364806056-4-26-2023-09-CC-ASHA-CR9REW-20230426125813

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364806056
Report Date: 04/26/2023
Date Signed: 04/26/2023 12:58:37 PM

Document Has Been Signed on 04/26/2023 12:58 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	PSD/WESTMINSTER HEAD START		FACILITY NUMBER:	364806056
ADMINISTRATOR:	CARRIE GRAM		FACILITY TYPE:	850
ADDRESS:	720 N. SULTANA AVENUE		TELEPHONE:	(909) 983-0600
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91764
CAPACITY:	70	CENSUS: 58	DATE:	04/26/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Marie Sokkar		TIME COMPLETED:	01:20 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), Aman Sharma conducted a required annual inspection. A tour of the inside and outside of the facility was given and the following was observed and/or noted: LPA met with site director, Marie Sokkar who took LPA on a tour of the facility. The facility is operating with appropriate teacher to child ratios. A review of staff and children's records were observed and notated as part of this evaluation. · The director is asked to update the following documents, and submit to licensing within 30 days: 1. LIC 500 Personnel Report 2. LIC 610 Emergency & Disaster Plan 3. Parent Handbook/ Program Curriculum/Admission policies and procedures/ fee schedule 4. LIC 309 Administrative Organization · LIC 308 Designation of Administrative Responsibility The following items were observed to be posted and are updated where necessary: - License - Emergency Disaster Plan (LIC610) and Earthquake Preparedness Checklist (LIC9148) - Parent’s Rights Poster (PUB393) - Personal Rights (LIC613A) - Child Car Seat Law - Food menu. · The facility is operating with the limits as stated on the license. · Ratios were being met during this inspection · Classrooms are adequately equipped with age and size appropriate furniture, equipment and free of any potential or immediate hazards. · There are no weapons present at the facility

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Aman Sharma	TELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PSD/WESTMINSTER HEAD START	FACILITY NUMBER: 364806056
	VISIT DATE: 04/26/2023

NARRATIVE

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· There are no accessible bodies of water present. All wading pools or similar product must be emptied and stored in an upright position immediately after use.
· Uncontaminated drinking water was observed in both, indoor and outdoor activity spaces
· Medications are stored where they are inaccessible to children,
· Hazards such as disinfectants, cleaning solutions, and any sharp or hazardous items that pose a threat to the health and safety of children are stored where they are inaccessible to children.
· Poisons and toxins are locked.
· All floors are and shall continue to be kept clean and safe.
· Restrooms were observed to be safe, sanitary and in operating condition.
· Playgrounds are enclosed by appropriate fences and free of hazards
· Outdoor activity areas are in good condition and supplied with age/size appropriate equipment.
· Food preparation and storage area is clean, free of litter, rubbish and free of rodents and other vermin
· All storage containers for solid waste, including moveable bins have tight-fitting covers that were observed to be on and in good repair.
· Menus for the month were posted in a place visible by the child’s authorized representative. These must be kept on file for 30 days, and made available upon request.
· The areas around or under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs a fall.
· Sign in/Sign out record was reviewed and meet regulation requirements.
· All staff members have current Pediatric CPR/First Aid on file, which all expire in: 03/2025
· A review of children’s records was conducted, and all records were found to be complete during this inspection.
· Disaster drills are to be conducted every six months – last drill was conducted on 04/03/2023
· The Director was informed of their reporting requirements and is provided with the Regional Office’s Unusual Incident Reporting email mailbox: UnusualIncidentReportsDO09@dss.ca.gov
· A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.
· The Director can submit transfer forms to associate or disassociate someone from their facility at: Associations_Disassociations862@dss.ca.gov

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Aman Sharma	TELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: PSD/WESTMINSTER HEAD START	FACILITY NUMBER: 364806056
	VISIT DATE: 04/26/2023

NARRATIVE

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· A review of staff records indicates that all staff present meet minimum qualifications for the position for which they were hired.
- This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and all appropriate paperwork is kept on file. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

-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

- The director, Marie Sokkar was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

- Go to the licensing webpage www.ccld.ca.gov, and click on the “Receive Important Updates” located on the right side of the page, immediately above the Quick Links. One can add their email address and choose which program(s) they wish to receive Provider Information Notices (PIN) for.

- To access on-line Licensing forms & Regulations for a Child Care Center please visit: www.ccld.ca.gov.

- The Duty Officer is available to answer questions Monday – Friday; 8:00am to 5:00pm at:

1-844-LET-US-NO (1-844-538-8766) and/or 951-782-4200

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.

Exit interview conducted and report was reviewed with the director, Marie Sokkar.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 805-5718
LICENSING EVALUATOR NAME: Aman Sharma	TELEPHONE: (951) 970-7385
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

LIC809 (FAS) - (06/04)

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