334842393-7-24-2020-09-CC-GCAO-BRTQDR-20200724120508

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334842393
Report Date: 07/24/2020
Date Signed: 07/24/2020 12:06:01 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	PHILLIP M STOKOE HEAD START		FACILITY NUMBER:	334842393
ADMINISTRATOR:	BARBARA ESTHER		FACILITY TYPE:	850
ADDRESS:	4501 AMBS DRIVE		TELEPHONE:	(951) 826-4390
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92505
CAPACITY:	59	CENSUS: 0	DATE:	07/24/2020
TYPE OF VISIT:	Office	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Barbara Esther; E. Deo Thomas		TIME COMPLETED:	10:30 AM

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Due to the executive order issued by Governor Newsom on March 16, 2020 regarding COVID-19 pandemic, an Informal Conference was held in the Riverside Child Care Regional Office via tele-conference on this date, June 24, 2020 at 10:00am. Present during the tele-conference were Facility Director, Barbara Esther, Coordinator, Excelsa Deo Thomas, Licensing Program Manager (LPM), Gilbert Sena and Licensing Program Analyst (LPA) Giselle Carbullido.

The conference was called to discuss the facility's most recent issues of Title 22 Regulations pertaining to the responsibility for Providing Care and Supervision. On 02/19/20 the facility was cited for absence of supervision when a child wandered out of their assigned classroom on 02/13/2020 and walked down to the office without supervision. Barbara Esther, Facility Director, self reported the incident to the Department and implemented new procedures.

During the conference, LPM Sena reminded Ms. Esther of how important regulatory compliance is in licensed facilities to protect the Health and Safety of children in care. Ms. Esther was informed the Community Care Licensing Agency takes these violations seriously, and how the violations can lead to further administrative actions.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PHILLIP M STOKOE HEAD START	FACILITY NUMBER: 334842393
	VISIT DATE: 07/24/2020

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Ms. Esther, Director and Ms. Thomas, Coordinator stated the facility has implemented the following new policy and prevention measures due to the incident:

1. Policy/Procedure: Implementation of a support teacher/parent volunteer located outside classroom exits during arrival and departure times effective 02/18/20.

2. Supervision mirrors added to the physical plant for blind areas

3. Completed “Active Supervision Training” mandatory staff meeting held on 02/21/2020. Topics covered: Supervision of children Plan Zoning; Reporting requirements; Ratio; Zoning coverage and Active Supervision (all sites)

4. Facility submitted program policy/procedure dated 02/20/20 for compliance in addition to proof staff training: signed agenda attendance

5. Safety training incorporated into educational curriculum for children/parents/volunteers

6. Program wide implementation of procedures (all sites): Safety and Supervision training for the following: On boarding of new employees/volunteers; 3 level monitoring of new policy/procedures for Supervision (Teachers/Monitor Program Specialist/System input)

The Director was provided with the following during the tele- visit: Information for on going training and COVID-19 through CDSS Videos; PINS and CCP Updated Guidance.

An exit Interview was conducted with Director Barbara Esther and Coordinator, Excelsa Deo Thomas. LPA Carbullido provided Ms. Esther, Director, with a copy of this report via email with an electronic “read receipt”. The electronic read receipt or email confirmation of the emailed report acknowledges receipt of this report. A copy of this report was emailed to the Director during this Tele-visit on June 24, 2020.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Giselle Carbullido	TELEPHONE: (951) 970-1904
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2020

LIC809 (FAS) - (06/04)

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