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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002482
Report Date: 12/15/2021
Date Signed: 12/15/2021 03:45:22 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF HEAD START ZOE AVENUE CENTERFACILITY NUMBER:
198002482
ADMINISTRATOR:CYNTHIA RODRIGUEZFACILITY TYPE:
850
ADDRESS:2650 ZOE AVE.TELEPHONE:
3235845828
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY:85CENSUS: 33DATE:
12/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sonia Guerrero, Program DirectorTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) T. Tran arrived at Zoe Head Start to conduct an unannounced Case Management inspection that was self-reported on 11/12/2021 and 12/13/2021 regarding children with food allergy. About 1:00 PM, LPA met with Program Director, Sonia Guerrero and Associate Director, Monica A. Tello.

About 2:30 PM, staff provided LPA a tour of the facility. The facility consists of four full-day sessions and four part-day sessions. LPA observed proper care and supervision.

LPA completed files review for staff, children, and obtained children's record. LPA conducted interviewed. Due to insufficient information available at this time, the above incident need further investigation.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representatives, Sonia Guerrero.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2021
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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