197413818-9-6-2019-30-CC-JCHR-BFRSZA-20190906141848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197413818
Report Date: 09/06/2019
Date Signed: 09/06/2019 02:19:08 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:	VOALA SANTA CRUZ HEAD START		FACILITY NUMBER:	197413818
ADMINISTRATOR:	CANDELARIA CABRERA		FACILITY TYPE:	850
ADDRESS:	201 NORTH BEACON STREET		TELEPHONE:	(310) 831-3294
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY:	50	CENSUS: 0	DATE:	09/06/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:			TIME COMPLETED:	02:26 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 9/6/2019 Licensing Program Analyst (LPA) made an announced case management visit to the VOALA Santa Cruz Head Start for the purpose of adding a toddler component to the existing head start program. The facility will be utilizing rooms 3 and 4 for the toddler option, 1 and 2 will remain preschool class rooms. LPA met with education manager Edie Smith and a guided tour of the facility was conducted. All areas of the facility were measured both indoors and out doors. The following was observed of the toddler class rooms: Age appropriate toys and equipment in good repair Toddler sized toilets and sinks. Changing tables were not within arms reach of a sink, tables will be removed and Koala tables will be inserted into the restrooms. First Aid kits were available Carbon and Smoke detectors were present Food service is provided daily from the company's main kitchen. There is a food preparation kitchen for heating and preparing meals. The following was observed of the outdoors area: Shading was provided by the buildings structure The grounds are covered with resilient cushioning and artificial turf No play equipment was observed during todays visit, per Edie Smith there will be portable toys and equipment The play yard is fully enclosed and separate from the preschool program.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019

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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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: VOALA SANTA CRUZ HEAD START	FACILITY NUMBER: 197413818
	VISIT DATE: 09/06/2019

NARRATIVE

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Based on todays measurements the capacity for the toddler option was 12 and the preschool capacity was 19. The capacity for both programs were based on the outdoor measurements.

Indoors areas, sinks and toilets for both programs met the requested capacity requirements:

Toddler Program
indoors space = 37 capacity
toilets/urinal = 60 capacity
sinks = 90 capacity

Preschool Program
indoors space = 44
toilets/urinal = 60
sinks = 60

Capacity work sheet on file.

The program is requesting a waiver of Title 22, section 101238.2(a) There shall be at least 75 square feet per child of outdoor activity space based on the total licensed capacity.

Based on todays visit the Toddler option will no be granted until the following requirements are met:

Waivers are granted
Changing tables are in place.
Bookshelf are replaced or guards are added to corners
Photos of corrections shall be mailed to LPA.

SUPERVISOR'S NAME: Jennie Ferreira	TELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019

LIC809 (FAS) - (06/04)

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