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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001331
Report Date: 02/12/2024
Date Signed: 02/12/2024 04:14:33 PM

Document Has Been Signed on 02/12/2024 04:14 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MAOF HEAD START SANTA FE CENTERFACILITY NUMBER:
198001331
ADMINISTRATOR:MARIA HIGAREDAFACILITY TYPE:
850
ADDRESS:6812 SANTA FETELEPHONE:
(323) 581-3923
CITY:HUNTINGTON PARKSTATE: CAZIP CODE:
90255
CAPACITY: 36TOTAL ENROLLED CHILDREN: 31CENSUS: 27DATE:
02/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maria AlvarezTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) T. Tran made an unannounced Case Management Incident visit at MAOF Head Start Santa Fe Center to follow up self reported incident occurred on 12/01/2023 regarding a child’s personal concern. The Monterey Park Southwest Office received the writing report on 12/01/2023. LPA met with Maria Alvarez, Lead teacher. LPA observed proper care and supervision.

LPA completed child and staff’s files review. LPA obtained child's document, Children's roster, and personnel report. Interviews were conducted with staff and other. On the day of the incident, there were 5 children present with two teachers. Parents were notified of the incident. Based on the available information it does not appear that child's personal rights concern was violated under Title 22 Regulations.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Maria Alvarez.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
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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