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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376700848
Report Date: 08/25/2022
Date Signed: 08/25/2022 11:01:59 AM

Document Has Been Signed on 08/25/2022 11:01 AM - 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 - SAN MARTIN DE PORRESFACILITY NUMBER:
376700848
ADMINISTRATOR:STOPANI, LESLIEFACILITY TYPE:
850
ADDRESS:9119 JAMACHA ROAD #100ATELEPHONE:
(619) 461-8200
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 0DATE:
08/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Director Leslie StopaniTIME COMPLETED:
11:10 AM
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On August 25th, 2022 at 8:15 AM, Licensing Program Analysts (LPAs) David Miller and Jo Ann Legaspi, conducted an unannounced Annual Inspection and met with Director Leslie Stopani. LPAs disclosed the purpose of the inspection and toured the facility indoors and outdoors. Children were not present because they are still on summer break. This is a full day program which operates on a traditional school year schedule. Days and hours of operation are weekdays 8 AM to 4 PM. There are currently three (3) classrooms in operation but children have not yet returned from summer break. The following ratios were observed:

Classroom # 1A (serves children aged 30 months to 2 years):
There were no children present with four (4) staff members.

Classroom # 1B (serves children aged 30 months to 2 years):
There were no children present with no staff members.

Classroom # 2 (serves children aged 18 months to 2 years):
There were no children present with two (2) staff members.

Classroom # 3 (serves children aged 18 months to 2 years):
There were no children present with no staff members.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2022
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 - SAN MARTIN DE PORRES
FACILITY NUMBER: 376700848
VISIT DATE: 08/25/2022
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Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen and storage areas are clean, free of litter/rubbish and free of rodents/vermin. Food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

Director Stopani 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

Capacity and limitations as specified on the license are maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility. The name of the childcare center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 4 children in care. LPAs 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. LPAs reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus will be posted at least one week in advance where an authorized representative can view them once provided to staff by the school district.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
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 - SAN MARTIN DE PORRES
FACILITY NUMBER: 376700848
VISIT DATE: 08/25/2022
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This facility provides Incidental Medical Services (IMS), but at present no children presently receive IMS. LPAs reviewed where medication will be stored. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPAs and Director Leslie Stopani discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, CCL Child Care Advocate Program, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, California Megan’s Law (www.meganslaw.ca.gov), Forms and Regulations and Lead Poisoning Facts.

Childcare centers constructed before 01/01/2010 are to test their water for lead between 01/01/2020 and 01/01/2023 and then every five (5) years after the date of the first lead testing. LPAs provided director with Provider Information Notice (PIN) 20-01-CCP “Required Lead Testing for Drinking Water in Licensed Child Care Centers and the Provision of the Lead Exposure Information to Parents and Guardians by All Licensed Child Care Facilities” (issued 01/10/2020), PIN 21-21-CCP “Release of the Written Directive for Lead Testing of Water in Licensed Child Care Centers per AB2370” (issued 07/28/2021) and PIN 22-06-CCP “Lead Testing in Child Care Centers – Frequently Asked Questions” (issued 02/25/2022). LPAs also provided the director with the LIC 9275 – External Water Sampler Self-Certification Form and the LIC 9276 – Center Sampling Checklist Form. LPAs suggests that staff review these PINs on the CCL website so they may gain access to the video imbedded on the online PIN. This video was created by the Office of Water Programs at Sacramento State. Should staff have any questions, LPAs recommends they email CCCWaterTesting@dss.ca.gov.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.



A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Leslie Stopani.
SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
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 - SAN MARTIN DE PORRES
FACILITY NUMBER: 376700848
VISIT DATE: 08/25/2022
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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.

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SUPERVISORS NAME: Tulam Vu
LICENSING EVALUATOR NAME: JoAnn R Legaspi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2022
LIC809 (FAS) - (06/04)
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