198020303-2-4-2025-33-CC-SVAA-DDKUP6-20250204144501

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020303
Report Date: 02/04/2025
Date Signed: 02/04/2025 02:45:10 PM

Document Has Been Signed on 02/04/2025 02:45 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	PARA LOS NINOS EARLY HEAD START:VINE		FACILITY NUMBER:	198020303
ADMINISTRATOR/ DIRECTOR:	ANGELA CAPONE		FACILITY TYPE:	850
ADDRESS:	1147 VINE ST		TELEPHONE:	(213) 250-4800
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90038
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 32	CENSUS: 29	DATE:	02/04/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Liliana Rubio, Site Supervisor		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced Case Management inspection due to three (3) incidents that were reported to the Department on 11/6/2024, 12/12/2024, and 1/23/2025. LPA met with Site Supervisor, Liliana Rubio who guided LPA on a tour of the facility. Census was taken.

On November 6th, 2024, an incident was self-reported to the Department via Email by the facility who reported that a child sustained an injury requiring medical treatment.

On December 12th, 2024, an incident was self-reported to the Department via Email by the facility who reported that a child sustained an injury requiring medical treatment.

On January 23rd, 2025, an incident was self-reported to the Department via Phone by the facility who reported that a child sustained an injury requiring medical treatment.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.

During the inspection, LPA Valenzuela conducted interviews with staff. Staff disclosed that any child sustaining a head injury requires a doctor's note clearing the child to return to school. LPA reviewed Doctor's notes from children that sustained a head injury and were cleared to return to school with no restriction the following day of their incident.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: PARA LOS NINOS EARLY HEAD START:VINE	FACILITY NUMBER: 198020303
	VISIT DATE: 02/04/2025

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LPA obtained copies of doctor's notes.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Liliana Rubio.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC809 (FAS) - (06/04)

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