191605720-2-11-2022-54-CC-RRAS-CBJVQG-20220211153819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191605720
Report Date: 02/11/2022
Date Signed: 02/11/2022 03:38:28 PM

Document Has Been Signed on 02/11/2022 03:38 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	SIGNAL HILL HEAD START		FACILITY NUMBER:	191605720
ADMINISTRATOR:	SOPHIA TOCH & HONG TRAN		FACILITY TYPE:	850
ADDRESS:	2285 WALNUT AVENUE		TELEPHONE:	(562) 427-5901
CITY:	SIGNAL HILL	STATE: CA	ZIP CODE:	90806
CAPACITY:	45	CENSUS: 15	DATE:	02/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Sonia Toch & Natasha Jackson		TIME COMPLETED:	04:00 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	Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced required 1 year inspection to the above facility on 02/11/22. Upon arrival LPA met with Sophia Toch, Head eacher, who provided a tour of the facility. There were 5 staff with 15 children upon arrival. This facility is located within Signal Hill Elementary School in the city of Signal Hill. COVID-19 precautionary measures were observed. At approximately 2:50PM LPA was then met by Natasha Jackson, Early Learning Center Manager. This is a preschool program that has 3 classrooms: Rooms B1, B2, and B19. The facility operates from Monday through Friday. Rooms B1 and B2 operate full-day sessions from 7:45AM to 2:45PM and Room B19 operates a part-day session from 7:45AM to 11:15AM. Upon arrival the following were present: Room B1; Staff #1 and Staff #2 with 3 children. Room B2; Staff #3, Staff#4 and Staff #5 with 12 children. Room B19 had no staff or children present All areas identified on this report were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings, isolation area for ill children were inspected. Cots for napping were observed and linens are washed weekly by a laundry service. Availability of drinking water was observed indoors. Appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. First Aid supplies were observed. Disinfectants, cleaning solutions, medication and other dangerous items to children, were inaccessible. Head Teacher states that there are no poisons stored at the facility. Carbon monoxide detectors were observed and tested to ensure that they are operable. Menus were posted. This facility has all snacks and meals delivered to the facility. -----Page 1 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022

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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SIGNAL HILL HEAD START	FACILITY NUMBER: 191605720
	VISIT DATE: 02/11/2022

NARRATIVE

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Per Head Teacher, there is currently no one on medication.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

Outdoor equipment was inspected for age appropriateness, safety, cushioned material to absorb a fall, and good repair. Shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water.

Teacher child ratios were observed, and staff names recorded. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857.

LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 02/11/22 in the AM.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022

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: SIGNAL HILL HEAD START	FACILITY NUMBER: 191605720
	VISIT DATE: 02/11/2022

NARRATIVE

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To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding theinspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

There were no deficiencies cited 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 Natasha Jackson, Early Learning Center Manager.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2022

LIC809 (FAS) - (06/04)

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