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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016166
Report Date: 03/25/2024
Date Signed: 03/25/2024 12:23:35 PM


Document Has Been Signed on 03/25/2024 12:23 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:VERNON HEAD START AND STATE PRESCHOOLFACILITY NUMBER:
198016166
ADMINISTRATOR:ERIKA AVILA-FLORESFACILITY TYPE:
850
ADDRESS:1024 W. VERNON AVENUETELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90037
CAPACITY:42CENSUS: 0DATE:
03/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Lela JonesTIME COMPLETED:
12:40 PM
NARRATIVE
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Licensing Program Analyst (LPAs) T. Tran and A. Padilla arrived at CII- Vernon Head Start/State Preschool to conduct a Case Management inspection that was self-reported on 02/23/2024 regards a child in care Personal Rights concerns. The Monterey Park Southwest Childcare Regional Office received the incident report on 2/26/2024. Upon arrival., LPAs met with Site Supervisor, Lela Jones and toured the facility indoor and outdoor. Per facility representative, this week is children's spring break. LPAs did not observe any daycare children at the center.

LPAs completed staff and child file reviews. Records obtained during today's visit were Personnel Report, child, and staff’s records. Based on record reviewed, on the day of the incident, there were two staff supervised 15 children. Based on the information that were gathered during today's interviews, it does not appear this incident was the result of a child's personal rights Title 22 violation. No deficiency was cited.

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 representative, Lela Jones.

SUPERVISOR'S NAME: Denise GibbsTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/25/2024
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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