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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197400783
Report Date: 03/01/2023
Date Signed: 03/01/2023 03:49:23 PM


Document Has Been Signed on 03/01/2023 03:49 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:CCRC HEAD START - WOODMANFACILITY NUMBER:
197400783
ADMINISTRATOR:HEATHER STRAUSSFACILITY TYPE:
850
ADDRESS:5944/5939/WOODMAN/BUFFALO AVE.TELEPHONE:
(818) 989-2379
CITY:VAN NUYSSTATE: CAZIP CODE:
91401
CAPACITY:120CENSUS: 51DATE:
03/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:09 PM
MET WITH:Siranush AndakyanTIME COMPLETED:
03:46 PM
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On 02/28/2023 Licensing Program Analyst (LPA) Doris Whitmore made an unannounced visit for the purpose of conducting a required I year inspection. LPA met with Siranush Andakyan Center Director and toured the facility indoors and outdoors. LPA observed proper care and supervision during this inspection. LPA observed 51 children indoors with proper teacher/child ratios. There was a total of 12 staff at the time of the visit. All center staff that was present during today’s visit has criminal record clearances and are associated to the designated license number. Facility hours of operation are 7;30a.m.- 3:30p.m. Monday- Friday for Headstart and for the CSPP hours are 7:30p.m. -5:30p.m. LPA observed all postings requirements for operation on the postings board LIC203A- License, LIC610A-Emergency Disaster Plan, LIC9148- Earthquake Preparedness Checklist, PUB394-Notification of Parents Rights Poster, LIC613A- Personal Rights, PIB-269- Car Seat Law, Menus, Activity Schedule, Roster. The facility obtained current pediatric/ CPR and First Aid for all facility staff members. Children records were reviewed.

LPA observed operable smoke/carbon monoxide detectors, fully charged fire extinguishers and First Aid Kits. Furniture and equipment were inspected for age appropriateness and good repair free f of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment were observed to be clean and good condition. Storage for children’s belongings, with 3 operable sinks and toilets. A sufficient supply of toilet paper, soap, paper towels, was observed. Isolation area was inspected and located in the office. Drinking water is readily available and trash cans with tight fitting lids were outside observed in the classrooms. Sign in/out were reviewed and facility roster. Documentation of current Fire & Earthquake drill was observed. The outdoor area was inspected. Playground equipment is in safe condition, free of sharp, loose or pointed parts. LPA did not observe any debris or hazards that would pose an immediate risk to children in care. LPA observed an age-appropriate climbing apparatus with proper cushioning beneath and properly secured. Musical instruments were observed outdoors. LPA observed other educational materials for children to utilize. No bodies of water were observed. Shade areas were observed, and water is readily available.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/01/2023
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: 03/01/2023
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 Breakfast /Snack/lunch menus were posted. Breakfast was delivered the day before and lunch and snack were delivered daily from the main kitchen in Van Nuys. Food and snack items are properly stored. Food preparation area was toured

Meals are delivered daily from the main kitchen. The kitchen area which is made inaccessible to children in care. LPA observed the kitchen to be clean and equipped with a sufficient supply for meals. There were no cleaning compound compounds stored with the utensils. The facility serves breakfast, lunch, and snack. Proper food storage was observed. Food and snack items are properly stored. Allergy list posted in each classroom and the kitchen.

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: 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 that it is the facility 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 advised Director to read the Child Care quarterly updates as they come out to stay informed of any changes or updates to the regulations. LPA informed the director that the Child Care Advocate Program (CCAP) provide many other helpful resources to the licensees and the public. Facility may register on CCAP website for the new quarterly report to be notified. CCAP Phone number is (916) 654-1541.

No deficiencies cited. Exit Interview was conducted. Copy of report and Notice of Site visit was issued.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC809 (FAS) - (06/04)
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