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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017203
Report Date: 05/31/2024
Date Signed: 05/31/2024 03:29:36 PM

Document Has Been Signed on 05/31/2024 03:29 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:VOLUNTEERS OF AMERICA, HAPPY DAYS HEAD STARTFACILITY NUMBER:
198017203
ADMINISTRATOR/
DIRECTOR:		MONICA GUERREROFACILITY TYPE:
850
ADDRESS:4207 CARLIN AVENUETELEPHONE:
3109330717
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 68TOTAL ENROLLED CHILDREN: 60CENSUS: 43DATE:
05/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Monica GurreroTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analysts (LPAs) T. Tran and A. Carter arrived at the above facility to conduct an unannounced Case Management Incident inspection that was self-reported on 4/25/24. Monterey Park SW Regional Office received the writing incident report on 05/13/4. LPAs met with Site Supervisor, Monica Guerrero and Leslie Gamero, Education Manager. LPAs observed proper care and supervision. All center staff that was present during today’s inspection had fingerprint cleared and associated to the designated license number.

LPA completed child's record review and obtained some documents and personnel report. Based on the information that was gathered during today's visit, it revealed that on the day of the accident there were three teachers with 23 children. During the interview with staff and others, the incident happened during morning outdoor play. C1 was riding on a tricycle then lost balance on the turn then hit the left arm against the fence. Per staff, no visual injury observed. Due to child uncomfortable cry, parent was contacted. Child was taken to the doctor and medical attention required. At this time based on the available information it does not appear this incident was the result of a Title 22 violation for lack of care and supervision.

No deficiency was cited during today’s visit. Notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the facility representative, Monica Guerrero.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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