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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021116
Report Date: 05/03/2024
Date Signed: 05/03/2024 02:44:43 PM

Document Has Been Signed on 05/03/2024 02:44 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:MARSHALL EARLY EDUCATION CENTERFACILITY NUMBER:
198021116
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, SANDRAFACILITY TYPE:
830
ADDRESS:1817 JACKSON AVENUETELEPHONE:
(626) 307-3396
CITY:SAN GABRIELSTATE: CAZIP CODE:
91776
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 43DATE:
05/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Erica Vega - Program ManagerTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
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Licensing Program Analysts (LPAs) Nolan Tcheng and Priscilla Ochoa conducted an unannounced Case Management-Incident inspection for the purpose of following up on an incident reported to the Department on 04/24/2024. Upon arrival at 1:30pm, LPAs met with Program Manager Erica Vega, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children present during the time of inspection.

Census was taken. There were 43 children with 10 staff members.

On 04/22/2024, a child in care was climbing on the small play house structure and fell. The fall resulted in an injury to the child's head. Parent took child for further evaluation with a doctor. During today's inspection, LPAs interviewed two staff members and requested footage from the cameras placed around the outdoor area. After review of information, this incident will need further review and investigation. Licensing staff will return on a future date.

No citations are being provided during today's inspection.

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

Exit interview conducted and report was reviewed with Program Manager Erica Vega. Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2024
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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