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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002482
Report Date: 08/05/2022
Date Signed: 08/05/2022 01:16:52 PM


Document Has Been Signed on 08/05/2022 01:16 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
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:
(323) 584-5828
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY:85CENSUS: 28DATE:
08/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Esther Quintero-Blake, Area SupervisorTIME COMPLETED:
01:40 PM
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Licensing Program Analyst (LPA) T. Tran arrived at the above licensed facility for the purpose of modification of the facility program by adding the toddler option attach to the preschool program. About 11AM, LPA met with Esther Quintero-Blake, Area Supervisor. Facility current license to serve 85 preschool children. The facility is requesting to reduce the capacity of preschool to 69 children by adding the toddler option with the capacity of 16 toddlers. The hours of operation from 7:00 AM - 5:30 PM, Monday through Friday. The facility had sufficient indoor, outdoor space with toilets, changing tables, and sinks to accommodate the 69 preschoolers and 16 toddlers.

This is a Head Start Program. The facility serve breakfast, lunch and snack. All food items were delivered daily from the private vendor International Institute of LA . During this inspection, LPA inspected furniture to be age appropriate. The napping equipment were in good condition. Children’s belongings were stored separately. Isolation area met regulation requirement. Food preparation area was clean. The facility has sufficient play yard space to accommodate both programs. There shall be no commingling between both program at any giving time. Fire extinguishers, smoke detectors/carbon monoxide detectors were observed. All required posting observed. LPA reviewed and obtained the facility current/updated Personnel Record (LIC 500). LPA reviewed facility's sketch which matched the physical plant of the facility. Updated copy of Parent Handbook. The facility was in compliance with Title 22 regulations during today's inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Esther Quintero-Blake.

LPA will mail the updated facility licensed to the facility upon availability.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022
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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