270710359-12-10-2019-07-CC-MBED-BJQS3N-20191210123125

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 270710359
Report Date: 12/10/2019
Date Signed: 12/10/2019 12:31:30 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	FREMONT HEAD START		FACILITY NUMBER:	270710359
ADMINISTRATOR:	CRUZ, MARIA D.		FACILITY TYPE:	850
ADDRESS:	1255 EAST MARKET STREET		TELEPHONE:	(408) 755-0351
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	60	CENSUS: 53	DATE:	12/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Petra Edeza		TIME COMPLETED:	12:40 PM

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 Analyst (LPA), Behbood, conducted an unannounced random visit to the Facility today. LPA met with Maria Cruz, Site Supervisor for room 39A. Petra Edeza , Site Manager arrived during visit. Purpose of visit explained. Present also were 7 staff and 53 children. Child/teacher ratio met today. LPA toured both inside and outside of the facility during today's visit. Child care is conducted in 3 classrooms, 39A, 38B and 24. Analyst discussed the discrepancy on the room number indicated on the license and the actual room number of one classroom. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus (includes current and following week), and Activity Schedule. All staff have clearances through the Monterey County Office of Education. Staff files have copies of their educational background, current CPR and First Aid certifications, proof of immunization, and proof of completion of Mandated Child Abuse Reporter on file, CDSS has approved the licensee to take The Keenan & Associates training to be utilizes instead of Department online training. No bodies of water observed. LPA reviewed samples of children's file and sign in and out sheets during today's visit. Each child's file reviewed contains the Information and Emergency Information form and a copy of the admission agreement. LPA observed that all children were properly signed in and out (legal signature & time of day) by a parent or authorized representative. Furniture & equipment appear in good condition. Floors appear clean. Children's bathrooms are in operating condition. Preschool refrigerator appears clean & all food is covered. Trash can for food waste has a tight fitting cover. Menu is posted REPORT CONTINUES ON NEXT PAGE

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash Behbood	TELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: FREMONT HEAD START	FACILITY NUMBER: 270710359
	VISIT DATE: 12/10/2019

NARRATIVE

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Playground has climbing structures, however not accessible to children at this time due to changing the cushioning material to rubber foam. The project has been delayed due to rain. The projected completion date is 12/16/2019. There are plenty of additional space for
children to use the outside area safely.
Drinking water inside the classrooms and in the playground are provided via water fountains.
Medications for children are in the original prescription container & stored inaccessible to children.
This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment /supplies, and reviewed children’s, personnel and administrative records.

No citation issued during today's visit.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash Behbood	TELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

LIC809 (FAS) - (06/04)

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