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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401158
Report Date: 06/02/2022
Date Signed: 06/02/2022 03:05:08 PM


Document Has Been Signed on 06/02/2022 03:05 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:VOA/STRATHERN PARK HEAD STARTFACILITY NUMBER:
197401158
ADMINISTRATOR:SUSAN MCCARTHYFACILITY TYPE:
850
ADDRESS:11111 STRATHERN STREETTELEPHONE:
(818) 768-4424
CITY:SUN VALLEYSTATE: CAZIP CODE:
91352
CAPACITY:34CENSUS: 11DATE:
06/02/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Anita Byramian, Site Supervisor TIME COMPLETED:
03:36 PM
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On 06/02/22, Licensing Program Analyst (LPA) Liana Stepanyan, met with the site supervisor Anita Byramian, to conduct an unannounced annual random inspection for the school age program. Upon arrival, LPA observed 11 children with 2 staff members providing care and supervision. This is a head start program. The facility provides two session. Morning session is from 8am to 11:30am and afternoon session from 12:30 to 4pm.

The facility roster was up to date and all staff have been fingerprinted and association to the designated license number. Site Supervisor and teacher are currently certified in Pediatric CPR/First Aid valid through 06/2023.

During the inspection LPA observed adequate teacher child ratio in each classroom. Care and supervision were evaluated and determine basic needs of children are appropriate and are being met. A review of the sign in/out sheet was conducted to verify the current census of children. The parent board was reviewed and has all the required forms posted accessible to parents.

Child care center is clean, safe, sanitary and in good repair; all outdoor and indoor passageways, stair ways, incline, ramps, open porches and other areas of potential hazard are kept free of obstruction; floors of all rooms have a surface that is safe and clean, cleaning compounds inaccessible, poisons locked, furniture/equipment is good condition, free of flies, other insects, rodents; tables/chairs provided to meet children’s needs; all play equipment and materials used by children are age-appropriate.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2022
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: VOA/STRATHERN PARK HEAD START
FACILITY NUMBER: 197401158
VISIT DATE: 06/02/2022
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Trash cans for solid waste have tight fitting lids, drinking water is readily available indoors and outdoors. All materials and surfaces are toxic free, there are no fireplace or open face heaters, window screens are in good repair and free of debris. There is a working Carbon monoxide detector, smoke detector and Fire Extinguisher (2A10BC). There is one toilet and one handwashing fixture for every 15 children and are in safe and sanitary operating condition, working telephone service on the premises. There is an isolation area for children who become ill while in care is located in the kitchen area, facility maintains a comfortable temperature at all times, first aid supplies (thermometer, bandages, scissors) is in the main classroom. Smoking prohibited on the premises, daily inspection for illness, no prohibited child care items observed. Firearms/weapons are not allowed or stored on premises.

The outdoor play areas were inspected and observed to be free of hazards, loose, or sharp objects. Equipment was inspected for safety, cushioning material, good repair and age appropriateness. Climbing structures other large play equipment were found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Children are also provided their own individual disposable cups for drinking water. There is adequate shade area for rest. The playground is well fenced all around, and no bodies of water observed in the outdoor play area.

Medications inaccessible to children; all prescription and nonprescription medications have child’s name and are dated; written consent and instruction from child’s representative; a plan to document and report to child’s representative when medication is administered to a child; IMS plan on file (if applicable).
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
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: VOA/STRATHERN PARK HEAD START
FACILITY NUMBER: 197401158
VISIT DATE: 06/02/2022
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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 Family Child Care Homes Section 102417. 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/childquanda.htm

Site Supervisor advised of the requirement to report Unusual Incidents. Licensee informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department (email address on the website: www.unusualincidentreport@dss.ca.gov). A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above.


No deficiencies were observed at the time of the visit.

A copy of this report must be made available to the public for 3 years.

A notice of site visit was given and must remain posted immediately adjacent to, the interior side of the main door for 30 days.



Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview conducted, copy of this report was reviewed and provided to site supervisor.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Liana StepanyanTELEPHONE: 661-202-3380
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2022
LIC809 (FAS) - (06/04)
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