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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801390
Report Date: 06/16/2022
Date Signed: 06/28/2022 10:21:24 AM


Document Has Been Signed on 06/28/2022 10:21 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:BUENA VISTA MIGRANT HEAD STARTFACILITY NUMBER:
153801390
ADMINISTRATOR:CRISTINA MACHUCAFACILITY TYPE:
850
ADDRESS:8325 BUENA VISTA BLVD.TELEPHONE:
(661) 845-7726
CITY:LAMONTSTATE: CAZIP CODE:
93241
CAPACITY:53CENSUS: 8DATE:
06/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Diana DavilaTIME COMPLETED:
02:33 PM
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 On 06/16/22 at 11:20 a.m. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced Annual Required inspection at the Buena Vista Migrant Head Start Center Facility to assess the Center's operation of their Program and current physical plant status. Also, to evaluate the Center's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. The LPA met with the Facility Director, Diana Davila, stated the purpose for the inspection and provided a copy of the Entrance Checklist form, LIC 125.

This Center was approved as the central administrative file/facility for criminal record association purposes. Staff associated to the central administrative file may work in any of the facilities monitored by the Palmdale Child Care Regional Office without transferring or adding associations.

The Director provided copy of the Child Care Center children roster and Personnel Report (LIC 500). The Center maintains on file a current Designation of Facility Responsibility (LIC 308), Sign in and Sign Out Rosters, current Parent Handbook. At 12:35 p.m. LPA Rodriguez along with the Director conducted a walk trough of the inside and outside of the Facility along with the entire operation of the facility/center program.

The facility license is posted on a prominent place of the Center. During the walk through/inspection of the Facility the LPA discussed observations of Title 22 requirements. The Center is clean, safe, sanitary and well maintain. All utilities are operational and in good order. There is plenty parking space. First aid kits are available and complete (inaccessible to children/infants.) The fire extinguishers, smoke alarms and carbon monoxide monitors are in compliance and fully operational. The Center conducts and records emergency disaster drills.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are inaccessible to children. Furniture and equipment were inspected for age appropriate and observed to be in good repair and
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BUENA VISTA MIGRANT HEAD START
FACILITY NUMBER: 153801390
VISIT DATE: 06/16/2022
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defects free. Sign in/out rosters, telephone service, heating, lighting and ventilation were evaluated and no defects were noted. There are clean safe and sanitary individual space/cubbies with children's names. The facility utilizes a designated isolated area to isolate ill children.

The toys and material use for instructions meet regulatory requirements. The trash cans contain tight lids. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition..

The outdoor play areas were noted free of hazards. Playground items are properly secure and free of loose or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures are age appropriate, play equipment is properly securely and anchored with adequate resilient. There is cushioning material underneath and around the inside and outside play areas. On the outside play area, there is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed.

LPA observed staff providing care and supervision children. The Staff monitors food intake and/or special diets; provides toileting and dressing assistance if needed, and assist in other personal hygiene needs; etc. At no time the LPA observed no child being unsupervised. The LPA advise the Director to ensure every one working at the center is current in all required training and properly qualified to provide quality care and safe supervision to children in care.

The LPA advise Facility Director to continue to become very familiar with the Guardian Background Check Program and with the Regulatory Enforcement (CARE) Tools processes, to visit the Departments Website at www.ccl.ca.gov at least on a weekly basis to obtain the most current Child Care information. Per Director, the Facility Administrative file contains all documents and forms listed on LIC 311A, Records to be Maintain at the Facility(Child Care Centers, Infant Centers, School-Age Centers and Child Care Centers for Mildly Ill Children) which is required under sections of Title 22, California Code of Regulations and/or Statute, as applicable.

The Center provides Incidental Medical Services. The LPA provided PIN 22-02-CCP (Best Practices Related to the provision of Incidental Medical Services.)
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: BUENA VISTA MIGRANT HEAD START
FACILITY NUMBER: 153801390
VISIT DATE: 06/16/2022
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Regarding COVID-19, the LPA advised the Director that Licensees and providers should continue to follow COVID-19 requirements and guidance in all applicable CDSS Providers Information Notices (PINs) and All County Information Notices (ACINs), in addition to guidance or instructions from health care providers, Centers for Disease Control and Prevention (CDC), CDPH, Department of Developmental Services (DDS), Cal/OSHA, and local public health departments, as applicable to the particular facility or home category. If there are differing requirements between the most current CDC, CDPH, CDSS, DDS, Cal/OSHA, and local health department guidance or health orders, licensees and providers should follow the strictest requirements.

During today's inspection the LPA observed no deficiencies that may hinder the health and safety of the children in care. Therefore, no deficiencies were cited. Overall, the physical plant of the Center is in compliance per Title 22 regulations.

An exit Interview was conducted and a copy of this Report was provided to Ms. Davila.
SUPERVISOR'S NAME: Scott HerringTELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2022
LIC809 (FAS) - (06/04)
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