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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274400058
Report Date: 01/27/2020
Date Signed: 01/31/2020 11:11:11 AM

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:FRANK PAUL HEAD START CENTERFACILITY NUMBER:
274400058
ADMINISTRATOR:TERRI CASCIOFACILITY TYPE:
850
ADDRESS:1300 RIDER AVENUETELEPHONE:
(831) 754-2319
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY:60CENSUS: 16DATE:
01/27/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marbella RodriguezTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) met with Site Supervisor Marbella Rodriguez in a Case Management inspection to follow up on an Unusual Incident Report (UIR) reported to Licensing Department on 1/17/2020.
LPA interviewed 3 teachers and 2 children during the inspection. LPA observed there were 16 children present and three staff members were present taking care of them. LPA obtained a copy of the children's roster.

No deficiencies were cited today.

Notice of cite inspection was created and handed to Site Director and must be posted for the next 30 consecutive days.
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:

DATE: 01/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020
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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