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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420025
Report Date: 09/27/2019
Date Signed: 10/04/2019 10:46:37 AM

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:CCRC HEAD START- BERTRANDFACILITY NUMBER:
197420025
ADMINISTRATOR:TEREZA ANJANFACILITY TYPE:
850
ADDRESS:7021 BERTRAND AVENUETELEPHONE:
(818) 342-2042
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:20CENSUS: 10DATE:
09/27/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:20 PM
MET WITH:Aunica DeFalcoTIME COMPLETED:
04:15 PM
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LPA Christopher Garlington made an unannounced Case Management visit to the facility and met with Aunica DeFalco, Lead Teacher Designee and was guided on a tour of the facility according to facility sketches.

LPA interviewed Staff 1 who stated that 0n 09/05/19 the Bertrand Elementary School Principal Guzman announced over the intercom a lockdown was in effect and staff was to follow procedure.

Staff locked the doors and windows then turned off lights. Children were gathered on the carpet for safety.

Approximately 3-5 minutes later Principal Guzman announced everything is safe and it's safe to go outside.

LPA has determined no further investigation is necessary.

LPA provided a copy of this report and a copy of the Notice of Site Visit to the facility.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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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