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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600133
Report Date: 05/21/2019
Date Signed: 05/21/2019 02:13:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:AKA HEAD START - SAN MIGUELFACILITY NUMBER:
376600133
ADMINISTRATOR:DANIELLE ANGELETTEFACILITY TYPE:
850
ADDRESS:7059 SAN MIGUELTELEPHONE:
(619) 460-6611
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:86CENSUS: 47DATE:
05/21/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Director Angelette TIME COMPLETED:
10:20 AM
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Licensing Program Analyst (LPA) Jo Ann Legaspi made an unannounced inspection to the facility to conduct to ensure compliance with the rules and regulations of California Code of Regulations, Title 22, Division 12. The facility serves children ages three (3) years to five (5) years. There were forty-seven (47) children and twelve (12) staff present during today's visit. Assistant Director Tina Cruz accompanied LPA during a conducted general overall inspection of the facility’s interior and exterior.

Exterior and interior passageways are obstruction free. Carbon monoxide/smoke alarms are operational. The last safety drill was on 04/30/2019. Disinfectants, cleaning solutions and poisons are inaccessible to children. Medications are inaccessible to children. There are no bodies of water on the facility. Per Director Angelette, there are no weapons and/or ammunition housed in the facility.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and and reviewed children’s personnel, and administrative records. 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.

There are four (4) classrooms and two (2) bathrooms for the children. Children’s bathrooms were observed to be sanitary and equipped with hygiene and appropriate supplies. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Bathrooms are lighted and has ventilation. Furniture and age appropriate equipment is in good condition. Napping equipment consists of mats each of which has its own sheet or covering. The preschool classrooms have adequate heating, lighting, ventilation. Storage cubbies are readily available, and room accommodates the class size.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: AKA HEAD START - SAN MIGUEL
FACILITY NUMBER: 376600133
VISIT DATE: 05/21/2019
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The facility temperature was at a comfortable temperature at the time of the visit. Lighting is present in the rooms. Floors were observed to be clean without any safety hazards. Sanitary water is available to children both outside and inside the facility.

Food service consists of breakfast, lunch and snacks, which are delivered to the daycare by the school district. Food menus were observed to be posted. The kitchen and food preparation and storage areas were observed to be free of litter, rubbish, insects, rodents and other vermin. Disinfectants, cleaning solutions, and poisons were kept separate from food.

The outdoor play area is a fenced playground in the front side of the classrooms. Equipment and toys are age appropriate and present as safe. The area has an overhead covering which is used for shade. The surface of the outdoor activity area is maintained in a safe condition and free of safety hazards. The areas under high climbing area equipment, slides and similar equipment were observed to be cushioned.

Required notices, forms and the facility license were posted. LPA provided staff with written information regarding lead exposure as described in Assembly Bill 2370

LPA observed appropriate care and visual supervision of children during the visit. Children were observed engaged in “circle time”.

LPA observed sign in/sign out sheets and first aid supplies to be in compliance. Required notices were observed posted. Staff and children’s records contain health screenings and other required documents. At least five (5) staff have current CPR and First Aid certifications. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions.

LPA provided staff with the Notice of Site Visit – LIC 9213, which is to be posted for thirty (30) days. Based on today's visit, no deficiencies were observed in the evaluated areas.

An exit interview was conducted with Director Angelette, who was provided a copy of their Licensee Rights (LIC 9058 1/16). Their signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Carolina RamosTELEPHONE: (619) 767-2206
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2