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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364813234
Report Date: 09/09/2021
Date Signed: 09/30/2021 07:00:22 PM

Document Has Been Signed on 09/30/2021 07:00 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:VOLUNTEERS OF AMERICA EARLY HEAD STARTFACILITY NUMBER:
364813234
ADMINISTRATOR:SYLVIA GREENBERGFACILITY TYPE:
830
ADDRESS:720 S. E STREETTELEPHONE:
(909) 888-4577
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92408
CAPACITY: 48TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/09/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Center Coordinator, Gloria Delgado; Interim EHS Director, Deborah Gunn; and Health Manager Denise Sinohui TIME COMPLETED:
07:15 PM
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On 09/09/2021 at 3:45pm, Licensing Program Analysts (LPAs) Destinee Hogue and Laura Mejorado conducted an unannounced case management inspection to follow-up on an Unusual Incident Report (UIR) submitted by the facility to the Riverside Child Care Regional Office via email on 07/19/2021. During this inspection, LPA Hogue toured the facility inside and outside, took census of children present on this date, and verified facility associations. At the time of this inspection, there were no infant's present at the facility. Upon LPAs arrival, LPAs met with Interim EHS Director, Deborah Gunn and Health Manager, Denise Sinohui. At approximately 4:22pm, Center Coordinator, Gloria Delgado arrived at the facility. LPAs met and discussed the following with Ms. Delgado, Ms. Gunn, and Ms. Sinohui:

On Monday, July 19, 2021 at approximately 7:00am, staff arrived at the facility and observed smoke coming from the back playground. Staff approached the back playground and observed the playground wood chip box on the infant playground (far right side of the outdoor play area) was on fire. At this time, staff also observed property damage to the infant playground fence. The fire damaged the shading canopy, plastic fencing, and wood chips, located on the surface of the infant playground. Children were not present at the time the fire was observed and parents were notified via telephone that the facility will be closed till 07/20/2021. Facility reopened on 07/20/2021. Staff immediately contacted 911, who then dispatched City of San Bernardino Fire Department.

During this inspection, LPAs toured the infant playground and inspected the areas that were affected by the fire. Per statement from Ms. Gunn, the materials for the fencing and canopy are on back order and at this time, the facility does not have a date of completion for the repairs on the infant playground. Per statement from Ms. Delgado, the infants (Birth-12 months) are currently utilizing preschool "baby buggies," and staff are pushing infants around the preschool playground, in the "baby buggies."
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE: DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/09/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: VOLUNTEERS OF AMERICA EARLY HEAD START
FACILITY NUMBER: 364813234
VISIT DATE: 09/09/2021
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At this time, additional information is needed and Ms. Gunn has agreed to submit updated information regarding the completion of repairs of the shading canopy, plastic fencing, and wood chips. Ms. Delgado, Ms. Gunn, and Ms. Sinohui understand the outcome and/or recommendations will be provided at a later date.

LPAs conducted an exit interview with Director and provided a copy of this report. LPA issued a Notice of Site Visit and verified it was posted in a prominent location at the facility prior to leaving the facility. Director understands that the Notice of Site Visit must remain posted for the next 30 days.



No deficiencies were cited during this inspection.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Destinee Hogue
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
LIC809 (FAS) - (06/04)
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