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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197404132
Report Date: 02/21/2020
Date Signed: 02/23/2020 12:21:06 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:PACE HEAD START - WEST BOULEVARDFACILITY NUMBER:
197404132
ADMINISTRATOR:SILVA DE LA ROSAFACILITY TYPE:
850
ADDRESS:1809 WEST BLVD.TELEPHONE:
(323) 954-8099
CITY:LOS ANGELESSTATE: CAZIP CODE:
90019
CAPACITY:68CENSUS: 39DATE:
02/21/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Marlia Figueroa, Lead TeacherTIME COMPLETED:
02:35 PM
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On 02/21/2020, Licensing Program Analyst (LPA) Sabrina Martinez conducted a plan of correction inspection to observe the corrections to the violations cited on 02/21/2020.

During this inspection, LPA observed and obtained the following documents:

a.) Copy of the minutes of the meeting conducted on 02/19/2020 with the topic regarding care and supervision. LPA observed the names of facility staff who attended the meeting as well as the meeting agenda. Facility also discussed positioning and zoning during outside time. Teaching staff has conducted a safety lesson with children to discuss how to be safe on the playground and with friends.


An exit interview was conducted and a copy of this report, letter of deficiency citations cleared, along with the Notice of Site Visit were provided to Marlia Figueroa, Lead Teacher.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Sabrina MartinezTELEPHONE: (424) 301-3059
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020
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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