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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334812818
Report Date: 08/12/2021
Date Signed: 08/12/2021 12:38:31 PM

Document Has Been Signed on 08/12/2021 12:38 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:RCOE-MECCA MIGRANT HEAD START CENTERFACILITY NUMBER:
334812818
ADMINISTRATOR:NORA NATIVIDAD RAMIREZFACILITY TYPE:
850
ADDRESS:62-900 LINCOLN AVENUETELEPHONE:
(760) 337-1555
CITY:MECCASTATE: CAZIP CODE:
92254
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/12/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nora RamirezTIME COMPLETED:
12:45 PM
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Licensing Program Analysts (LPAs) Blanca Ruiz-Silva and Samuel Lopez arrived at the facility to conduct a case management inspection in response to the receipt of an unusual incident report (UIR). The incident occurred on 7/16/2021, and LPA Ruiz-Silva was notified of the incident on the same day. The written incident report (LIC 624) was submitted by the facility on 7/26/2021.

Upon arrival, LPAs were greeted by Silvia Gonzalez (Community Assistant), which informed the LPAs that the facility was closed as of 7/30/2021, and was scheduled to re-open on 9/27/2021. LPAs informed Silvia the purpose of the visit and were given authorization to enter the facility. LPAs toured the facility, including the playground, took photos, and gathered documentation. During the inspection, Site Manager II, Nora Ramirez, arrived and provided additional information regarding the incident. .

The report documented an incident involving a child that had injured his/her arm, as they played on the play structure with other children. According to additional information obtained, there were two staff members in the playground supervising a total of ten children. One staff was located by the swing set, and observed when the child tried stepping down, from near the top of the slide, and then falling on his/her arm, causing the injury. The other staff was near by, engaged in an activity, with other children and did not see the incident. First aid was administered, via an ice pack, and the parent/guardian was notified. The child did miss time from the facility ; however, he/she returned on 7/23/2021.

Based on the information gathered, there are no violations of Title 22 regulations, at this time.

An exit interview was held with Nora Ramirez, Site Manager II. A Notice of Site visit was issued, along with a copy of this report.

A copy of this report must be made available to the public, at the facility site, for 3 years.

SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Blanca Ruiz-Silva
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2021
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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