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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 566210265
Report Date: 10/07/2019
Date Signed: 10/07/2019 02:20:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117
FACILITY NAME:CDR - HATHAWAY HEAD START CENTERFACILITY NUMBER:
566210265
ADMINISTRATOR:SUZANNE GODINEZFACILITY TYPE:
850
ADDRESS:401 EAST DOLLIETELEPHONE:
(805) 271-1329
CITY:OXNARDSTATE: CAZIP CODE:
93033
CAPACITY:24CENSUS: 15DATE:
10/07/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Angela McQuirterTIME COMPLETED:
01:15 PM
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A Case Management inspection was conducted by Licensing Program Analysts (LPAs) S. Mendoza-Ceja and C. Patterson who met with Angela McQuirter. On 04/19/2019, LPA Tolentino inspected the center and evaluated/measured the grounds. The purpose of today's visit is to conclude the evaluation of the incident of 04/17/2019 which was reported to the Department as required.

On 04/17/2019, at approximately 2:20 PM during transition (clean up time) the children were playing outside. The children were to go into the classroom. Further review of the incident revealed child #1 ran into the classroom, opened the classroom door, ran out the other door and gate/door. Staff #1 followed child #1 who ran from the facility to his home which is in walking distance. Staff #1 was calling out to child #1 "to stop". Staff #1never lost site of child #1 and followed child #1 to his home. Staff #1 followed child #1 approximately 500 feet to child #1's home. At the time, of the incident time of the incident there were two staff supervising 15

LPA Tolentino interviewed the guardian of child #1. The guardian stated she opened the front door and met with child #1 who was directly followed by staff #1. On 04/19/2019, LPA Tolentino measured the distance from the playground of the facility to the home address which was approximately 500 feet and took approximately 9 seconds at a fast walking pace.

The center has submitted a plan to ensure that children are supervised at all times; to create a culture of safety; and to ensure that all staff members understand their role in keeping children safe.

There were no deficiencies cited during this inspection.

The LIC 9213 (Notice of Site Visit) was posted during today's visit.
SUPERVISOR'S NAME: Maria MuellerTELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Sylvia Mendoza-CejaTELEPHONE: (805) 722-5132
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2019
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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