<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018059
Report Date: 08/10/2023
Date Signed: 08/10/2023 11:06:28 AM


Document Has Been Signed on 08/10/2023 11:06 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:C11/NICKERSON GARDENS HEAD STARTFACILITY NUMBER:
198018059
ADMINISTRATOR:VANESSA DEVAUGHNFACILITY TYPE:
850
ADDRESS:11253 S. COMPTON AVE.TELEPHONE:
(213) 385-5100
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY:40CENSUS: 9DATE:
08/10/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Pamela BenitesTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) T.Tran and A. Wallin arrived at CII- Nickerson Gardens HS to conduct a case management inspection for the purpose of modification of the facility program by adding the toddler option attach to the preschool program. Upon arrival, LPAs met with Pamela Benites, Compliance analyst and Janice White, Site Supervisor. The facility is currently operating with the capacity of 40 preschool age children. The facility is requesting to decrease the capacity of preschool to 16 children by adding the toddler option with the capacity of 16 toddlers. There is also an infant license on the premises (198400302) Fire clearance granted and obtained preschool/toddler option. The hours of operation from 8:00 AM - 4:00 PM, Monday through Friday. The facility had sufficient indoor, outdoor space with toilets and sinks to accommodate the 16 preschooler and 16 toddlers.

This is a Head Start facility. The facility is serving breakfast, lunch and snack. Food will be delivered daily from the private vendor Chefables. During this inspection, LPAs inspected furniture to be age appropriate. The napping equipment were in good condition. Toddler classroom had changing table with an arm reach from the sinks. Children’s belongings were stored separately. Isolation area located at the staff's office. Food preparation area was clean. LPAs observed two separate yards to accommodate both programs. Drinking water was available in classrooms and the outdoor play area. Serviced fire extinguishers, smoke detectors/carbon monoxide detectors were observed. All required posting observed.

LPAs reviewed and obtained the facility current/updated Personnel Record (LIC 500). LPAs 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. LPAs will mail the updated facility licensed to the facility upon availability.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1