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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418559
Report Date: 08/22/2024
Date Signed: 08/22/2024 12:41:53 PM


Document Has Been Signed on 08/22/2024 12:41 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:VOLUNTEERS OF AMERICA, MONA HOUSE HEAD STARTFACILITY NUMBER:
197418559
ADMINISTRATOR:BATTINA BRAVFACILITY TYPE:
850
ADDRESS:13124 MONA BOULEVARDTELEPHONE:
(310) 933-0728
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY:56CENSUS: 32DATE:
08/22/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Leslie GameroTIME COMPLETED:
12:50 PM
NARRATIVE
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While conducting an investigation for a complaint, Licensing Program Analysts(LPAs), T. Tran and A. Carter observed the following deficiency:

During staff record review, LPAs observed the Mandated online training for child abuse was expired for the following staff; S1- expired on 10/18/2022, S2 - expired on 4/1/2024, and S3- expired on 4/62024.

The facility was cited for Type B deficiency.

Exit interview conducted and report was reviewed with the facility representative, Leslie Gamero.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024
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


Document Has Been Signed on 08/22/2024 12:41 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: VOLUNTEERS OF AMERICA, MONA HOUSE HEAD START
FACILITY NUMBER: 197418559

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited
HSC
1596.8662

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Mandated reporter training.
This requirement is not met as evidenced by based on record review facility failed to have current mandated reporter online training for S1, S2, & S3 which poses a potential health and safety risk to children in care.
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Site Supervisor agrees to have S1, S2, & S3 complete Mandated Reporter training then submit to LPA by or before 08/30/24 in order to clear this citation.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024
LIC809 (FAS) - (06/04)
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