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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417337
Report Date: 02/19/2020
Date Signed: 02/19/2020 12:13:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:VOA/EL CENTRO DE LOS NINOS, SYLMAR HEAD STARTFACILITY NUMBER:
197417337
ADMINISTRATOR:FRANCISCA ROCKSONFACILITY TYPE:
850
ADDRESS:13550 HERRON STREETTELEPHONE:
(818) 980-2287
CITY:SYLMARSTATE: CAZIP CODE:
91342
CAPACITY:45CENSUS: 22DATE:
02/19/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:21 AM
MET WITH:Erika MendozaTIME COMPLETED:
12:25 PM
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Licensing Program Analyst Aaron Mabika met with Site Supervisor, Erika Mendoza today for the purpose of conducting an unannounced Annual/Random inspection for the Pre-School. There are 10 children and 2 teachers in Classroom 01 and 12 Children and 2 Teachers in Classroom 03 present upon arrival. Per director, the hours of operation are 07:45 AM -04:15 PM Monday -Friday with children coming Double session Monday Through Thursday 8:15 AM to 11.45AM and 12.30PM to 4.00 PM. The Full Day session resumes at 8:15 AM to 2:30 PM.
LPA verified all staff persons on the roster had current CPR and First Aid training (exp. 06/17/2021)
*Breakfast, lunch and snacks are provided. Allergy lists were reviewed and posted in the kitchen and individual classrooms. Food and snacks were reviewed for availability, quantity, proper storage, and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. (1 freezer 1 refrigerator, sink, stove/oven) fridge temperature was monitored and documented daily.
*Disinfectants, cleaning solutions, poisons and other items that are dangerous or hazardous were inaccessible to children and stored in kitchen locked cabinet (kitchen off-limits).
* Bathroom (1) are toured and LPA noted all toilets (5), sinks (5) were sanitary and operational. LPA observed soap, paper towel and toilet paper and water tested at a safe temperature. Each classroom was observed to have water pitcher, disposable cups, cubbies with children's names identified.
*All flooring was found to be clean and safe (Site Supervisor states carpets are cleaned every day and shampooed every 3 months or earlier as per need.
**Teacher/child ratio observed, care and supervision were discussed, 6 children's records were reviewed, parent board observed and fire drills are current. Fire extinguisher operable with a service tag dated October 7, 2019 (1 in every classroom including the kitchen). smoke and Carbon Monoxide detectors were
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VOA/EL CENTRO DE LOS NINOS, SYLMAR HEAD START
FACILITY NUMBER: 197417337
VISIT DATE: 02/19/2020
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observed and LPA noticed stickers as for service dates.
*Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair.
*First Aid supplies were inventoried, a review of medication policy, including administering, labeling, and storage.
*Telephone service, heating, lighting and ventilation were evaluated.
*Outdoor area and equipment were inspected for safety, cushioning material, good repair and age appropriateness, LPA noted shade provided by no less that 6 trees, bike trails, and 6 bikes, Climbing/Sliding set on Foam rubber for cushioning, 2 basketball hoops, play house, and 6 tables for outdoor activities and drinking water provided by pitchers with disposable paper cups. There are no bodies of water on the premises.
*Isolation area is in the front office along with the isolation bathroom
ADMINISTRATION:
*Director is aware that the Department has full inspection authority as specified in Health and Safety Code 1596.852, 1596.853, and 1596.535.
*There were no excluded individuals present; staff present were fingerprint cleared and associated, LPA and Director reviewed Personnel Report (LIC 500) together during this inspection.
A review of medication policy indicated that prescription medication is administered only with parent's written permission. The Director administers medication and documents the dosage, date and time onto a log. Medication brought and taken home by the parent daily. Medication is properly labeled and stored in its original container.
*Center was found to be operating within its specified ratio and capacity.
*Sign in and Out sheets were inspected.
A sampling of children’s files was reviewed and contained emergency contact information, staff files were reviewed and contained qualifications.
LPA discussed the following:
Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VOA/EL CENTRO DE LOS NINOS, SYLMAR HEAD START
FACILITY NUMBER: 197417337
VISIT DATE: 02/19/2020
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licensed child care facility (Center or family child care home) are aware of situations that present the greatest danger to children. These situations include:
· Serious health and safety violations resulting in Type A citations;
· Non-compliance conferences; or
· Efforts by the Department to revoke a facility’s license. Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Failure to meet the posting requirements shall result in an immediate civil penalty. In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication documentation and equipment/supplies, and reviewed children’s personnel, and administrative records. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 Centers and ADA, available at: http://www.ada.gov/childqanda.htm
Director is advised to visit www.shotsforschool.org for Immunization information.
Director was informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Director is advised for quarterly updates to contact the Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: VOA/EL CENTRO DE LOS NINOS, SYLMAR HEAD START
FACILITY NUMBER: 197417337
VISIT DATE: 02/19/2020
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Facility was not cited deficiency(ies), according to California Code of Regulations Title 22.
Exit interview conducted with Site Supervisor, Erika Mendoza. Licensee’s signature on this form acknowledges receipt of these rights. A Confidential Names list (LIC 811) was provided during this inspection. Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020
LIC809 (FAS) - (06/04)
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