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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400390
Report Date: 06/16/2022
Date Signed: 06/16/2022 11:37:47 AM

Document Has Been Signed on 06/16/2022 11:37 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:HERRERA HEAD STARTFACILITY NUMBER:
198400390
ADMINISTRATOR:DIGGS, LASHELLFACILITY TYPE:
850
ADDRESS:1620 TEMPLE AVE.TELEPHONE:
(562) 426-8144
CITY:LONG BEACHSTATE: CAZIP CODE:
90804
CAPACITY: 40TOTAL ENROLLED CHILDREN: 41CENSUS: 21DATE:
06/16/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:LaShell Diggs. Program DirectorTIME COMPLETED:
12:00 PM
NARRATIVE
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 Licensing Program Analysts (LPAs) Rita Ramos and Katrina Chicote conducted an unannounced case management visit on 06/16/22. LPAs arrived at the facility at 09:15AM and met with Head Teacher, Camiesha Diamond, who provided a tour of the facility. There were 21 children with 6 staff upon arrival. LPAs were later met by, LaShell Diggs, Program Director.

The purpose of the visit was to follow-up on an incident reported to the department on 04/13/22. Information provided to the department indicates that Child #1s personal rights may have been violated by Staff #6. LPA Ramos had initially followed-up on this incident on 04/29/22 and had recurring follow-up visits on 05/06/22, and 06/03/22.

During today's visit LPAs conducted interviews and obtained copies of documentation.

Based on the interviews conducted during the course of the investigation, it was determined that the preponderance of evidence has been met and Staff #6 violated Child #1's personal rights. In addition, Staff #1, #2, #3, #5, #6, and #7 were aware of the incident which occurred on 04/11/22 and did not report the incident. Program Director and Program Administrator confirmed to LPA Ramos that staff which includes Early Learning Center Managers, Head Teachers, and Teachers have the authority to report to licensing when an unusual incident occurs. Program Director was informed of the incident on 04/13/22 and they reported to the department.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Exit interview was conducted with LaShell Diggs, Program Director, including, but not limited to Provider Rights, Appeal Procedures
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Rita Ramos
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2022
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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Document Has Been Signed on 06/16/2022 11:37 AM - It Cannot Be Edited


Created By: Rita Ramos On 06/16/2022 at 11:08 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HERRERA HEAD START
FACILITY NUMBER: 198400390

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2022
Section Cited
CCR
101223(a)(3)

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Personal Rights

To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature...
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Per Program Director, a training will be conducted with staff at the facility. A copy of the verification of attendees will be submitted by POC due date.
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THis requirment is not met as evidenced by interviews condcuted and documentation obtained indicating that Staff #6 violated Child #1's personal Rights whic poses a potential health and safety risk to children in care.
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Type B
06/23/2022
Section Cited
CCR101212(d)

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Reporting Requirements

Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours
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Per Program Director, reporting requirements will be reviewed with facility staff and a copy of the agenda and sign-in sheet will be submitted by POC due date.
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This requirement is not met as evidenced by interviews conducted indicating that Staff #1, #2, #3, #5, #6, and #7 were aware of the incident that occurred on 04/11/22 and did not report to the department which poses a potential health and safetyr isk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Trevino Cochran
LICENSING EVALUATOR NAME:Rita Ramos
LICENSING EVALUATOR SIGNATURE:
DATE: 06/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/16/2022


LIC809 (FAS) - (06/04)
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