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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020436
Report Date: 09/26/2024
Date Signed: 10/02/2024 12:22:34 PM

Document Has Been Signed on 10/02/2024 12:22 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:COVINA-VALLEY CHILDREN'S CENTERFACILITY NUMBER:
198020436
ADMINISTRATOR/
DIRECTOR:		VANESSA BURGUENOFACILITY TYPE:
850
ADDRESS:4400 N. ROXBURGHTELEPHONE:
(626) 472-6330
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY: 140TOTAL ENROLLED CHILDREN: 93CENSUS: 45DATE:
09/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:55 PM
MET WITH:Vanessa Burgueno SupervisorTIME VISIT/
INSPECTION COMPLETED:
04:05 PM
NARRATIVE
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On 09/26/24 Licensing Program Analyst (LPA) Mary Silva conducted an unannounced Case Management-Other inspection for the purpose of reviewing personnel file for staff #4. Upon arrival at 1:55pm LPA met with Supervisor Vanessa Burgueno and Principal Christian Aleman, to whom the purpose of the inspection was explained. LPA was provided tour of the facility. Census was taken there were a total of 45 children with 12 staff members.

During today's inspection, LPA discussed with Supervisor and Principal the requirement for personnel records to be available for review by licensing agency. On 05/14/2024, LPA requested to view personnel file for staff #4 and was informed by director of personnel services staff files that maintain confidential information were not available for review. On this day, 09/26/24 Licensing staff was informed principal a request to review personnel files would need to be granted by assistant superintendent. Facility maintains two separate files in the center, one file provides staff qualifications and licensing forms, and the second file contains districts forms, evaluations, and other confidential information.

LPA obtained a written declaration from principal, stating personnel file for staff #4 or any staff would need to be approved by assistant superintendent.

Based on Licensing staff observations, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22.


A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Supervisor Vanessa Burgueno. Appeal rights and copy of report was provided.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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 10/02/2024 12:22 PM - It Cannot Be Edited


Created By: Mary Silva On 09/26/2024 at 03:28 PM
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: COVINA-VALLEY CHILDREN'S CENTER
FACILITY NUMBER: 198020436

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2024
Section Cited
CCR
101217(d)(1)

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(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.
(1) The licensee may keep such records in a central administrative location provided that they are readily available to the Department at the child care center site as specified in Section 101217(c).
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Prinicipal submitted a declaration to inform personnel files with confidential information can't be reviewed without an approval request from assistant superintendant of personnel.
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Based on observations, the facility did not comply with the section cited above as evidenced by department, facility did not grant Licensing staff access to view personnel file for staff #4, which poses a potentialrisk of the health, safety, and personal rights 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:Christina Gabelman
LICENSING EVALUATOR NAME:Mary Silva
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024


LIC809 (FAS) - (06/04)
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