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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197413312
Report Date: 03/02/2023
Date Signed: 03/02/2023 03:12:47 PM


Document Has Been Signed on 03/02/2023 03:12 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:VOA/CESAR CHAVEZ HEAD STARTFACILITY NUMBER:
197413312
ADMINISTRATOR:LA KISHA SEAY-WHITTIKERFACILITY TYPE:
850
ADDRESS:1269 NO. AVALON STREETTELEPHONE:
(310) 834-1839
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:34CENSUS: DATE:
03/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Elvira FrescasTIME COMPLETED:
03:11 PM
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On 03/02/2023, at 1:45 p.m. Licensing Program Analyst( LPA) Doris Whitmore conducted an unannounced Case Management- Incident Inspection for the purpose of following up on an Unusual Incident Report (UIR) submitted on 01/23//2023 LPA met with Elvira Frescas Education Coordinator, who toured the LPA inside and outside of the facility. LPA observed 20 children in care and 6 Staff. According to the UIR , on 01/20/203 mother shared in a session via telehealth that eldest daughter accused child#1 biological father sexually assault her. The oldest sibling of child#1 is the victim of sexual assault.
During the investigation LPA interviewed Staff #1 , Education Coordinator, and Child #1. LPA reviewed Child#1 red core folder and found a Scan Team follow up form that was placed in the child's file on 01/25/2023. LPA obtained a copy of Facility Roster.
Based on the information that was obtained during the investigation facility roster there are no deficiencies . Exit interview was conducted . A copy of this report, Notice of Site Visit, Appeal Rights were provided to Elvira Frescas Education Coordinator.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:
DATE: 03/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/02/2023
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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