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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270710512
Report Date: 11/20/2019
Date Signed: 11/20/2019 03:39:22 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:SHERWOOD HEAD STARTFACILITY NUMBER:
270710512
ADMINISTRATOR:MARIA MURILLOFACILITY TYPE:
850
ADDRESS:110 SOUTH WOOD STREETTELEPHONE:
(408) 424-9664
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:20CENSUS: 16DATE:
11/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Veronica SaavedraTIME COMPLETED:
03:50 PM
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Licensing Program Analyst (LPA), Behbood, conducted an unannounced random visit to the Facility today. LPA met with Veronica Saavedra Site Supervisor. Purpose of the visit explained. LPA toured both inside and outside of the facility during today's visit.
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 clearance through the MCOE. 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 (LIC 700) 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. All staff have current CPR and First Aid certifications and proof of immunization on file . Staff files have copies of their educational background, immunization records, CPR and First Aid certificate. All staff completed the Child Abuse Reporter Training. Veronica was informed that the training expired every 2 years. 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
Playground has climbing structures, sand boxes, etc. Tan barks and artificial grass are used for cushioning material.
Drinking water inside the classrooms and in the playground are provided via water fountains. 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 StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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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