Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016688
Report Date: 12/01/2016
Date Signed 12/01/2016 01:09:09 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:L.B. WEEMES CENTER HEAD STARTFACILITY NUMBER:
198016688
ADMINISTRATOR:CESAR SARMIENTOFACILITY TYPE:
850
ADDRESS:1260 W. 36TH PLACETELEPHONE:
(213) 743-4651
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:30CENSUS: 26DATE:
12/01/2016
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Kim DearTIME COMPLETED:
01:30 PM
NARRATIVE
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A Case Management visit was made on this date by Licensing Program Analyst, Katherine Harewood. During this visit, LPA, observed a worker from Early Bird Learning Agency working with children in care.
This person has been with the USC for over 5 days and it was confirmed that they do not have fingerprint clearance to be at this facility.

LPA contacted the Monterey Park Licensing office and spoke with the On Duty Worker for the day to verify fingerprint clearance and person is in the system but not associated to USC. This person is educationally qualified, however, does not have fingerprints associated to USC facilities.

Licensee shall provide copies of this document to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. LIC 9224 (Acknowledgement of Receipt of Licensing Report) shall be provided to parents/guardians for signature and returned to agency for file retention.

The following deficiency was observed in accordance with Title 22, Regulations for Child Care Center. See LIC 809D for citation.

Exit interview conducted. Appeal rights discussed and provided. Site visit notice posted.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3395
LICENSING EVALUATOR NAME: Katherine HarewoodTELEPHONE: 323-854-6318
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2016
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: L.B. WEEMES CENTER HEAD START
FACILITY NUMBER: 198016688
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/01/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2016
Section Cited
101170(2)(e2)
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CRIMINAL RECORD CLEARANCE :All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 101170(f) .LPA observed, a worker, (Ms. Syndee Kennedy) working with children that did no have fingerprint clearance to this agency (USC) to do so. It was stated that they have been here over 5 days.

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Ms. Dear states she will provide this information to the H/S office.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3395
LICENSING EVALUATOR NAME: Katherine HarewoodTELEPHONE: 323-854-6318
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2016
LIC809 (FAS) - (06/04)
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