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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020154
Report Date: 08/30/2024
Date Signed: 08/30/2024 03:38:46 PM

Document Has Been Signed on 08/30/2024 03:38 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:CESAR CHAVEZ ELEMENTARY HEAD STARTFACILITY NUMBER:
198020154
ADMINISTRATOR/
DIRECTOR:		MARIANA SANCHEZFACILITY TYPE:
850
ADDRESS:6139 LOVELAND AVETELEPHONE:
(323) 773-1804
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 80TOTAL ENROLLED CHILDREN: 50CENSUS: 46DATE:
08/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Veronica HerreraTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analysts (LPAs) T. Tran and A. Carter made an unannounced visit at Cesar Chavez Head Start to follow up self-reported incident occurred on 05/06/24 regards a child had an injury while in care. Monterey Park SouthWest received the written report on 5/9/24. Upon arrival, LPAs met with Veronica Herrera, Site Supervisor and we toured the facility. LPAs observed proper care and supervision.

LPA completed children files review. Staff files located at the main office, LPA will arrange another visit for files review. LPA obtained personnel report, child's document, doctor's note, and other support document. Interviews were conducted with staff, children, and other. On the day of the incident, there were 13 children with two teachers. Parent was notified of the incident. 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 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, Veronica Herrera.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2024
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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