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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 360911142
Report Date: 09/20/2022
Date Signed: 09/20/2022 01:36:59 PM


Document Has Been Signed on 09/20/2022 01:36 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:PSD/VICTORVILLE HEAD STARTFACILITY NUMBER:
360911142
ADMINISTRATOR:LUCY ANGELA NARANJOFACILITY TYPE:
850
ADDRESS:14029 AMARGOSA ROAD, STE. CTELEPHONE:
(760) 245-9147
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY:95CENSUS: 43DATE:
09/20/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Keosha Smith, Site Supervisor (SS) and Shannon Rodrguez, Educational Program Manager (EPM)TIME COMPLETED:
01:50 PM
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Licensing Program Analyst (LPA) Maddox met with Keosha Smith, Site Supervisor (SS) and Shannon Rodrguez, Educational Program Manager (EPM) today for the purpose of conducting a Case Management inspection. Center is requesting to incorporate a Toddler Option (ages 18 mos to 36 mos.) in Rms 93 & 94 (these classrooms were previously licensed for Preschool children ages 2 to 5 yrs. of age) The 2 classrooms are located next to each other and will share a bathroom. During this inspection, LPA measured and toured both classrooms:

Both Classrooms had the same measurements
25 X 24 = 600/35 =17 children

There is a bathroom in Room #94 that has 2 toilets and 2 sinks, there are changing tables in both classrooms (changing tables were located within arms reach of the sink). The overall capacity with 2 toilets and 2 sinks will be limited to 15 children per classroom.

LPA is requesting an updated outdoor play schedule incorporating the Toddler option and allowing a "transition period" to allow one group of children to exit the yard completely before the second group of children enter the play yard.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PSD/VICTORVILLE HEAD START
FACILITY NUMBER: 360911142
VISIT DATE: 09/20/2022
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In addition, center is also altering the outside play yard. During this inspection, LPA observed an area along the right hand side of the yard that was section off with an orange plastic barrier. There is an area along the far end of this area where the barrier is not "taut" enough to make this area inaccessible. Staff state someone is scheduled to come out later on today to make the barricade more sturdy to make this area inaccessible. Staff state an UIR was submitted for the play yard alteration, any future alterations should be in discussion with the Assigned LPA for this Zip Code.

There is a climbing apparatus on the play yard that is not age appropriate for Toddlers, LPA is requesting staff submit a plan on how they plan to keep the Toddlers away from this area while they are outside (staff can forward pictures).

A Fire Clearance has been received for the transition. As a result of this inspection, center is cleared to accept Toddlers.

Exit interview conducted, copy of report left at facility.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC809 (FAS) - (06/04)
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