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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017626
Report Date: 08/27/2019
Date Signed: 08/27/2019 12:17:11 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:CII/MAIN STREET HEAD STARTFACILITY NUMBER:
198017626
ADMINISTRATOR:MELISA MORGANFACILITY TYPE:
850
ADDRESS:9505 SOUTH MAIN STREETTELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY:76CENSUS: 0DATE:
08/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Director of Program Compliance TIME COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Tiffanie Tran met with Director of Program Compliance and Senior Early Childhood Services Manager to conduct a case management inspection for the purpose of modification of the facility program by removing the toddler option and increasing the preschool license. The facility is currently operating with the capacity of 60 preschool children in room 1, 2, 3, and 4 with toddler option attached serving 16 toddlers in room 5 and 6. The facility is requesting to serve 90 preschool children. Fire clearance granted and obtained. The hours of operation from 8:00 AM - 4:30 PM, Monday through Friday. The facility had sufficient indoor, outdoor space with toilets and sinks to accommodate the 90 preschool children.

This is a Head Start facility serving four full day sessions in Room 1, 2, 3, and 4 and four part day sessions in room 5 and 6. AM sessions: 8:00AM- 11:30AM; PM sessions; 12:30PM- 4:00pm. The facility is serving breakfast, lunch and snack. Food will be delivered daily from the private vendor. During this inspection, LPA inspected furniture and learning materials to be age appropriate. The napping equipment were in good condition. Staff indicated, during rest time, children have an option to rest or participate in quiet activities set up in the classroom. Children’s belongings were stored separately. Isolation area met regulation requirement. Food preparation area was clean. LPA observed play yards had adequate shade. Drinking water available in the classrooms and outdoor by the use of portable water dispenser and cups. Serviced 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.

Exit interview was conducted and a copy of the report was given to the noted person. 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: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
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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