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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364813234
Report Date: 06/17/2019
Date Signed: 06/18/2019 01:51:49 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:VOLUNTEERS OF AMERICA EARLY HEAD STARTFACILITY NUMBER:
364813234
ADMINISTRATOR:SYLVIA GREENBERGFACILITY TYPE:
830
ADDRESS:720 S. E STREETTELEPHONE:
(909) 888-4577
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY:48CENSUS: 10DATE:
06/17/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Gloria Delgado, Interim AdministratorTIME COMPLETED:
03:35 PM
NARRATIVE
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Licensing Program Analyst's (LPA's), Taadhimeka Ziegler and Carlos Martinez, made a Case Management visit this date to deliver an amended report and appeal letter because the facility was cited under the wrong program (Fac. #366820599).

On 10/10/18, LPA Martinez arrived to follow up on an unusual incident report that was submitted to Licensing by the facility on 09/27/18. LPA met with the Marrietta Gillard, Division Director, and Sylvia Greenberg, Program Director, to discuss incident.

According to Greenberg, on September 18, 2018 at approximately 4:00 p.m., the aunt for Child #1 entered classroom #4 to pick up the child, but did not observe the child inside the classroom and questioned where the child was located. A teacher then pointed to a group of children that were playing, but the child was not with the group so they began to look around. Another teacher in the class decided to look outside in the playground and the child was found alone with no supervision. The child was then brought into the classroom, and the issue was addressed with the program director.

See LIC 809D for deficiencies cited. This is a ZERO-TOLERANCE violation that presented and immediate risk to the child's safety. Civil Penalties were assessed. An exit interview was conducted, appeal rights discussed and a copy of this report was provided.

Per, Reynauldo Pennywell, Regional Manager, the appeal of the citation and civil penalty is denied. LPA Martinez will issue an amended evaluation report, citation and civil penalty assessment.


A copy of this report must be made available to the public, at the facility site, for 3 years.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 782-4936
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2019
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: VOLUNTEERS OF AMERICA EARLY HEAD START
FACILITY NUMBER: 364813234
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/17/2019
Section Cited
CCR
101229(a)(1)
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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION:

No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time. This requirement was not met as evidenced by LPA Martinez, who confirmed that Child #1 was left outside the
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Director agreed to conduct training and submit a written plan of action specific to supervision by POC due date.

CIVIL PENALTIES ASSESSED.
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classroom alone for an unspecified amount of time on 09/18/18. T

This is a Zero-Tolerance violation that presented and immediate risk to the child's safety.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 320-2023
LICENSING EVALUATOR NAME: Carlos MartinezTELEPHONE: (951) 782-4936
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2019
LIC809 (FAS) - (06/04)
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