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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197400783
Report Date: 08/04/2023
Date Signed: 08/04/2023 04:31:51 PM

Document Has Been Signed on 08/04/2023 04:31 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CCRC HEAD START - WOODMANFACILITY NUMBER:
197400783
ADMINISTRATOR:HEATHER STRAUSSFACILITY TYPE:
850
ADDRESS:5944/5939/WOODMAN/BUFFALO AVE.TELEPHONE:
(818) 989-2379
CITY:VAN NUYSSTATE: CAZIP CODE:
91401
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: DATE:
08/04/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Cecila Cassio- Early Learning SupervisorTIME COMPLETED:
04:31 PM
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On 08/04/2023 Licensing Program Analysts (LPA) Doris Whitmore made an announced visit to CCRC Headstart- Woodman for the purpose of conducting a Case Management - Licensee Initiated inspection to decrease the preschool capacity and add a toddler component. LPA did not observe care and supervision due to care not resuming until August 15, 2023.

According to the facility sketch there is the office, 5 Preschool Classes and 1 Toddler Classroom. Classrooms were equipped with a changing table close to the sink. PA inspected the rest rooms and observed: 19 operable toilets and 13. sinks Classroom (1) measured to have 22 children classroom (2)23 children, classroom(3) 25 children, classroom (4) 12 children, classroom(5 )23 children, classroom (6) 17 children

Based upon LPA Whitmore's inspection today the facility needs to update the First Aid kit in rooms 3 & 4, once proof of the updated kits is obtained the facility can be licensed for the requested capacity of 9 Toddlers and 103 Preschool children. Exit interview was conducted

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2023
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CCRC HEAD START - WOODMAN
FACILITY NUMBER: 197400783
VISIT DATE: 08/04/2023
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Exit interview conducted.

A copy of this report was reviewed with the Early Learning Supervisor, Celia Cassio.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023
LIC809 (FAS) - (06/04)
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