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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400839
Report Date: 06/05/2024
Date Signed: 06/05/2024 11:46:34 AM

Document Has Been Signed on 06/05/2024 11:46 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:NLMUSD-COLUMBIA EARLY LEARNINGFACILITY NUMBER:
198400839
ADMINISTRATOR/
DIRECTOR:
PARKER, LAURELFACILITY TYPE:
850
ADDRESS:12830 COLUMBIA WAYTELEPHONE:
(562) 803-6229
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 115TOTAL ENROLLED CHILDREN: 16CENSUS: 13DATE:
06/05/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Juana ContrerasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analysts (LPAs) T. Tran and A. Carter made an unannounced visit at NLMUSD- Columbia Early Learning Center to conduct a Case Management Incident occurred on 5/16/24. The Monterey Park Southwest Office received the writing report on 5/17/24. Upon arrival, LPAs met with Family Service Worker, Juana Contreras and toured the facility. Per facility representative, Head Start program last day on 5/31/2024. Early Head Start last day will be on 6/28/2024. LPAs observed proper care and supervision.

No staff or child files reviewed due to the school year end. All the files had been returned to the main office. LPAs obtained personnel report, monthly attendance report for May and other document.
LPAs conducted interview with staff and other. Due to insufficient information available at this time, the above allegation needs further investigation.

No deficiency was found 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 the facility representative, Juana Contreras.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
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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