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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017258
Report Date: 12/01/2022
Date Signed: 12/01/2022 03:39:51 PM

Document Has Been Signed on 12/01/2022 03:39 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:NORWOOD CENTER (HEAD START)FACILITY NUMBER:
198017258
ADMINISTRATOR:JOANNA WILLIAMSFACILITY TYPE:
850
ADDRESS:2020 OAK STREETTELEPHONE:
(213) 300-5451
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY: 40TOTAL ENROLLED CHILDREN: 17CENSUS: 9DATE:
12/01/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Joanna WilliamsTIME COMPLETED:
04:00 PM
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On 12/1/2022, about 1:35 AM, Licensing Program Analyst (LPA) T. Tran conducted an unannounced Case Management Incident visit at Norwood Center Head Start to follow up self reported incident occurred on 10/20/2022 involved a child fell and scraped the face during outdoor play. The Monterey Park South West Office received the writing report on 10/24/2022. LPA met with Joanna Williams, Associate Director and Latoya Mc.Grew and we toured the center. Facility is currently operate only room 43. LPA observed proper care and supervision and ratio.

LPA completed child and staff’s files review. LPA obtained child's document and personnel report.
Interviews were conducted with staff, child, and other. On the day of the incident, there were 15 children with two teachers. Parent was notified immediately. Child was taken to Urgent Care and was released to return to school the next day with no concerns or restrictions. Based on 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, Joanna Williams

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2022
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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