191600391-5-16-2023-54-CC-WBIS-CRVVZP-20230516165303

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600391
Report Date: 05/16/2023
Date Signed: 05/16/2023 04:53:18 PM

Document Has Been Signed on 05/16/2023 04:53 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	GRACE FIRST PRESBYTERIAN CHURCH PRESCHOOL		FACILITY NUMBER:	191600391
ADMINISTRATOR:	STEPHANIE DANIELS		FACILITY TYPE:	850
ADDRESS:	3955 STUDEBAKER ROAD		TELEPHONE:	(562) 425-0080
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90808
CAPACITY: 64	TOTAL ENROLLED CHILDREN: 64	CENSUS: 38	DATE:	05/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:22 PM
MET WITH:	Fany Abrego		TIME COMPLETED:	05:05 PM

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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Required - 1 Year Inspection. LPA met with Director Fany Abrego who assisted analyst with a tour of the facility. This is a Preschool Program serving children ages two (2) through five (5). The hours of operation are: Monday through Friday 7:00am to 5:00pm. The facility is on the grounds of a Church and operates completely separate. Parents enter through a secured entrance.

All areas identified on the Facility Sketch were inspected. LPA observed: Hummingbird Room (1 Teacher and 8 children); Sunfire Rooms (1 Teacher 5 children); Ladybug Room (1 Teacher and 11 children), Butterfly Room (1 Teacher and 7 children); Bumblebee Room (1 Teacher 7 children).

LPA inspected all classrooms and all outdoor areas. LPA observed furniture and equipment appear to be age appropriate and in good repair. LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping cots are stored separately in the classrooms. LPA observed drinking water with drinking cups readily available in the classrooms and outdoors. LPA inspected restrooms to determine: age appropriateness (sinks and toilets), availability, functionality, water temperature, adequate supply of toilet paper, safety and sanitation. All toilets and sinks are in operable condition. All classrooms have surfaces that appear to be clean and safe. All materials and surfaces accessible to children are toxic free. Storage areas for poisons are locked in cabinets inaccessible to children. The office is used as an isolation area to care for ill children. Parents are contacted immediately if children are ill. The Director indicated there are no weapons at the facility and LPA did not observe any.

LPA observed outdoor play equipment to be in good condition, free of sharp, loose or pointed parts. The outdoor activity space surface is maintained in a safe condition and appears to be free of hazards. Areas around and/or under climbing equipment have rubber chip cushioning material to absorb a fall. There are three outdoor play areas which children utilize depending on age and time of day.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GRACE FIRST PRESBYTERIAN CHURCH PRESCHOOL	FACILITY NUMBER: 191600391
	VISIT DATE: 05/16/2023

NARRATIVE

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All materials and surfaces accessible to children appear to be toxic free. At this time, the office is used as an isolation area to care for ill children. Children can rest on a cot or sit in a chair. Parents are contacted immediately if children are ill. The facility does not have evidence of lead testing before January 1st, 2023.

LPA reviewed snack menus that are posted at least one week in advance and visible to authorized representatives. The facility provides an AM and PM snack and parents provide lunch. LPA observed food and snack preparation areas appear to be clean, safe and having proper equipment. LPA observed an adequate amount of food available for children in care and snacks and drinks to be within expiration dates. LPA also observed drinking water available indoors and outdoors and trash receptacles that have tight fitting covers.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning smoke detectors and carbon monoxide detectors that meet statutory requirements. The required 2A10BC fire extinguisher gauge (gauge in green) and is due for service August 2023. The facility's last recorded disaster drill was in April 2023.

LPA observed sign in and sign out forms to ensure children are being properly signed in and signed out. LPA conducted a Children's Records Review to ensure children have Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc. on file.

Staff Records were reviewed to ensure the following: Appropriate documentation of education credits, Criminal Record Clearance documents available, Verification of current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination available.

LPA observed staff to have current CPR (Director expiration August 2023 and staff #2 and #3 have expired Mandated reporter training as well (expires 2022).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GRACE FIRST PRESBYTERIAN CHURCH PRESCHOOL	FACILITY NUMBER: 191600391
	VISIT DATE: 05/16/2023

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Note: First Aid supplies were observed in each classroom. Director indicated that medication is only administered to children once parent's provide a doctor's note. All medications are stored in inaccessible area in the kitchen lockbox away from the kids. LPA informed Director that fire extinguishers type 2A-10BC must be serviced at least annually. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Any construction or remodeling should be reported to the Department before it occurs. .

Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. LPA advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.

LPA advised Director that all adults 18 years of age and older providing Care & Supervision and having a continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors).

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

The Notice of Site Visit (LIC 9213 –must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00 Exit interview was conducted with Director Fany Abrego and a copy of Appeal Rights (LIC 9058) was discussed and provided

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/16/2023 04:53 PM - It Cannot Be Edited

Created By: Warren Birks On 05/16/2023 at 04:15 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GRACE FIRST PRESBYTERIAN CHURCH PRESCHOOL	FACILITY NUMBER: 191600391
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above: Director indicated the facility did not conduct lead testing prior to January 1st, 2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/30/2023
	Plan of Correction
1 2 3 4	Director indicated she will have lead testing conducted.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above: Staff #2 and #3 Mandated Reporter training expired in 2022 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/31/2023
	Plan of Correction
1 2 3 4

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Warren Birks

LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

LIC809 (FAS) - (06/04)

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