<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191606624
Report Date: 10/24/2024
Date Signed: 10/24/2024 04:02:35 PM

Document Has Been Signed on 10/24/2024 04:02 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ALOHA HEAD START/STATE PRESCHOOLFACILITY NUMBER:
191606624
ADMINISTRATOR/
DIRECTOR:
LISA REYNOSOFACILITY TYPE:
850
ADDRESS:11737 E. 214TH STREETTELEPHONE:
5622297932
CITY:LAKEWOODSTATE: CAZIP CODE:
90715
CAPACITY: 20TOTAL ENROLLED CHILDREN: 16CENSUS: 10DATE:
10/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Sandra ValdezTIME VISIT/
INSPECTION COMPLETED:
04:20 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
Licensing Program Analysts (LPAs) T. Tran and A. Carter made an unannounced visit at Aloha Head Start Center to conduct a Case Management Incident that occurred on 5/24/2024. The Monterey Park Southwest Office received the written report on 05/28/2024 regarding a child injured while in care. Upon arrival, LPAs met with teacher, Sandra Valdez and toured the facility. LPAs observed proper care and supervision.

During today's visit, LPAs conducted interview with staff, child, and other. Based on interviews conducted, on 5/24/24 during morning outdoor play, staff observed C1 (see LIC 811) was playing with peers in the grass area. C1 ran and fell landed on the cement area. Staff immediately assessed the injury and parent was contacted. Per parent, due to the incident child sustained a fracture on the left elbow and needed to wear a cast for over a month. Child required special accommodation upon returning to school. On the day of the incident there were 2 staff supervising 13 children. Based on the facts presented and the information that was gathered through interviews, this incident was not the result of Title 22 Regulation violation for lack of care and supervision.

Per staff, to prevent other children from getting hurt, the facility is requesting to have the grass area cover by cement. This process is pending on the district approval.

No deficiency was cited during today's visit. Exit interview conducted and report was reviewed with the facility representative, Sandra Valdez.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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 1