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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191805624
Report Date: 10/03/2024
Date Signed: 10/03/2024 03:22:54 PM

Document Has Been Signed on 10/03/2024 03:22 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:WINTER GARDENS HEAD STARTFACILITY NUMBER:
191805624
ADMINISTRATOR/
DIRECTOR:		MARIANA SANCHEZFACILITY TYPE:
850
ADDRESS:1277 CLELA AVE.TELEPHONE:
(323) 268-0477
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 0DATE:
10/03/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Vanessa Guzman, Education SpecialistTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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On October 3, 2024, Licensing Program Analysts (LPAs) Monique Ayala and Priscilla Ochoa conducted an unannounced Case Management- Annual Continuation at 8432 Birchbark Ave Pico Rivera, CA 90660. The purpose of the inspection is to review staff files from the above facility. LPAs met with Education Specialist Vanessa Guzman and Program Specialist Vicky Bermudez who provided LPAs with staff files.

LPAs reviewed 4 staff files and files were not found to be complete. Per Program Specialist Vicky Bermudez, staff immunization's, LIC503 (Health Screening) and TB test are located in the Human Resource District Office (HRDO). The HRDO office is located at 123 S. Montebello Blvd. Montebello, CA 90640. LPAs will complete the file review at a later date as the HR office closes at 3:30PM.

The facility is not being cited any deficiencies at this time. LPAs provided a copy of Title 22 Regulation: Personnel Records, 101217. LPAs informed Education Specialist and Program Specialist to submit an agreement/waiver request to have all completed staff files at one district office.

An exit interview was conducted and a copy of this report was provided along with Appeal Rights. Notice of Site Visit was provided to the facility earlier in the day.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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