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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364813234
Report Date: 09/09/2021
Date Signed: 09/30/2021 06:58:50 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: 0DATE:
09/09/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Center Coordinator, Gloria Delgado; Interim EHS Director, Deborah Gunn; and Health Manager Denise Sinohui TIME COMPLETED:
07:15 PM
NARRATIVE
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On 09/09/2021 at 3:45pm, Licensing Program Analysts (LPAs) Destinee Hogue and Laura Mejorado arrived at the facility to conduct an inspection for another purpose. During this inspection, LPAs toured the facility, took census, reviewed records and verified staff's criminal record clearances and association to facility.

Upon LPAs arrival, LPAs met with Interim EHS Director, Deborah Gunn and Health Manager, Denise Sinohui. At approximately 4:22pm, Center Coordinator, Gloria Delgado arrived at the facility. According to Ms. Gunn and Ms. Delgado, both individuals are responsible for the operation of the center, for compliance with regulations, and for communications with the Department; and both Ms. Gunn and Ms. Delgado have the authority to acknowledge receipt of deficiency notices and to correct deficiencies that constitute immediate threats to children's health and safety.

However, based on a review of facility records, the facility did not provide a completed Director's packet for Interim EHS Director, Deborah Gunn and Center Coordinator, Gloria Delgado. During this inspection, LPAs reviewed a Director Qualification packet for Gloria Delgado and the following items are missing from the packet: CPR/First Aid (not EMSA/American Red Cross approved), LIC500-Personnel Report, and Child Care Center Record Keeping Orientation is missing from the Director packet for Gloria Delgado.

Ms. Delgado agreed to submit an updated LIC500 by 09/15/2021 and Ms. Delgado agrees to complete Child Care Center Record Keeping Orientation by 09/23/2021.

See LIC809D for deficiency cited per California Code of Regulations Title 22, Division 12.

An exit interview was conducted, and a copy of this report was provided to Director's on this date.
SUPERVISOR'S NAME: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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, 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: 09/09/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/23/2021
Section Cited

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Reporting Requirements. (b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement was not met as evidenced by:
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Based on a review of facility records, the facility did not provide a completed Director's packet for Interim DHS Director, Deborah Gunn and Center Coordinator, Gloria Delgado. This poses a potential health, safety, and personal rights risk to children in care.
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Type B
10/11/2021
Section Cited

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Personnel Requirements. (f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.
This requirement is not met as evidenced by:
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Based on a review of facility records, Ms. Gunn did not have proof of completed CPR/First Aid on file. Ms. Delgado and Ms. Sinohui have completed CPR/First Aid, however the completed training is not EMSA or American Red Cross certified. This poses a potential health, safety, and personal rights risk to children in care.
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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: Kimberly WilliamsTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Destinee HogueTELEPHONE: (951) 218-5196
LICENSING EVALUATOR SIGNATURE:
DATE: 09/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/09/2021
LIC809 (FAS) - (06/04)
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