Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334803230
Report Date: 05/05/2016
Date Signed 05/05/2016 02:07:04 PM

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 - GARRETSON HEAD STARTFACILITY NUMBER:
334803230
ADMINISTRATOR:FRANCIS LEEFACILITY TYPE:
850
ADDRESS:1650 GARRETSON AVENUE, RM.6TELEPHONE:
(951) 279-4231
CITY:CORONASTATE: CAZIP CODE:
92879
CAPACITY:34CENSUS: 23DATE:
05/05/2016
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Francis LeeTIME COMPLETED:
02:10 PM
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An evaluation was conducted on 4/29/2016 to inspect the physical plant and review records. Licensing Program Analyst (LPA), Kim Leung returned to the facility this date on 5/5/2016 to observe teacher-child interactions and program activities. Upon arrival, LPA met with Facility Director Francis Lee and stated the purpose of the visit. LPA observed 12 children with 2 teachers in the activity room where the office is located. In the other activity room, there were 11 children with 2 teachers. Both classes were having circle time with the teachers. LPA observed that children were provided with appropriate supervision in the activity rooms and the restroom. Teacher qualifications were verified during previous visit.

Facility was observed operating in compliance with the regulations. No deficiency was noted.

Notice of Site Visit from previous visit was posted. A new Notice of Site Visit was issued this date and must be posted for 30 days from this date.

Exit interview conducted was conducted with Ms. Lee. A copy of this report was left at the facility.

A copy of this report must be made available to the public for 3 years.
SUPERVISOR'S NAME: Anita HiseTELEPHONE: (951) 782-4200
LICENSING EVALUATOR NAME: Kim LeungTELEPHONE: (951) 529-4713
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2016
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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