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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014691
Report Date: 04/22/2022
Date Signed: 04/22/2022 01:13:12 PM


Document Has Been Signed on 04/22/2022 01:13 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: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:60CENSUS: 36DATE:
04/22/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Ruzanna Davtian, Regional Site Director TIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Katrina Chicote conducted an unannounced case management inspection to conduct follow up interviews of children in regards to an incident that was reported to the Department on 03/07/2022.

LPA met with Ruzanna Davtian, Regional Site Director, and explained purpose the visit. There were 36 children total at facility and 11 staff members. LPA arrived at facility at beginning of nap time.

LPA interviewed four children from Room 2 one by one in Regional Site Director's office and obtained current facility roster at time of inspection.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 04/22/2022.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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

Report Ends - Page 1 of 1
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2022
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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