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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014691
Report Date: 01/22/2025
Date Signed: 01/22/2025 03:53:24 PM

Document Has Been Signed on 01/22/2025 03:53 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GOOD BEGINNINGS HEAD STARTFACILITY NUMBER:
198014691
ADMINISTRATOR/
DIRECTOR:
LINDA LUNAFACILITY TYPE:
850
ADDRESS:1839 S. HOOVER STREETTELEPHONE:
2137441347
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 60TOTAL ENROLLED CHILDREN: 48CENSUS: 37DATE:
01/22/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Ruzanna DavtianTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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Licensing Program Analysts (LPAs) T. Tran and P. Bishop made an unannounced visit at PACE Good Beginnings Head Start to conduct a Case Management Incident occurred on 6/7/24. The Monterey Park Southwest Office received the writing report on 6/08/2024. Upon arrival, LPAs met with Ruzanna Davtian, Regional Site Supervisor and toured the facility. LPAs observed proper care and supervision.

During today's visit, LPAs completed children and staff’s files reviewed. LPAs obtained child's document, children's attendance sheet for June 2024, and personnel report. Based on the interviews conducted with staff, on the day of the incident, there were three staff supervised 15 children.

During outdoor play, staff observed C1 was playing with peers. Then a peer pushed C1 causing child to fall and hit the back of the head on the pavement. Child sustained a small laceration on the side of the head. Staff comforted the child and 911 and parent were 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 found during today's inspection. 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 Davtian

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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