197400783-1-14-2020-30-CC-KSTS-BKTTP3-20200114135339

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197400783
Report Date: 01/14/2020
Date Signed: 01/14/2020 01:53:49 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	CCRC HEAD START-WOODMAN		FACILITY NUMBER:	197400783
ADMINISTRATOR:	SIRANUSH ANDAKYAN		FACILITY TYPE:	850
ADDRESS:	5944/5939/WOODMAN/BUFFALO AVE.		TELEPHONE:	(818) 989-2379
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91401
CAPACITY:	120	CENSUS: 105	DATE:	01/14/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Siranush Andakyan		TIME COMPLETED:	02:05 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 01/14/2020, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting a Required 1 year Inspection. LPA met with and toured the facility with the Director, Siranush Andakyan. The facility serves 3 full-day sessions and 3 half-day sessions. The facility operates M-F 7:30am - 5:30pm. LPA observed 105 children during nap time with proper care and supervision. All center staff had fingerprinted and associated to the licensed facility. Furniture and equipment was inspected and found to be age appropriate and in good repair. Telephone service, heating, lighting and ventilation were in good condition. LPA observed the required postings including the menu. Food is delivered daily to the facility from the main kitchen. Kitchen area observed to be clean and cleaning supplies were made inaccessible to children. All food and snacks observed were stored properly, and the quantity was found to be sufficient. The facility had functional smoke detectors and carbon monoxide detectors, which were not tested at time of inspection due to children napping. Fully charged fire extinguishers were observed. All trash cans had tight fitting lids. Toilets and sinks were operable, with a sufficient supply of toilet paper, soap and paper towels. Children's records were found to be complete. The facility roster was up to date, fire and disaster drills are conducted monthly. The emergency disaster plan is updated and reflected the current operation. The Director has current 1st Aid/CPR. Outdoor equipment was in good repair. LPA observed shade in the outdoor play area. Drinking water is made available during outdoor play.. Facility has electronic sign in/out with the ability to provide hard copies if needed or the electronic system is inoperable. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided:

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CCRC HEAD START-WOODMAN	FACILITY NUMBER: 197400783
	VISIT DATE: 01/14/2020

NARRATIVE

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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

LPA reminded the Director that it is the staff's responsibility to know the regulations as well as anyone who assists in providing care. Director was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.ccld.ca.gov. LPA also advised the Director to read the Child Care quarterly updates every season as they come out to stay informed of any changes or updates to the regulations. LPA informed the Director of the Child Care Advocate Program (CCAP) who provide many other helpful resources to the licensees and the public. Facility may also register on CCAP website for the new quarterly report to be notified. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov

Beginning January 1, 2018, Health and 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. Volunteers are encouraged but not required to take the training. Existing licensees must meet requirements by March 30, 2018. New employees shall have 90 days from date of employment to complete training as required. This training requirement may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules. Website: www.mandatedreporterca.com

No deficiencies cited.

Exit interview was conducted. Copy of report and Notice of Site Visit issued.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

LIC809 (FAS) - (06/04)

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