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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 350709612
Report Date: 04/18/2024
Date Signed: 04/18/2024 01:32:58 PM


Document Has Been Signed on 04/18/2024 01:32 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:HOLLISTER HEAD STARTFACILITY NUMBER:
350709612
ADMINISTRATOR:ROCIO LITLEFACILITY TYPE:
850
ADDRESS:1011 LINE STREETTELEPHONE:
(408) 637-8597
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:77CENSUS: 42DATE:
04/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Rocio LitleTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Marilou Monico met with Site Director, Rocio Litle, for a Case Management inspection. Site Director self-reported an alleged incident on 04/05/24 involving staff (S1) and a daycare child (C1). Another alleged incident was reported by the Site Director on 04/11/24 involving a daycare child (C2). During the investigation process, LPA toured the facility, conducted interviews, and obtained copies of documents.

Based on the information gathered during the investigation, there is no evidence to prove that children's personal rights were violated.

There were no deficiencies cited.

Exit interview conducted and report was reviewed with the Site Director, Rocio Litle.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
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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