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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304371057
Report Date: 07/26/2023
Date Signed: 07/26/2023 04:00:03 PM


Document Has Been Signed on 07/26/2023 04:00 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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868



FACILITY NAME:FRANKLIN HEAD STARTFACILITY NUMBER:
304371057
ADMINISTRATOR:PRIETO, SANDYFACILITY TYPE:
850
ADDRESS:506 SOUTH JANSS STREETTELEPHONE:
(714) 241-8920
CITY:ANAHEIMSTATE: CAZIP CODE:
92805
CAPACITY:53CENSUS: 7DATE:
07/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Kimberly Batayola, Center DirectorTIME COMPLETED:
04:15 PM
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LIcensing Program Analyst (LPA) P Rivas conducted an unannounced annual inspection and was met by Center Director, Kimberly Batayola. Later Ms. Talisha Gadlin-Bladon, Education Manager arrived and assisted with inspection. LPA, Ms. Batayola and Ms. Gadlin-Bladon toured the facility inside and outside and the floor and yard plan (LIC 999) were verified. Census was taken and the overall census observed was 2 preschool staff and 7 preschool children in Room 2. A third teacher was at lunch. During the inspection it was determined the facility is operating within its licensed capacity and within compliance of staffing ratios. Facility hours are 7:30AM - 5:30 PM , Monday through Friday. The program provided a full day summer session. The rooms that are currently licensed are Rooms 1, 2 and 3 which are located on Franklin Elementary Grounds.
A review of the Facility Personnel Report Summary via Guardian conducted indicates all facility staff or other individuals who required caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA was advised that facility staff are fingerprinted through the Orange County Head Start program.

During the inspection of the indoor activity space, items which could pose a danger to children (detergents, cleaning compounds) were observed to be stored out of the reach of children. Poisons/Hazardous Items are not kept on the premises. Food is prepared at Placentia Head Start and food is transported via hot/cold food containers. A menu is posted, emailed and copy provided to parents for Breakfast, lunch and snacks. Floors, equipment, and furniture were clean and were observed to be in good repair and free of sharp edges. There is drinking water available to children indoors and outdoors via filtration system (Brita) by paper cups Per Ms. Gadlin-Bladon facility began to use filtration system 03/12/2020..
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/26/2023
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FRANKLIN HEAD START
FACILITY NUMBER: 304371057
VISIT DATE: 07/26/2023
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The children's bathrooms are clean and sanitary. Children do nap at facility. Facility personnel wash linens at least weekly or more often as necessary. Washer and dryer was viewed. Facility does have extra sheets/blankets. The facility has conducted an emergency drill on 06/26/23. The facility has working carbon monoxide detectors, smoke detectors and fire extinguisher (serviced within the year). Facility met all posting requirement. The California Child Passenger Safety Law was posted by the entrance of the facility

The outdoor activity space was inspected for compliance. The playground was enclosed by a fence at least four feet in height. The surface of the outdoor activity space was well maintained and free of hazards. The cushioning material (turf commercially produced for the purpose and play and pour) around the climbing equipment, swings, slides and other similar equipment appeared to be enough to absorbs falls. Drinking water in the outdoor activity space is provided by Brita filtration and cups. LPA was provided copy of lead testing report with sampling 04/01/23. The sinks tested were within compliance. The outdoor equipment and toys were in good repair and free of sharp edges. There are no bodies of water present at the facility. The facility grounds were safe, sanitary and in good repair.

Staff files were reviewed for 3 staff present during the facility inspection on this date, 03 out of 03 staff files were reviewed. Health screening and immunization's as required were reviewed. Beginning September 1, 2016, Health and Safety (H&S) 1596.7995 states, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Proof of immunization against pertussis, measles and influeza for staff were reviewed and within compliance.

Beginning March 31, 2018, H&S Code 1596.8662 requires all licensed child care providers, administrators, or employees of a licensed child day care facility to complete the mandated reporter training, and to renew the training every two years. Staff were in compliance. At least one staff member present possesses current EMSA approved Pediatric CPR/First Aid certifications, which expires 09/04/23.
Children's records were reviewed, in 6 out of 7 files reviewed were found to be complete and current record for each child. Seven out of seven children's files were reviewed for documentation of the child’s name, address, and telephone number of the child’s authorized representative and of relatives or others that can assume responsibility for the child if the authorized representative cannot be reached when necessary (emergency sheet) and a medical assessment, health history, admission agreement .
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
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, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FRANKLIN HEAD START
FACILITY NUMBER: 304371057
VISIT DATE: 07/26/2023
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1 out of 7 children's files did not contain acknowledgement of child's personal rights and parents rights in file.
Incidental Medical Services (IMS) policy was discussed. As of today no children are taking medication. For
IMS information see PIN 22-02-CCP: Best Practices Related to the Provision of Incidental Medical Services in Child Care Centers and Family Child Care Homes When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department.
The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Ms. Kimberly Batayola was informed that Licensing Quarterly Updates are available at www.ccld.ca.gov director is receiving Quarterly Update via the Child Care Advocate at childcareadvocatesprogram@dss.ca.gov or at www.ccld.ca.gov
LPA provided Guardian Information and website info: https://www.cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian

Information on the additional nutrition training, immunization requirements for children, and Health Schools Act (http://www.cdpr.ca.gov/docs/pestmgt/schoolipm.htm) were provided. The director was informed, and website given, about the California Child Care Disaster Plan has been posted to the UCSF California Childcare Health Program website: cchp.ucsf.edu/content/disaster-preparedness Also provided was information about the E-Learning Modules available at https://ccld.childcarevideos.org A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the facility representative.

In the areas that were evaluated, no deficiencies were observed of the California Code of Regulations, Title 22, Division 12 at the time of the visit. A Technical violation under 101223(b)(1)1 out of 7 files did not contain acknowledgement of child's personal rights . Center Director reports that as part of enrollment the child can not be admitted into facility without all signatures on all pages. Signed acknowledgement page could not be found in file.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME: FRANKLIN HEAD START
FACILITY NUMBER: 304371057
VISIT DATE: 07/26/2023
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Exit interview conducted and report was reviewed with Kimberly Batayola, Center Director. Appeal Rights and were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISOR'S NAME: Rina LopezTELEPHONE: (714) 703-2808
LICENSING EVALUATOR NAME: Pat RivasTELEPHONE: 714-703-2800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5