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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600444
Report Date: 03/11/2022
Date Signed: 03/11/2022 01:22:08 PM


Document Has Been Signed on 03/11/2022 01:22 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: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: DATE:
03/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:April StoverTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Required - 1 Year Inspection. LPA met with Director April Stover who assisted analyst with a tour of the facility. This is an After School program serving physically and/or developmentally disabled children ages five (5) to 18 years of age. The hours of operation are: Monday through Friday 1:30pm to 6:30pm. The facility also operates a full day program during Spring Break and Summer Break from 8:30am to 5:30pm. The facility is undergoing remodel construction (reported to Licensing months in advanced) and scheduled to be completed __________.

At 9:15am Analysts observed that there is a licensed Adult Program on-site. Director Stover indicated that the Adult Program operates 8:30am - 1:30pm Monday through Friday and does not commingle with the after-school program. The classrooms used by the Adult program is also shared with the After School program from 2:00pm - 6:30pm. The Adult program and After School program use a shared weight room/exercise room at those designated times also. Based on file review, LPA observed the facility has conducted shared space activities (during different hours of operation) for multiple years. LPA informed Director that a waiver maybe required.



All areas identified on the Facility Sketch were inspected. At approximately 9:20am LPA observed: School age Room and Adult Room have no children or staff at this time. There are 44 children enrolled that usually arrive around 1:30pm. From arrival through 10:00am LPA inspected the school age room, adult program room, exercise/weight room, outdoor play yard and indoor pool area for cleanliness and good repair. Furniture and equipment were inspected for age appropriateness and good repair. LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate cubby storage for their belongings. Napping mats are stored in the classrooms. LPA observed drinking water with drinking cups readily available in the classrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition. All indoor classrooms have surfaces that appear to be clean and safe.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022
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: 03/11/2022
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All materials and surfaces accessible to children are toxic free. Storage areas for poisons are locked in sheds outside the building. At this time (during construction) a Large Bathroom with a portable bed inside is used as an isolation area to care for ill children. Parents are contacted immediately if children are ill. Director Stover indicated there are no weapons at the facility and LPA did not observe any. At approximately 9:30am LPA observed a large indoor swimming pool in a physically separate building with two locked entrances that remain locked at all times. Director Stover indicated there is a certified lifeguard always on deck when children use the pool. Director also indicated the ratio is maintained at one to five when the facility conducts pool activities. Note: Director Stover indicated she is also a certified lifeguard.

At approximately 9:35 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 cushioning material to absorb a fall. All materials and surfaces accessible to children are toxic free. At this time (during construction) a Large empty Bathroom with a portable bed is used as an isolation area to care for ill children. Parents are contacted immediately if children are ill.

LPA reviewed snack menus that are posted at least one week in advance and visible to authorized representatives. The facility provides a PM snack. At 9:50am LPA observed food and snack preparation areas to appear to safe, clean 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 observed drinking water available for children indoors and outdoors and trash receptacles 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 is in the green and has been serviced within the last 12 months (Last service date June 2021).

Facility use electronic and paper 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.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
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: 03/11/2022
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LPA observed staff to have current CPR (Director Stover expiration is July 31, 2022 and staff have current Mandated reporter training as well.

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

Note: First Aid supplies were observed in each classroom. Director Stover indicated that medication is only administered to children once parent's provide a doctor's note. All medications are stored in a locked box or inaccessible refrigerator for inaccessibility. 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 Stover 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). There were no violations of Title 22 requirements at this time.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: 03/11/2022
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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 April Stover and a copy of Appeal Rights (LIC 9058) was discussed and provided

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4