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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444412431
Report Date: 01/21/2025
Date Signed: 01/21/2025 12:23:12 PM

Document Has Been Signed on 01/21/2025 12:23 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:ENCOMPASS HEAD STARTFACILITY NUMBER:
444412431
ADMINISTRATOR/
DIRECTOR:		ROCIO RAMIREZFACILITY TYPE:
850
ADDRESS:120 WEST BEACH STREETTELEPHONE:
(831) 763-6906
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 30TOTAL ENROLLED CHILDREN: 22CENSUS: 4DATE:
01/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:10 AM
MET WITH:Lorena GonzalezTIME VISIT/
INSPECTION COMPLETED:
12:35 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Deanna Villagrana and Darnella Barnes met with Director Leticia Becerra for a case management visit. LPAs explained the nature of the visit. Present were Director, two teacher assistants, one volunteer and four day care children. Site Supervisor Cecilia Esquivel and Education Manager Lorena Gonzalez arrived during the visit.

On 01/08/2025, Education Manager Lorena Gonzalez, left a voicemail on the duty line. LPA Donni Fici returned Education Manager's call on 01/09/2025 to report a child was left alone in the classroom during outdoor play on 01/07/2025. Child was granted entrance into the classroom by a staff member to drop off work. Staff walked away from the child leaving child alone. Director observed the child was not able to exit into the playground due to the baby gate separating to two areas and opened gate for the child. The Department received the Unusual Incident report 01/13/2025. The facility has sent their plan of correction to the Department since the incident.

The following type A deficiency was cited on the attached page (809-D).

LPAs Deanna Villagrana and Darnella Barnes informed Education Manager Lorena Gonzalez that this report dated 01/21/2025 document(s) 1 Type A citation(s) which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPAs Deanna Villagrana and Darnella Barnes informed the Education Manager Lorena Gonzalez to provide a copy of this licensing report dated 01/21/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE: DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/21/2025
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: ENCOMPASS HEAD START
FACILITY NUMBER: 444412431
VISIT DATE: 01/21/2025
NARRATIVE
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enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/21/2025 12:23 PM - It Cannot Be Edited


Created By: Deanna Villagrana On 01/21/2025 at 12:06 PM
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: 01/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/21/2025
Section Cited
CCR
101229(a)(1)

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Facility has submitted there plan of action and what steps they have taken to ensure children are supervised at all times.
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This requirement was not met as evidenced by a child was left alone in the classroom during outdoor play. This poses an immediate risk to the Health, Safety or Personal Rights 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:Susy Cervantes
LICENSING EVALUATOR NAME:Deanna Villagrana
LICENSING EVALUATOR SIGNATURE:
DATE: 01/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/21/2025


LIC809 (FAS) - (06/04)
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