy regarding clothing/shoes.

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 Monica Bonilla.

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

DATE: 05/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2026
LIC809 (FAS) - (06/04)
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