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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417861
Report Date: 04/27/2023
Date Signed: 04/27/2023 02:07:26 PM

Document Has Been Signed on 04/27/2023 02:07 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 - TULSAFACILITY NUMBER:
197417861
ADMINISTRATOR:TEREZA YEDUYANFACILITY TYPE:
850
ADDRESS:10900 HAYVENHURST AVE.TELEPHONE:
(818) 997-1077
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 34TOTAL ENROLLED CHILDREN: 330CENSUS: 21DATE:
04/27/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Tereza Yeduyan, Center DirectorTIME COMPLETED:
01:56 PM
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On 04/27/2023 Licensing Program Analyst (LPA) Doris Whitmore made an unannounced visit for the purpose of conducting a required I year inspection. LPA met with Center Director, Teresa Yedoyan and toured the facility indoors and outdoors. LPA observed proper care and supervision during this inspection. LPA observed a total of 21 children with proper teacher/child ratios. Classroom#1 (10) children and Class#2(11). There was a total of 6 staff at the time of the visit. There is one floater teacher available to cover lunches and breaks. LPA observed 2 licenses classrooms on premises. All center staff that was present during today’s visit has criminal record clearances and are associated to the designated license number. The facility is a full time Head Start Program. Days and hours of operation are Monday- Friday 7:15a.m. to 3:45 p.m. This facility is located on the elementary school premises Tulsa Elementary School. A review of the sign in sheet was conducted to verify the current census of children.LPA observed all postings requirements for operation on the postings board LIC203A- License, LIC610A-Emergency Disaster Plan, LIC9148- Earthquake Preparedness Checklist, PUB394-Notification of Parents Rights Poster, LIC613A- Personal Rights, PIB-269- Car Seat Law, Menus, Activity Schedule, Roster. The facility obtained current pediatric/ CPR and First Aid for all facility staff members. LPA reviewed a total of six electronic files that had current Mandated Reporter Training Certificates completed 10/21/21. First Aid & CPR expiration date 11/22/24. LPA reviewed a total of 10 children files all documents were completed.

LPA observed operable smoke/carbon monoxide detectors, fully charged fire extinguishers 2A 10 BC, and First Aid Kits. Furniture and equipment were inspected for age appropriateness and good repair free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Napping equipment were observed to be clean and good condition. There was a Storage for children’s belongings, A sufficient supply of toilet paper, soap, paper towels, was observed. Isolation area was inspected and located in each classroom in the library area. Drinking water is readily available and trash cans with tight fitting lids were outside observed in the classrooms. Sign in/out were reviewed and facility roster. Page1

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
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 - TULSA
FACILITY NUMBER: 197417861
VISIT DATE: 04/27/2023
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Documentation of current Fire & Earthquake drill was observed. The outdoor area was inspected. Playground equipment is in safe condition, free of sharp, lose or pointed parts. LPA did not observe any debris or hazards that would pose an immediate risk to children in care.

LPA observed an age-appropriate equipment and observed other educational materials for children to utilize. No bodies of water were observed. Shade areas were observed

Breakfast /Snack/lunch menus were posted. Breakfast was delivered the day before and lunch and snack were delivered daily from the main kitchen in Van Nuys. Food and snack items are properly stored. Food preparation area was toured.

Meals are delivered daily from the main kitchen. The kitchen area which is made inaccessible to children in care. LPA observed the kitchen to be clean and equipped with a sufficient supply for meals. There were no cleaning compound compounds stored with the utensils. The facility serves breakfast, lunch, and snack. Proper food storage was observed. Food and snack items are properly stored. Allergy list posted in each classroom and the kitchen.

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 Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) 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.

LPA reminded that it is the facility responsibility to know the regulations as well as anyone who assists in providing care. Director was advised on how to access quarterly reports, forms, and regulations for Child Care online at www.,ccld.ca.gov .LPA advised Director to read the Child Care quarterly updates as they come out to stay informed of any changes or updates to the regulations. LPA informed the director that the Child Care Advocate Program (CCAP) provide many other helpful resources to the licensees and the public. Facility may register on CCAP website for the new quarterly report to be notified. CCAP Phone number is (916) 654-1541. LPA provided Center Director with Pin 21-01.

No deficiencies cited. Exit Interview was conducted. Copy of report and Notice of Site visit was issued.Page2

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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