197412105-10-13-2022-30-CC-SORS-CK6RCF-20221013125417

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197412105
Report Date: 10/13/2022
Date Signed: 10/13/2022 12:54:29 PM

Document Has Been Signed on 10/13/2022 12:54 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 - ROSCOE CANYON		FACILITY NUMBER:	197412105
ADMINISTRATOR:	PAMELA YOUNGBLOOD		FACILITY TYPE:	850
ADDRESS:	13060 ROSCOE BLVD.		TELEPHONE:	(818) 902-5935
CITY:	SUN VALLEY	STATE: CA	ZIP CODE:	91356
CAPACITY:	60	CENSUS: 14	DATE:	10/13/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	PAMELA YOUNGBLOOD - Director		TIME COMPLETED:	01:05 PM

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On 10/13/2022, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Annual Required Inspection. LPA met with Center Director, Pamela Youngblood. LPA inspected the inside and outside of the facility. The facility is a full time Head Start Program. Days and hours of operation are Monday through Friday 7:30am to 3:30p.

Facility is equipped with a security system upon entry. LPA observed 14 children and 4 teachers. A review of the digital sign in/out sheet was conducted to verify the current census of children. All children are under supervision, including visual supervision, of a teacher at all times. Capacity and limitations as specified on the license are being maintained. LPA observed 3 licensed classrooms on the premises.

All areas identified on the Facility Sketch were inspected.

RM 1 (3-4y): 8 preschool children with a ratio of 2 teachers
RM 2 (3-4y): 6 preschool children with a ratio of 2 teachers
RM 3: Currently not in use (signed declaration by director obtained, to contact Regional Office when classroom reopens)

A walk through of the classroom room space was conducted, the space was found to be clean and free from any potential hazards. The courtyard area is used only when children are being dropped off/ picked up and when accessing the restroom. Furniture was found to be in good repair and age appropriate. LPA observed all required postings in a prominent area. There is adequate heating, lighting and ventilation. Drinking water is readily available. Isolation area for sick students is located in the Main Office. LPA observed adequate arrangements for isolation and care of ill children.

The bathroom and toileting areas were inspected, LPA observed a designated boys restroom (3 toilets, 2 sinks) and a girls restroom (3 toilets, 2 sinks and a changing table) accessible from the courtyard area.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CCRC HEAD START - ROSCOE CANYON	FACILITY NUMBER: 197412105
	VISIT DATE: 10/13/2022

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Toilets and sinks to accommodate the facility’s capacity. Toilets flush properly, toilet and sinks are reachable by the children in care. The restrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathroom area.

LPA observed the playground to be located in the back of the school. Playground equipment is in safe condition and free of hazards. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. Per Director, food program provides daily meals. LPA observed monthly food calendar posted on the board in every classroom, per director parents are provided with a copy of the monthly menu. All rooms are equipped with solid waste storage containers that have tight-fitting covers and are in good repair. Additionally, LPA also observed smaller trash cans without tight fitting covers. Per director, the children find it easier to access and dispose of waste. LPA provided director with a copy of the regulation 101239 and information to ensure tight fitting covers are obtained. Drinking water is available both indoors and outdoors and provided as needed. The facility is equipped with a working smoke detector, carbon monoxide detectors and fire extinguishers (2A 10BC) in every classroom. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.

The facility has sufficient cots or mats for napping. LPA reviewed a sample of children’s files and observed files were complete. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. LPA was unable to view staff files which are kept at CCRC Headquarters located in the city of Chatsworth. LPA viewed current Mandated Reporter Training Certificate for all staff. LPA viewed emergency supplies and reminded director to ensure all emergency supplies are replenished as needed.

Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CCRC HEAD START - ROSCOE CANYON	FACILITY NUMBER: 197412105
	VISIT DATE: 10/13/2022

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Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (424) 301-3072
LICENSING EVALUATOR NAME: Suzette Ornelas	TELEPHONE: 424-301-3008
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022

LIC809 (FAS) - (06/04)

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