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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013578
Report Date: 10/13/2022
Date Signed: 10/13/2022 01:59:02 PM

Document Has Been Signed on 10/13/2022 01:59 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:VOLUNTEERS OF AMERICA, AZTECA HEAD STARTFACILITY NUMBER:
198013578
ADMINISTRATOR:ROKEYA RAHMANFACILITY TYPE:
850
ADDRESS:522 DANGLER AVENUETELEPHONE:
(323) 780-3770
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 13DATE:
10/13/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Maria Hernandez, Site SupervisorTIME COMPLETED:
02:05 PM
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On October 13, 2022 at 1:45pm, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced plan of correction visit at the above facility. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with site supervisor, Maria Hernandez who guided LPA on a tour of the facility. LPA observed 13 children in care with 4 staff.

The purpose of this inspection is to ensure that the facility is in compliance with Title 22 Regulations and that the deficiency cited on 10/04/22 was corrected .

Licensing staff observed and reviewed the following:


  • Site supervisor has reviewed Title 22 Regulation Reporting Requirements and has communicated with staff the importance of notifying her timely about incidents.


Letters of Deficiencies Citations Cleared were provided for deficiencies corrected.

An exit interview was conducted and a copy of this report was provided to site supervisor Maria Hernandez, along with Notice of Site Visit and appeal rights.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2022
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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