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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493925
Report Date: 02/07/2020
Date Signed: 02/10/2020 08:43:27 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 - LOKRANTZFACILITY NUMBER:
197493925
ADMINISTRATOR:MARINE KARAQULYANFACILITY TYPE:
850
ADDRESS:19451 WYANDOTTE STREETTELEPHONE:
(818) 717-1000
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:40CENSUS: 35DATE:
02/07/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Marnie KaraqulyanTIME COMPLETED:
03:00 PM
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Margarit Sislyan, Licensing Program Analyst (LPA) arrived at CCRC Lokrantz Head Start facility to conduct a Required Annual inspection. LPA met with Marine Karaqulyan, Center Director and toured the facility inside and outside. Upon Arrival, LPA observed 35 children and 5 teachers were present. LPA observed proper care and supervision during the visit. All center staff are fingerprinted and associated to the licensed facility. The facility is located in the back of the Lokrantz elementary school premises utilizing 2 rooms. Facility hours of operation are 7:30am - 3:45m; Monday through Friday. There is no extended care offered.

LPA observed all posting requirements for operation on the posting board LIC 203A-License, LIC-9213-Notice of site visit, LIC 610 A-Emergency Disaster Plan, LIC 9148-Earthquake Preparedness Check List, PUB 394-Notification of parent’s rights poster, LIC 613A- Personal Rights, PUB 269- Child Car Seat Law, Menus.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment were observed to be clean and good condition. Storage for children's belongings, bathrooms facilities and isolation areas were inspected. Isolation area is located in the office. Availability of drinking water was observed with cups and pitcher. Electronic sign in /out were observed. Back up sign in /out were also observed. A review of medication policy, including administering, labeling, storage, and records was made. Documentation of current Fire & Earthquake drill was observed. IMS-PO was received and filed.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication 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 Care Centers and the ADA, available at: http://www.ada.gov/childqanda.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CCRC HEAD START - LOKRANTZ
FACILITY NUMBER: 197493925
VISIT DATE: 02/07/2020
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Snack/lunch menus were posted. Food, snacks and lunches are delivered daily to the site from the main kitchen. Food and snack items are properly stored. Food preparation area was toured for safety, cleanliness and proper equipment. An inspection of cleaning and food supply storage areas was made.

Outdoor area equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade, drinking water and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. LPA observed zoning system outdoor for proper care and supervision.



Children Records were reviewed. Staff records located in the main office. LPA will arrange another visit to review staff records at the main office. LPA observed current CPR and First Aid Certification for Center Staff.

LPA reminded that it is the facility responsibility to know the regulations as well as anyone who assists in providing care. Site supervisor was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.cdss.ca.gov. LPA also advised to read the Child Care quarterly updates every season as the come out to stay informed of any changes or updates to the regulations.

LPA informed the Child Care Advocate Program (CCAP) provide many other helpful resources to the licensees and the public. Facility may also register on CCAP website for the new quarterly report to be notified. CCAP’s direct contact information is as followed: Phone number: (916) 654-1541 Email Address: childcareadvocatesprogram@dss.ca.gov

Beginning on January 1, 2018, AB 1207, requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Volunteers are encouraged but not required to take the training. Website: www.mandatedreporterca.com

Facility was found to be in substantial compliance at the time of the site visit.

Exit interview was conducted and copy of report was given.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
LIC809 (FAS) - (06/04)
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