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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019663
Report Date: 11/30/2022
Date Signed: 11/30/2022 11:41:28 AM

Document Has Been Signed on 11/30/2022 11:41 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:BRIGHT BEGINNINGS PRESCHOOLFACILITY NUMBER:
198019663
ADMINISTRATOR:SUSAN ROSALESFACILITY TYPE:
830
ADDRESS:3602 WHEELER AVETELEPHONE:
(909) 353-9306
CITY:LA VERNESTATE: CAZIP CODE:
91750
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 17DATE:
11/30/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:01 AM
MET WITH:Jeni Gonzalez TIME COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Judy Mora conducted a case management inspection due to an incident that occurred at the facility in/or approximately in July of 2022. LPA met with Executive Director, Jeni Gonzalez. LPA was guided on a tour of the infant and toddler classrooms by Kobi Gonzalez, Assistant Director. LPA conducted interviews during this visit.

The incident that occurred was never reported to the Department by the facility. LPA obtained information in regards to the incident during staff interviews. Information obtained indicated that a staff in the toddler classroom was frustrated and threw a shoe across the classroom. The staff is no longer employed at the facility, however, the facility is being cited for not reporting this incident to the department as required.

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

Exit interview was conducted with Executive Director, Jeni Gonzalez. Appeal rights explained & provided.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Judy Mora
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2022
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 11/30/2022 11:41 AM - It Cannot Be Edited


Created By: Judy Mora On 11/30/2022 at 11:21 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: BRIGHT BEGINNINGS PRESCHOOL

FACILITY NUMBER: 198019663

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/02/2022
Section Cited
CCR
101212(d)

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Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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Executive Director states that all incidents will be reported. A UIR will be completed for this incident and be submitted to the department.
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In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
This requirement was not met as evidenced by staff interviews. LPA obtained information that indicated that an incident occurred at the facility in around July 2022, when a staff member who was frustrated threw a shoe across the classroom in the toddler room. This was a potential risk to the health and safety of 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:Claudia Guangorena
LICENSING EVALUATOR NAME:Judy Mora
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2022


LIC809 (FAS) - (06/04)
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