136608103-11-9-2021-20-CC-MMAE-C8LUVL-20211109145518

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 136608103
Report Date: 11/09/2021
Date Signed: 11/09/2021 02:55:28 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	ICOE/ ECEP HEAD START PROGRAM - BRAWLEY PANTHERS		FACILITY NUMBER:	136608103
ADMINISTRATOR:	MARIA A. MARTINEZ		FACILITY TYPE:	850
ADDRESS:	245 WEST A STREET		TELEPHONE:	7603126431
CITY:	BRAWLEY	STATE: CA	ZIP CODE:	92243
CAPACITY:	30	CENSUS: 23	DATE:	11/09/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:19 AM
MET WITH:	George Vasquez		TIME COMPLETED:	03:10 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 11/9/2021 at 10:19am, Licensing program Analyst (LPA) Martha Malane, conducted an unannounced Annual Inspection and met with Site Supervisor, George Vasquez. LPA disclosed the purpose of the inspection and was led on a tour of the facility indoors and outdoors. This is a full day program which operates on a traditional school year schedule. Days and hours of operation are Monday – Friday 8:00am – 2:30pm. There are currently two (2) classrooms in operation, rooms 1 and 2 on the Phil Swing Elementary school campus. The following ratios were observed: Classroom 1 (serves children age 3 - 5 years): 13 children present with two (2) staff Classroom 2 (serves children age 3 - 5 years): 10 children present with two (2) staff Mr. Vasquez stated there is no swimming pool or other bodies of water on the premises. Mr. Vasquez stated there are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection. Furniture and equipment are in good condition. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment and slides have cushioning material to absorb falls.Toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Food is protected against contamination and contaminated food is discarded immediately. The facility is free of flies, insects and rodents. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. See LIC809C continuation...

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ICOE/ ECEP HEAD START PROGRAM - BRAWLEY PANTHERS	FACILITY NUMBER: 136608103
	VISIT DATE: 11/09/2021

NARRATIVE

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Employees are fingerprint cleared through the Imperial County Office of Education. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher designated to act in the director’s absence was not reported to the Department. Site Supervisor, George Vasquez submitted required paperwork to LPA during today’s inspection. Mr. Vasquez was reminded that the person who signs the child in/out of the facility shall use their full legal signature and record the time of day; Technical Assistance was provided. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles. Staff members 1 - 5 (S1 - S5) do not have current documentation of completed AB1207 Mandated Reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Site Supervisor is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and site supervisor discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, California Megan’s Law (www.meganslaw.ca.gov), Forms and Regulations.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, LIC809D). An exit interview was conducted with Site Supervisor, George Vasquez. Mr. Vasquez was provided a copy of: LIC809, LIC809C, LIC809D, 9102TN, appeal rights (LIC 9058) and LIC 9213 Notice of Site Visit which is required to be posted for 30 days.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: ICOE/ ECEP HEAD START PROGRAM - BRAWLEY PANTHERS	FACILITY NUMBER: 136608103
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/09/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview with site supervisor, Mr. Vasquez and records review, the licensee did not comply with the section cited above in five (5) out of six (6) staff members did not have a current AB1207 Mandated Reporter training certificate on file which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/10/2021
	Plan of Correction
1 2 3 4	Mr. Vasquez stated he will send proof of completion of AB1207 for S1 - S5 to CCL by 12/10/21. Mr. Vasquez stated he will utilize Outlook calendar for reminders on expiring certification for all staff.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: Martha Malane	TELEPHONE: (619) 767-2231
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2021

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2021

LIC809 (FAS) - (06/04)

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