191570767-5-3-2019-54-CC-JMAZ-BBTMGS-20190503093626

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191570767
Report Date: 05/03/2019
Date Signed: 05/03/2019 09:36:45 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	KENNEDY HEAD START		FACILITY NUMBER:	191570767
ADMINISTRATOR:	KIM GAITAN		FACILITY TYPE:	850
ADDRESS:	17500 SOUTH BELSHIRE		TELEPHONE:	(562) 229-7934
CITY:	ARTESIA	STATE: CA	ZIP CODE:	90701
CAPACITY:	20	CENSUS: 16	DATE:	05/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Lora Ballard, Director		TIME COMPLETED:	09:45 AM

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	An unannounced Annual Random Inspection was conducted on this day by Licensing Program Analyst (LPA) Jacqueline Martinez. Facility is currently licensed for a capacity of 20 children. LPA met with Teacher Kim Gaytan and twenty minutes later Lora Ballard, Director arrived and guided analyst on a tour of the facility. This is a Head Start preschool program which is operated by ABC Unified School District and is located on the premises of Kennedy Elementary School. The program consists one part-time day program in Room 26. Days & Hours of Operation are from: M-F from 8:30 am to 12:00 pm. The indoors and outdoors of the facility were inspected. LPA observed 16 children with 2 Staff Members and one parent volunteer in Room 26. Teacher child ratios were observed and staff names recorded. LPA advised that volunteers parents should not be included in the Staff Child ratio. Furniture and equipment was inspected for age appropriateness, good repair and free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Children do not nap in the program. Storage for children's belongings and isolation area were inspected. Ill isolation area is near the teacher's desk. Drinking water is readily available indoors for children to drink freely via a water fountain.. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. First Aid supplies were reviewed and inventoried. Food preparation and storage areas were observed to be clean, free of litter, rubbish and free of rodents and other vermin. Food is provided by the School District Cafeteria. The facility provides, breakfast and lunch. Proper storage of food, beverages and snacks was reviewed. Food menus were posted in a place that is visible by the child’s authorized representative. All storage containers for solid waste, including moveable bins had tight-fitting covers that are kept on, and in good repair. All floors were observed to be clean and safe. Disinfectants, cleaning solutions, medications and other items that are dangerous to children, were inaccessible. PAGE 1 OF 3

SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KENNEDY HEAD START	FACILITY NUMBER: 191570767
	VISIT DATE: 05/03/2019

NARRATIVE

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The outdoor yard is fully fenced and exclusively used by the preschool program. Outdoor play equipment was inspected for safety, free of sharp, loose pointed parts, good repair and age appropriateness. The surface of the outdoor activity area was observed to be maintained in a safe condition, and free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. Required shade, drinking water and fencing were inspected. Drinking water was available outdoors for children to drink freely via a water fountain. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards were observed.

A sampling of children’s emergency information was reviewed. Staff files were not reviewed as staff files are kept at the Main Office and will be reviewed at a later date. If there are any deficiencies during that review, this report may be amended. All staff is fingerprint cleared, as a condition of employment through the school district. Staff #1 and #2 provided proof of current Pediatric First Aid and CPR certification. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence was posted on the wall.

Incidental Medical Services (IMS). The facility provides Incidental Medical Services-IMS. An IMS Plan for this facility is in the Department file. A review of the medication policy, including administering, labeling, storage, and records was made. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided; US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

AB1207: The following is a reminder: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KENNEDY HEAD START	FACILITY NUMBER: 191570767
	VISIT DATE: 05/03/2019

NARRATIVE

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LPA advised that no children shall be left without the supervision, including visual supervision, of a teacher at any time and volunteer parents should not be used to substitute a Teacher or Teacher Assistant to meet the Staff and Child ratio.

No deficiencies were cited during this inspection. An exit interview was conducted with Lora Ballard, Director. A copy of this report and Notice of Site Visit was provided.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

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SUPERVISOR'S NAME: Katherine Harewood	TELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Jacqueline Martinez	TELEPHONE: 323 981-3384
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3