354416171-10-6-2021-07-CC-DVIA-C7JRXZ-20211006132536

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 354416171
Report Date: 10/06/2021
Date Signed: 10/06/2021 01:25:43 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:	CALAVERAS HEAD START		FACILITY NUMBER:	354416171
ADMINISTRATOR:	RENEE GARCIA		FACILITY TYPE:	850
ADDRESS:	1081 BUENA VISTA ROAD		TELEPHONE:	(408) 573-4071
CITY:	HOLLISTER	STATE: CA	ZIP CODE:	95023
CAPACITY:	72	CENSUS: 28	DATE:	10/06/2021
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rocio Litle		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Deanna Villagrana, conducted an unannounced Case Management Annual Continuation inspection to the Facility today. LPA met with Rocio Litle director, and explained the nature of today's visit to her. The Facility is licensed in the three rooms adjacent to Calaveras Elementary School. The playground area of the Facility is located behind the classrooms. Room 3 is not being utilized the this time. LPA toured the Facility both inside and outside for today's inspection. 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, Menus, and Activity Schedule. All staff have clearance through Santa Clara County Office of Education. LPA reviewed ten children's and six staff (2 teachers and 4 aides) files during today's inspection. Children and staff files were not readily available and needed to be printed during visit. All staff and children's files were complete. Three staff have current CPR and First Aid certifications on file. Two teacher's files reviewed contain the required transcripts/verification of experience. Rocio understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). LPA observed that the teacher/child ratio was in compliance during today's visit. LPA observed 14 preschool children with one teacher and two aides in room 2 and 14 preschool children with one teacher and two aides in room 1. Rocio understands the conditions, limitations, and capacity specifications of the Facility license. Rocio understands that children shall be visually supervised at all times. LPA observed that both rooms are clean and safe for all children and staff. Rocio states that the Facility is cleaned after hours by an outside janitorial service. Drinking water is readily available for the children in each room via water dispenser/disposable cups and in the outdoor playground area via water jug/disposable cups. LPA observed solid waste containers with tight-fitting lids in the Facility. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff toilet not utilized by the children. The children's bathroom has a curtain separating the toilets for each classroom. One side is used for isolated children if needed. Rocio states they are planning on using bathroom in room three for isolated children in the future. Rocio states that there are no weapons or firearms on the premises.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna Villagrana	TELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CALAVERAS HEAD START	FACILITY NUMBER: 354416171
	VISIT DATE: 10/06/2021

NARRATIVE

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The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. Cleaning supplies are stored in high cabinets in the classrooms and kitchen inaccessible to the children. Any medications at the Facility are stored in classroom inaccessible to children. LPA observed one child requires IMS and observed all paperwork is complete.

LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. Several trees provide shade for the day care children. LPA did not observe any bodies of water.

LPA conducted an exit interview with Rocio prior to the conclusion of today's visit discussed Zero Tolerance related regulations with director Rocio Litle and was advised of the assessment of $500 immediate civil penalty and an ongoing $100 per day per violation continues until the violation(s) is corrected.

No deficiencies were cited during visit.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna Villagrana	TELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021

LIC809 (FAS) - (06/04)

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