444412431-5-4-2023-07-CC-CNEN-CRHQEL-20230504120632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444412431
Report Date: 05/04/2023
Date Signed: 05/04/2023 12:06:38 PM

Document Has Been Signed on 05/04/2023 12:06 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ENCOMPASS HEAD START		FACILITY NUMBER:	444412431
ADMINISTRATOR:	ROCIO RAMIREZ		FACILITY TYPE:	850
ADDRESS:	120 WEST BEACH STREET		TELEPHONE:	(831) 763-6906
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 17	CENSUS: 15	DATE:	05/04/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Ana Aguado		TIME COMPLETED:	12:16 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA), Cortney Nelson, met with ERSEA Manager, Ana Aguado, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by staff member, Leticia, and toured both indoors and outdoors during the inspection. Upon arrival, there were fifteen (15) preschool-age children and four (4) staff members present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 7:30AM-5:00PM. The facility offers half day programs with children in care 8:15AM-11:45AM & 12:45PM-4:15PM. LPA reviewed sign-in/out, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. Sign-in/out is completed electronically using Childplus, and was observed to be completed with full legal signature and time of day. The last fire/disaster drill was conducted on 4/14/2023, which is compliant with the six-month requirement for facilities. LPA observed three (3) fully charged 3A40BC fire extinguishers, functioning smoke detector and carbon monoxide detector. Teacher-Director, Leticia, states that she does have children in care who require Incidental Medical Services and LPA observed that the medication (inhalers) is properly stored out of reach of children with the proper documentation. There are no weapons or firearms on the premises. 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, Section 101173 and 101226. The following information regarding ADA was provided: US Department of Justice 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 The facility works with Revolution Foods and offers children in AM care breakfast and lunch and PM care supper and snack. The menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023

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

FACILITY NAME: ENCOMPASS HEAD START	FACILITY NUMBER: 444412431
	VISIT DATE: 05/04/2023

NARRATIVE

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Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Drinking water is readily available for children via water dispensers and disposable cups. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. There is a working telephone in the facility. LPA advised adding a screen to the classroom doors as there were flies in the primary classroom from doors left open as children play outside. Water lead testing was completed for the facility by M3 Environmental, LLC between January 4-5 2022 and no Action Level Exceedances were found. Water lead testing results were provided to LPA by Lorena and she states that the required licensing documents will be submitted.

The outdoor area of the facility was inspected and observed to be fenced in. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (rubber padding) to absorb falls. There is a playground, sandbox, bikes, and tables for small activities outside. A functioning sink is located outside for children to wash hands. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by trees and building overhang.

Five (5) children’s files and five (5) staff files were reviewed and all required documents were present. The Teacher-Director has current CPR/First-Aid that expires 4/11/2024 and Mandated Reporter Training that expires on 1/28/2024. LPA reminded that both trainings must be renewed every 2 years.

The Teacher-Director understands that she shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded that there shall be at least one person with valid CPR and First-Aid certifications on site at all times.

Exit interview conducted and report was reviewed with the ERSEA Manager, Ana Aguado.

As a result of today’s inspection, deficiencies were cited, see 809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/04/2023 12:06 PM - It Cannot Be Edited

Created By: Cortney Nelson On 05/04/2023 at 11:32 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ENCOMPASS HEAD START	FACILITY NUMBER: 444412431
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/04/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101212(b)(1)

101212 Reporting Requirements (b) The name of the child care center director... shall be reported to the Department within 10 days of a change of child care director or designee(s). (1) Whenever a change in child care director is reported, in addition to his/her name, the report shall include the following: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above as the Department was notified of Teacher-Director, however qualifications packet was not submitted, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/11/2023
	Plan of Correction
1 2 3 4	The Licensee will submit Teacher-Director packet for review to the Department by 5/11/2023. LPA advised submitting proof of experience and certificate for Operations/Recordkeeping Orientation.

Type B

Section Cited

101703(a)

101703 Post-Testing Requirements and Information (a) A fully completed, and signed as applicable, copy of the following documents shall be sent by the Child Care Center licensee to the Licensing Program Analyst (LPA) within 2 weeks of the completed sampling date: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above as no documents were submitted to the Department following water lead testing at the facility, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/11/2023
	Plan of Correction
1 2 3 4	The Licensee will submit required paperwork for required water lead testing to the Department by 5/11/2023. If water lead testing is to be redone, a plan of correction is to be submitted illustrating how the facility will become compliant with water lead testing requirements.

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:

Joel Segura

LICENSING EVALUATOR NAME:

Cortney Nelson

LICENSING EVALUATOR SIGNATURE:

DATE: 05/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/04/2023

LIC809 (FAS) - (06/04)

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