197402309-1-10-2020-30-CC-KSTS-BKPSXT-20200110131629

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197402309
Report Date: 01/10/2020
Date Signed: 01/10/2020 01:16:38 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-VALERIO		FACILITY NUMBER:	197402309
ADMINISTRATOR:	PHUNG PHAM		FACILITY TYPE:	850
ADDRESS:	15035 VALERIO STREET		TELEPHONE:	(818) 786-3427
CITY:	VAN NUYS	STATE: CA	ZIP CODE:	91405
CAPACITY:	41	CENSUS: 12	DATE:	01/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Phung Pham		TIME COMPLETED:	01:25 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 01/10/2020, Licensing Program Analyst (LPA) Karren Starks made an unannounced visit for the purpose of conducting an Annual Inspection. LPA met with and toured the facility with the Director, Phung Pham. LPA observed 12 children in care with proper teacher/child ratios and supervision being observed Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Storage for children's belongings, isolation area was inspected. Napping equipment was observed and found to be in good condition. Trash cans with tight lids, First Aid supplies, smoke detectors; carbon monoxide/fire extinguishers were observed. A review of medication policy, including administering, labeling, storage, and records was made. Per director the facility current serve a child with asthma, inhaler on site as needed. Sign in/out sheet procedures were reviewed. Menu was properly posted with all others posting requirements. All food items and snacks are delivered daily to the facility from central kitchen. Water is accessible indoor and outdoor by use of water dispenser with cups, there is also a water fountain outdoors. Operable sinks and toilets were observed with a sufficient supply of soap, toilet paper and paper towels. Outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Director has current CPR/1st Aid(exp. 08/2021) Staff records kept off-site. Children's records were reviewed and found to be complete. The facility roster was up to date and emergency disaster drills are conducted on a monthly basis. Emergency disaster plan is updated and reflected to the current year. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies. 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

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

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-VALERIO	FACILITY NUMBER: 197402309
	VISIT DATE: 01/10/2020

NARRATIVE

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The rear playground is currently having some work done due to leak from one of the surrounding schools and the line is on the facility's property. LAUSD workers have begun the repair and have placed a covering over the opening and will provide the facility with cones to secure the area. The facility is using the front playground at the time until the completion of the work. Director will notify the Department once the work is completed.

Licensee was made aware of The Child Care Advocate Program (CCAP) that is administered from within the Community Care Licensing Division. CCAP participates in many community activities and special projects in order to disseminate information on the State’s licensing role, provide information to the public and parents on child care licensing, and provide many other helpful resources to the licensees and the public. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541
Email Address: childcareadvocatesprogram@dss.ca.gov

Mandated Reporter: Beginning on January 1, 2018, AB 1207, 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. Website: www.mandatedreporterca.com

LPA advised the Director that it is Director's responsibility to know the Regulations and any updates that are made to the Regulations. Regulations can be found on the Department website: www.ccld.ca.gov as well as quarterly updates and forms.

No deficiencies cited.

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: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

LIC809 (FAS) - (06/04)

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