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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018057
Report Date: 08/24/2022
Date Signed: 08/24/2022 03:54:59 PM


Document Has Been Signed on 08/24/2022 03:54 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:C11/ WATTS 1V HEAD STARTFACILITY NUMBER:
198018057
ADMINISTRATOR:PRISCILLA ALMEJOFACILITY TYPE:
850
ADDRESS:11230 SOUTH CENTRAL AVE.TELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:27CENSUS: 7DATE:
08/24/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Faviola Vazquez.TIME COMPLETED:
04:10 PM
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Licensing Program Analyst (LPA), T. Tran conducted a site visit at the above licensed facility to follow up on a case management incident. Upon arrival, LPA met with teacher, Faviola Vazquez. Facility had reported between 817/22-8/18/22, Toddler program had confirmed two children were diagnosed with Hand, Foot, and Mouth Disease. The health department was also reported on 8/18/22.

LPA competed files review and obtained children documents. LPA inspected the facility and observed the facility to be clean and orderly. Per staff no new cases occurred. Per staff, upon identification children were sent home and observed by a physician. None of the children were hospitalized. On 08/22/22, a child had been released and returned to school while the other child still pending on clearance from the doctor. Facility had cleaned and disinfected all learning materials, napping equipment, tables, chairs, and floors etc, that meet the health department requirement standard. According to the center staff, all parents were individually informed. A letter of exposure was provided to all parents and also posted by the entrance. Based on today’s visit, there were no violations to Title 22 Regulations.

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, Faviola Vazquez.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/24/2022
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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