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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021235
Report Date: 06/07/2023
Date Signed: 06/07/2023 10:01:51 AM

Document Has Been Signed on 06/07/2023 10:01 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF EARLY HEAD START - PICO RIVERAFACILITY NUMBER:
198021235
ADMINISTRATOR:SONIA GUERREROFACILITY TYPE:
830
ADDRESS:9125 BURKE STREETTELEPHONE:
(562) 949-3189
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY: 6TOTAL ENROLLED CHILDREN: 6CENSUS: 0DATE:
06/07/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Cynthia RodriguezTIME COMPLETED:
10:20 AM
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An announced pre-licensing follow up site inspection was conducted today by Licensing Program Analyst (LPA) Cynthia Reyes, to reinspect and remeasure the requested Infant program for capacity determination. Applicant is requesting an Infant License with capacity of 06.

Based on LPA measurements taken and observations of the facility on 05/09/2023, the measurements allow for 11 Infants indoors and 19 outdoors. Applicant is requesting a capacity of 06 Infants. Fire clearance is on file and approved for a capacity of 06 Infants.

Corrections needed from the 05/09/2023 pre licensing inspection before this infant program can be licensed is, the napping area needs to be in closed by a 4 ft. sound proof patrician.

Applicant build a 4ft wall to separate the napping area (Photos taken on this date) LPA observed and remeasured (Same measurements from 05/09/2023) the infant class room with the new napping area and the requested capacity of 6 Infants has been approved and will be licensed on this date.

LPA discussed the Safe Sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment

Exit interview conducted with applicant Cynthia Rodriguez, Education Coordinator, and a signed copy of this report was given on this date.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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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