376701392-9-15-2021-51-CC-JREG-C6VR4U-20210915124207

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 376701392
Report Date: 09/15/2021
Date Signed: 09/15/2021 12:42:40 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 - JACKMAN		FACILITY NUMBER:	376701392
ADMINISTRATOR:	ANGELA CARROLL		FACILITY TYPE:	850
ADDRESS:	832 JACKMAN STREET		TELEPHONE:	(619) 334-4444
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	64	CENSUS: 29	DATE:	09/15/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Director Angela Carroll		TIME COMPLETED:	12:45 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 9/15/21 at 11:15 a.m., Licensing Program Analyst, Joelle Redding, met with Director Angela Carroll for the purpose of an unannounced annual inspection. There were 29 children present with 14 staff, two floaters and the Director as follows: Room 1A: 4 children and two teaches; Room 1B: 5 children with two teachers; Room 1C: not in use today; Room 2: 5 children with two teachers; Room 3A: 3 children with two teachers; Room 3B: 4 children with two teachers; Room 3C: 4 children with two teachers; and Room: 4: 4 children with two teachers. Facility is within ratio and capacity. Program operates Monday thru Friday from 7:30 a.m. to 5:30 p.m. LPA toured the facility. The furniture, books, games and toys are safe, age-appropriate and in good repair. Rooms were a comfortable temperature during this visit. No hazards were noted. All storage containers and trashes have tight fitting lids and are in good repair. There is a kitchen which is clean and sanitary with all food stored properly, per regulation. Breakfast, lunch and snacks are provided by El Cajon School District and delivered. Warmers are present in the kitchen. Menus are posted. Hand washing and toileting areas are in a safe, sanitary and operating condition. Medications are kept in each room, in the emergency bag, inaccessible to children. Poisons, disinfectants, cleaning solutions and other items that are dangerous to children have been made inaccessible. There is no evidence of rodent or insect activity. Outdoor play area is fully fenced with sufficient cushioning and adequate shade. There is an approved playground waiver in place for no more than 34 children outside at a time. The requirements of this waiver were in place today with 11 children on the playground. Playground equipment and outdoor surfaces are in a safe condition No hazards were noted. Portable water is used outdoors. There are no bodies of water, firearms or ammunition on the property. The carbon monoxide detector is wired into the fire alarm system and reports directly to the Fire Department. LPA reviewed, sign in/out sheets, a sample of personnel records for a health screening and on-the-job training. HR keeps immunization information and sent the documentation over for LPAs review during this visit. A sample of children's records for emergency information and a medical assessment. All children between 18 and 24 months had Needs and Services plans on file.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

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, 7575 METROPOLITAN DR STE 110
SAN DIEGO, CA 92108

FACILITY NAME: AKA HEAD START - JACKMAN	FACILITY NUMBER: 376701392
	VISIT DATE: 09/15/2021

NARRATIVE

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precautions are being followed. Children over 2 years and all staff, regardless of vaccination status were wearing masks for today's visit and plenty of extra masks and PPE were on hand.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, 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. Services are not in place today.

Licensee is signed up for Quarterly Updates and Provider Information Notices (PINs) for one or more programs on our website: www.ccld.ca.gov. Current LIC 610 (8/2018) and Parent Handbook was obtained today. Director will send the updated LIC 500.

No deficiencies are cited.

NOTICE OF SITE VISIT WAS POSTED DURING THIS VISIT AND WILL REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Renesha Pack	TELEPHONE: (619) 767-2155
LICENSING EVALUATOR NAME: Joelle Redding	TELEPHONE: (619) 767-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

LIC809 (FAS) - (06/04)

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