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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014691
Report Date: 01/07/2022
Date Signed: 01/07/2022 11:36:17 AM

Document Has Been Signed on 01/07/2022 11:36 AM - 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:GOOD BEGINNINGS HEAD STARTFACILITY NUMBER:
198014691
ADMINISTRATOR:LINDA LUNAFACILITY TYPE:
850
ADDRESS:1839 S. HOOVER STREETTELEPHONE:
(213) 744-1347
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/07/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Ruzanna Davitan, Site DirectorTIME COMPLETED:
11:50 AM
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 Analyst (LPA) T. Tran arrived at Good Beginnings Head Start facility unannounced to conduct a Case Management inspection that was self-reported on 11/17/2021. The Monterey Park South West Child Care Regional Office received the incident report on 11/18/2021 regarding C1 could not move the left arm and did not eat the lunch. When teacher asked, C1 stated child broke the arm at home. Upon arrival, LPA met with center staff and provided LPA the tour of the facility. Per staff, the facility is currently providing virtual learning to all enrolled children. In person learning will resume on 01/11/2022. Then site director Ruzanna Davitan arrived and assisted LPA with this inspection.

LPA completed files review for staff and child. LPA obtained the personnel report, child's record, and other documents. On the day of the incident, there were two teachers supervised 14 children. Based on the information that were gathered through interviews and record reviewed. Teacher revealed there was nothing unusual occurred to C1 that morning. Child was able to participate in all classroom activities. Parent was contacted immediately. According to the available information, it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Ruzanna Davitan.

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 01/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2022
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 1