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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364815787
Report Date: 05/08/2024
Date Signed: 05/08/2024 03:54:52 PM

Document Has Been Signed on 05/08/2024 03:54 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MEXICAN AMER. OPPORTUNITY FOUND. FREMONT PRESCH.FACILITY NUMBER:
364815787
ADMINISTRATOR/
DIRECTOR:		PAULA GOMEZFACILITY TYPE:
850
ADDRESS:9950 FREMONT AVENUETELEPHONE:
(909) 626-1092
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 31DATE:
05/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:Active Director, Liz Martinez TIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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A case management inspection is being conducted in response to the receipt of an Unusual Incident Report (UIR) from the facility on 05/07/2024. Licensing Program Analyst (LPA) Blanca Ruiz met with Active Director, Liz Martinez, to follow-up on the UIR submitted to the department. Parent(s)/Legal guardian of child(ren) of the involve in the incident are aware of all details. Facility was toured and census was taken. Interviews were conducted and records were reviewed.

Further information is needed. Upon completion of the review, the outcome and/or recommendations will be provided to the Director. During this inspection, facility was found in substantial compliance.

No deficiencies cited.

An exit interview conducted, and report was reviewed Director, Liz Martinez. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

THIS REPORT MUST BE AVAILABLE TO THE PUBLIC, UPON THEIR REQUEST, FOR THREE YEARS.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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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