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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402904
Report Date: 10/10/2019
Date Signed: 10/10/2019 12:50:54 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:VOLUNTEERS OF AMERICA/PUEBLO DE NINOS-HEAD STARTFACILITY NUMBER:
197402904
ADMINISTRATOR:AGUAYO, I AND DUENAS, DFACILITY TYPE:
850
ADDRESS:11630 HESBY STREETTELEPHONE:
(818) 766-8103
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91601
CAPACITY:60CENSUS: 31DATE:
10/10/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Joyce HartTIME COMPLETED:
01:05 PM
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LPA Christopher Garlington conducted an unannounced visit to the facility and met with Joyce Hart, Site Supervisor. Ms. Hart lead LPA on a tour of the facility, both indoors and outdoors, according to facility sketches.

On 09/23/2019 during class discussion of Happy Hands, Child 1 disclosed " Daddy can hit Mommy." Facility investigated and discovered that Child 1 had witnessed Parent 1 strike Parent 2 . The alleged incidents of abuse occurred at the child's home not at the facility. Facility fulfilled Mandatory Reporter obligation by telephoning DCFS Social Worker 1 and reporting child's accusation against father. Mother has been referred to housing and Mental Health Services. Facility remains in contact with the assigned DCFS Social Worker 2, LPA observed telephone conversation with DCFS alerting Social Worker of Child 1's absence..

LPA conducted in person interviews with Ms. Hart and Staff 1. Child 1 was not in school on today's date, 10/10/2019.

LPA requested and received a copy of facility roster, Scan Team Follow-Up Report, and two In-House Referral Reports from the facility.

Based on interviews conducted, evidence gathered, LPA observations, and the facility having fulfilled their Mandated Reporter obligation to report abuse - LPA has determined no further investigation is needed.

A copy of this report was provided and explained to the facility. A Notice of Site Visit was also provided.

SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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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