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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017200
Report Date: 09/14/2022
Date Signed: 09/14/2022 10:15:47 AM


Document Has Been Signed on 09/14/2022 10:15 AM - 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:VOLUNTEERS OF AMERICA, BRIGHT STARS HEAD STARTFACILITY NUMBER:
198017200
ADMINISTRATOR:KAYLA DE LEONFACILITY TYPE:
850
ADDRESS:3340 SANBORN AVENUETELEPHONE:
(818) 980-2287
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY:60CENSUS: 36DATE:
09/14/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kayla De LeonTIME COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA), T. Tran arrived at the above facility to conduct a case management visit. LPA met with Kayla De Leon, site supervisor and toured the facility. LPA observed proper care and supervision.


LPA delivered the appeal letter for Type A citation issued on 05/03/22 which was reduced to Type B citation and provided the amended report LIC 9099 and LIC 9099D. LPA obtained record of training for all center staff pertained to the pest management. Type B citation was cleared during today's visit. Per facility representative, there were no evidence of rodents at the site however, the facility continued monitoring to ensure the health and safety compliance at the center.


Exit interview was conducted and report was reviewed with facility representative, Kayla De Leon.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2022
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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