197414043-9-13-2019-12-CC-JSIS-BFYUWN-20190913155702

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414043
Report Date: 09/13/2019
Date Signed: 09/13/2019 03:57:14 PM

COMPREHENSIVE INSPECTION

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	CCRC HEAD START-MIGUEL MONTES		FACILITY NUMBER:	197414043
ADMINISTRATOR:	NEREYDA LEVINGS		FACILITY TYPE:	850
ADDRESS:	10675 TELFAIR STREET		TELEPHONE:	(818) 834-2358
CITY:	PACOIMA	STATE: CA	ZIP CODE:	91331
CAPACITY:	39	CENSUS: 25	DATE:	09/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:02 PM
MET WITH:	Nereyda Levings, Director		TIME COMPLETED:	04:00 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	Mariela Ramon Licensing Program Manager (LPM) and Jesse Sims, Licensing Program Analyst (LPA) met with Director Nereyda Levings for the purpose of conducting an annual random site inspection. Upon arrival LPM and LPA observed 16 children with 3 staff members in classroom 1 and 9 children and 3 staff in classroom 2. Director stated, the facility operates a full-day program. The facility consists of classroom 1 which operates from 7:30am to 5:30pm and classroom 2 which operates from 7:30am to 3:30pm. The facility has a children's and staff bathroom, a kitchen, an outdoor play area, and an office. The inside and outside of the center were inspected. When parents arrive to drop off or pick up children, they must be buzzed in through a locked gate to gain entrance to the facility. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed individual cubbies with children’s names. Children are provided with cots for nap time. The floors and area rugs are kept clean and safe. Disinfectants, cleaning solutions, and other items that are dangerous to children are inaccessible to children and stored in the locked staff restroom located in classroom 1. The kitchen was inspected for safety and sanitary conditions. A safety gate is placed on both entrances of the kitchen to prevent access to the day care children. Sharp objects and cleaning solutions were observed to be inaccessible to children The center provides breakfast, lunch and snack. A menu is posted inside the kitchen. Trash bins with tight fitting lids for solid waste were observed. Drinking water is readily available in the form of water fountains in each classroom and in the shared walk space between the classrooms near the restroom. LPM and LPA inspected the children's bathroom. Toilets and sinks are in operable condition. LPA and LPM observed hand soap and paper towels readily available. The restroom consists of three toilets and three sinks

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: CCRC HEAD START-MIGUEL MONTES	FACILITY NUMBER: 197414043
	VISIT DATE: 09/13/2019

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
26
27
28
29
30
31
32

and is shared between both classrooms. First Aid supplies, smoke detectors, carbon monoxide detectors, and fire extinguishers were in operable condition. Fire and disaster drills are conducted monthly and logged. The facility uses the corner of each classroom to isolate ill children.

The outdoor area was inspected. LPM and LPA did not observe any bodies of water in the playground area and is free of hazards. There is a large age-appropriate play structure consisting of cushioning material on the ground level. There is also a sandbox which was observed free of debris and other hazards such as animal droppings. Director stated the sandbox is covered daily to maintain its cleanliness. There are tricycles for children to ride. There is also a cement area for active play. There are age appropriate toys accessible for children. There are three shaded areas for play. Two water fountains are available for children. The playground is gated.

Children and staff files were reviewed and observed to be complete with all required licensing forms. The facility roster was up to date. The electronic sign in and out was reviewed and observed that children were signed in and out for the day. The Director has current CPR and first aid certifications, which will expire on 03/05/2021. All the required licensing forms were posted. Additional forms and a copy of Title 22 Regulations may be obtained at the department's website www.ccld.ca.gov.

--Director advised to visit www.shotsforschool.org for Immunization information.
--Director was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Child Care Centers (Disaster Planning information):https://cccld.childcarevideos.org/child-care-center-operators/disaster-planning-and-fire-safety/
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. No deficiencies cited according to Title 22 Regulations. An exit Interview conducted and a copy of report read and provided to Acting Director, Nereyda Levings.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Jesse Sims	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2