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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600444
Report Date: 12/17/2019
Date Signed: 12/17/2019 01:56:56 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LONG BEACH CENTER-ABILITY FIRSTFACILITY NUMBER:
191600444
ADMINISTRATOR:SCHLOSSER, BARBARAFACILITY TYPE:
840
ADDRESS:3770 EAST WILLOW ST.TELEPHONE:
(562) 426-6161
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:80CENSUS: 0DATE:
12/17/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:12 AM
MET WITH:April StoverTIME COMPLETED:
02:10 PM
NARRATIVE
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An Annual Random inspection was conducted by Licensing Program Analysts (LPA) Timothy Fields and Katrina Chicote. Analysts met with Program Director Jamie Briseno and Administer April Stover and was guided on a complete tour of the facility. Operating hours are 2pm - 6:30pm Monday - Friday. On days there is no school, operation hours are 8:30am - 5:30pm Monday - Friday.

Inspection was conducted during non-operating hours. There were no children or staff present during the inspection. First Aid kit was inventoried and there was sufficient supplies for children in care. Medication is administered to children in care. The office is utilized as an isolated area for sick children. Afternoon snacks are provided.

Analysts observed a licensed Adult Program on-site. Per administer the Adult Program operates 8:30am - 1:30pm Monday - Friday. The classroom used by the Adult program is also accessible to the After School program from 2:00pm - 6:30pm. The Adult program and After School program also occupy the weight room at those designated times as well. Administer was advised a waiver maybe required.

The main school age classroom, weight room, and Adult program classroom was inspected for cleanliness and good repair. Analysts observed age appropriate equipment. Lighting was in operable condition. There is a source of drinking water adjacent to the classroom. LPA advised staff to have a source of drinking water inside the classroom. Individual storage for children was observed.

Items are placed on hook inside the main classroom. There is a computer room adjacent to the classroom that was appropriate for use. The food storage room is also accessible from the main classroom. Food was refrigerated and observed to be in good quality. The restroom was clean and in operable condition.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
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: LONG BEACH CENTER-ABILITY FIRST
FACILITY NUMBER: 191600444
VISIT DATE: 12/17/2019
NARRATIVE
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Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Analysts inspection two separate playgrounds. There is an enclosed swimming pool on-site. The swimming pool is housed inside a building inaccessible from outdoor activity space.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

Staff and children records were not reviewed due to inspection being conducted during non-operating hours. Review of required forms was made along with the snack menu.

After a complete inspection of the facility, the following deficiencies were observed according to California Code of Regulations Title 22 Division 12 during today's visit as indicated on the 809D

  1. Analyst observed miscellaneous items such as large drums, wooden planks, and unusable equipment stored behind the detached shed adjacent to the garden.

Exit interview conducted with administrator. Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.

INTERNET ADDRESS: http://www.ccld.ca.gov – To access licensing forms, updates and Title 22.

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: LONG BEACH CENTER-ABILITY FIRST
FACILITY NUMBER: 191600444
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/17/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/23/2019
Section Cited

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Outdoor Activity Space:
Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

The requirement is not met as evidenced by Analyst observing miscellaneous items such as large drums, wooden planks, and
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unusable equipment stored behind the detached shed adjacent to the garden. This poses an immediate risk to the health and safety of children in care.
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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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 12/17/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/17/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3