274406730-2-12-2025-07-CC-ELAS-DDTSZB-20250212131853

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274406730
Report Date: 02/12/2025
Date Signed: 02/12/2025 01:18:59 PM

Document Has Been Signed on 02/12/2025 01:18 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	CREEKSIDE HEAD START		FACILITY NUMBER:	274406730
ADMINISTRATOR/ DIRECTOR:	GLORIA PALMA		FACILITY TYPE:	850
ADDRESS:	1770 KITTERY STREET		TELEPHONE:	(831) 442-3526
CITY:	SALINAS	STATE: CA	ZIP CODE:	93906
CAPACITY: 52	TOTAL ENROLLED CHILDREN: 52	CENSUS: 39	DATE:	02/12/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:33 AM
MET WITH:	Irma Romo		TIME VISIT/ INSPECTION COMPLETED:	01:20 PM

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Licensing Program Analyst (LPA) Elizabeth Larios conducted a unannounced Annual Random inspection. LPA met with the Site Manager, Irma Romo and explained the nature of today's visit. LPA toured the facility both inside and outside during prior visit. LPA noted that the facility is located on the Creekside Elementary School campus, in rooms 1, and 2. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. The hours of operation are Monday - Friday, 8:00am - 4:30pm.

LPA reviewed children's and staff files during prior visit and today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents rights. The Site Manager file contain the required transcripts/verification of experience. All staff have clearances through Monterey County Office of Education. Site Manager and staff have current CPR and First Aid certifications on file. All staff have Health Screening Report and TB test, Immunization (Measles, Pertussis, and Flu) record and required Training. All staff have completed the Mandated Reporter Training. Site Manager understands that there shall be at least one person with valid CPR and First Aid certifications on site at all times, or present during off-site activities.

Site Manager understands the conditions, limitations, and capacity specifications of the facility license. Site Manager understands that children shall be visually supervised at all times. LPA observed that all rooms are clean and in order. Drinking water is readily available for the children in each room and in the outdoor playground area via water dispensers and cups. LPA observed solid waste containers with tight-fitting lids in each room. Staff and children's bathrooms are clean, sanitary. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Site Manager states that there are no weapons or firearms on the premises. CONTINUE ON LIC 809-C

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CREEKSIDE HEAD START	FACILITY NUMBER: 274406730
	VISIT DATE: 02/12/2025

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LPA observed all furniture and equipment is in good condition and safe for the children. The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food is prepared at the centralized kitchen, located at 901 Blanco Circle, Salinas, CA 93901 and transported to facility each day. Cleaning supplies are securely stored and inaccessible to the children. LPA observed a fully charged 3A40BC fire extinguishers, and working smoke/carbon monoxide detectors. Site Manager states that the Facility does administer medications at this time.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

No deficiencies cited, exit interview conducted with Site Supervisor Irma Romo, and a copy of this report was provided.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

LIC809 (FAS) - (06/04)

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