376700492-6-12-2023-20-CC-DMIR-CSQRHZ-20230612130311

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376700492
Report Date: 06/12/2023
Date Signed: 06/12/2023 01:03:32 PM

Document Has Been Signed on 06/12/2023 01:03 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME:	AKA HEAD START - SPRING STREET		FACILITY NUMBER:	376700492
ADMINISTRATOR:	HORTENSIA MURILLO		FACILITY TYPE:	850
ADDRESS:	3845 SPRING DRIVE		TELEPHONE:	(619) 713-2262
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	103	CENSUS: 48	DATE:	06/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Hortensia Murillo		TIME COMPLETED:	01:15 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	On 06/12/2023 at 08:45am, Licensing Program Analysts (LPAs), David Miller and Vicky Williamson conducted an unannounced required 1 year inspection and met with the Director, Hortensia Murillo. LPA disclosed the purpose of the inspection and was led on a tour of the facility. There were three teachers (Tracy O'brien, Maya O'field, and Megan Donato) and eight (8) children in room 2; three (3) teachers (Theresa Anaya, Nancy Kennedy, and Gabriela Torres) and three (3) children in room 3; three teachers (Robertha Sainz, Rocio Contreras Sainz, and Irma Andrado) and six (6) children in room 6; three teachers (Kendra Stringfellow, Grace Briggs, and Carmen Curiel) and 15 children in room 4, and two teachers (Cecelia Macias and Stephanie Corelli) and one substitute (Anthony Tran) and 16 children in room 5. Days and hours of operation are M-F 8am to 4pm. Children play on the blacktop and grass area located north of the main office. Furniture and equipment are in good condition. Playground equipment is in safe condition. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Toilets in classroom 2 and 3 are located inside the classroom. Toilets for classrooms 4-6 are located south of Room 6, and all toilets and hand-washing equipment are in safe and sanitary operating condition. Floors in the facility are clean and safe. Drinking water is available both indoors and outdoors via drinking containers in the classroom and outdoor by the playground area. Facility has a functioning carbon monoxide detector in each classroom. The last disaster drill was conducted and documented 05/04/2023. The Director stated there are no bodies of water on the premises and LPA did not observe any bodies of water. The Director stated there are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, and other hazardous items are made inaccessible in the locked shed. The Director stated that medications are being administered at this time. Staff have fingerprint and background clearances. The Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption,

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: David Miller	TELEPHONE: (619) 987-8901
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AKA HEAD START - SPRING STREET	FACILITY NUMBER: 376700492
	VISIT DATE: 06/12/2023

NARRATIVE

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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.

Menus for snacks were posted. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. LPA reviewed children sign-in/sign-out sheet with full legal signature and time of day. Children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children, and one teacher supervising no more than six toddlers. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and/or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed staff files and observed that one (1) staff out of 19 did not have an updated mandated reporter training.

Incidental Medical services (IMS) policy was discussed and reviewed. Licensee stated that she currently has one child with IMS. LPA inspected and medication is currently being stored properly. 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. Director stated no children enrolled require medication at this time. LPA and director discussed the Community Care Licensing website www.ccld.ca.gov and California Megan’s Law (www.meganslaw.ca.gov).

A deficiency was observed as per California Code of Regulations, (Title 22, Division 12 & Chapter 3), and is being cited on the attached LIC 809-D.

Exit interview conducted with the Director, Hortensia Murillo. The appeals rights and Notice of Site Visit is provided and required to be posted for 30 days. LPA observed form 9213 posted at the entrance. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.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.

SUPERVISOR'S NAME: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: David Miller	TELEPHONE: (619) 987-8901
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/12/2023 01:03 PM - It Cannot Be Edited

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 - SPRING STREET	FACILITY NUMBER: 376700492
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above as one staff had an expired mandated reporter certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/30/2023
	Plan of Correction
1 2 3 4	The Director stated that she will submit proof that staff updated the their mandated reporter certificate to the agency by 06/30/2023

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Tulam Vu	TELEPHONE: (619) 767-2212
LICENSING EVALUATOR NAME: David Miller	TELEPHONE: (619) 987-8901
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2023

LIC809 (FAS) - (06/04)

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