198003493-9-20-2022-54-CC-KCHE-CJFT2Y-20220920142130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198003493
Report Date: 09/20/2022
Date Signed: 09/20/2022 02:22:07 PM

Document Has Been Signed on 09/20/2022 02:22 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MAOF HEAD START ROOSEVELT PARK CENTER		FACILITY NUMBER:	198003493
ADMINISTRATOR:	ROSA RIOS		FACILITY TYPE:	850
ADDRESS:	7800 GRAHAM AVE.		TELEPHONE:	(323) 584-1250
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90001
CAPACITY: 37	TOTAL ENROLLED CHILDREN: 42	CENSUS: 20	DATE:	09/20/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Lupe Caloca, Head Teacher		TIME COMPLETED:	02:45 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	An unannounced Required – 1 Year Inspection was conducted on 09/20/22 at 11:30 AM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 37. Licensing staff met with Lupa Caloca, Head Teacher. The program currently operates two programs Monday thru Friday, AM extended from 7:30 AM to 12:45 PM and and PM program from 1:15 PM to 4:45 PM. Required postings were observed on bulletin board at entrance to facility. LPA was taken on a guided tour of the facility of both indoors and outdoors. At the initial start of the site visit, there is a total census of 20 children and a total census of six staff present. The facility is made up of two classrooms, RM 1/2 and RM 3/4. LPA observed 11 children in RM 1/2 getting ready for nap with two staff (S5 and S6) and nine children in RM 3/4 getting ready for nap with two staff (S2 and S3, S4 was on lunch break but arrived later). Beginning at 11:45 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. Telephone service, heating, lighting and ventilation were evaluated. LPA observed learning centers for dramatic play, math manipulatives, art materials, and library area with books for quiet play available for children that is well maintained. There were cubbies observed as storage for children's belongings. LPA observed cots being used by children for nap with individual sheets and blankets. Per Head Teacher, linens and blankets are provided by the facility and taken home weekly by the parents for washing. Availability of drinking water was reviewed. LPA observed water filtration system with plastic cups available in each classroom. Facility shares a bathroom in between the classrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. A first aid kit is kept in a backpack hanging by the door in each classroom and was inventoried for supplies. Carbon monoxide detectors and smoke detectors are present in the facility. Fire extinguishers have been serviced on 08/09/22. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. Report Continues - Page 1 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF HEAD START ROOSEVELT PARK CENTER	FACILITY NUMBER: 198003493
	VISIT DATE: 09/20/2022

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
26
27
28
29
30
31
32

Snack/lunch menus were reviewed. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Per Head Teacher, they provide Breakfast, two lunches, and a PM snack. Per Head Teacher, food is not made at the facility but delivered and staff warms up food, when needed, and distributes to the children. At 11:35 AM, food preparation areas were toured for safety, cleanliness and proper equipment.

At 11:55 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA observed turf grass and concerete flooring through out, large play structure with cushioning material to absorb fall, concrete bike path, tricycles, art materials, and other outdoor play equipment available for children that are well maintained. LPA observed fencing through out the yard. LPA Chicote advised Head Teacher that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to water through water coolers during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. LPA observed 20 of 20 with full signatures at time of inspection. Personal Rights of children were observed by LPA. LPA reviewed disaster drill log, last drill conducted on 09/14/22.

Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. CPR card expires on 08/6/23 for Head Teacher. Inspection of required forms made. LPA observed all staff has taken AB1207 Mandated Reporter training. At 12:35 PM, LPA observed 5 of 6 staff did not have immunization records for review at facility, per Head Teacher these might be considered confidential and kept in Admin office.

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 Report Continues - Page 2 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MAOF HEAD START ROOSEVELT PARK CENTER	FACILITY NUMBER: 198003493
	VISIT DATE: 09/20/2022

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
26
27
28
29
30
31
32

The following were discussed:
Licensee (or facility representative) was reminded that all adults 18 and over in the facility, 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 licensed facility. 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.

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed.

Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, advisories were provided but no deficiencies cited today 09/20/22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted and report was reviewed with the Licensee (or facility representative), Lupe Caloca.

Report Ends - Page 3 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 09/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022

LIC809 (FAS) - (06/04)

Page: 3 of 4