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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011088
Report Date: 07/13/2020
Date Signed: 08/06/2020 02:09:31 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:PACE HEAD START/EVEN START CENTERFACILITY NUMBER:
198011088
ADMINISTRATOR:MARTHA HERNANDEZFACILITY TYPE:
850
ADDRESS:2300 W. JAMES M. WOOD BLVD.TELEPHONE:
(213) 738-7295
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY:30CENSUS: 0DATE:
07/13/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Ariana Villatoro, Regional Site DirectorTIME COMPLETED:
11:45 AM
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This was a case management incident followed up by T. Tran, Licensing Program Analyst (LPA) due to COVID-19 and precautionary measures by the use of via telephone with Ariana Villatoro, Regional Site Director. The incident occurred at Pace Head Start/Even Start Center on 05/09/2019, the facility made the 24 hours self-report on 05/09/2019. The Monterey Park South West Office received the writing report on 05/10/2019.

LPA obtained facility personnel report, child records, and internal inspection email report.

LPA conducted interviews and it revealed that the allegation of a concern parent toward a center staff rudeness when engaged with a parent and C1 was just a misunderstanding. Other staff member did not observed such incident occurred at the facility. At this time based on the available information it does not appear this incident was the result of a Title 22 violation for Personal Rights. No deficiency was cited.

This report along with a copy of the appeal rights will be sent to the noted person via email with a read receipt or confirmation of receipt of email, which will act as the Regional Site Director's signature.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2020
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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