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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017200
Report Date: 10/24/2019
Date Signed: 10/24/2019 12:28:19 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:VOLUNTEERS OF AMERICA, BRIGHT STARS HEAD STARTFACILITY NUMBER:
198017200
ADMINISTRATOR:BATTINA BRAYFACILITY TYPE:
850
ADDRESS:3340 SANBORN AVENUETELEPHONE:
(818) 980-2287
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:60CENSUS: 59DATE:
10/24/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Education CordinatorTIME COMPLETED:
12:30 PM
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Licensing Program Analysts (LPAs) Tiffanie Tran and Bardo Baluyot arrived at the above facility to conduct a case management inspection to observe a Steam Lab Room. Fire clearance had approved. Upon arrival, LPA met with Education Coordinator about 11:30 a.m. LPAs observed the Steam Lab Room. The room was set up like outer space theme like with neon lights, moon sand, and different type of materials that related to the theme. In the room, LPAs the storage room which required a door to make it inaccessible to children in care.

Per staff stated, this room will be included in the children daily routine activities. The facility is operating with 4 full day class, there are 15 children with two staffs in each room. The Steam Lab room will be alternate per class room. There shall be no more than 15 children with at least two teachers in the room at the time.

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

Exit interview was conducted and copy of report was discussed and given to the noted person.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019
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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