191600963-1-23-2020-54-CC-RNAO-BL4Q3H-20200123104845

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600963
Report Date: 01/23/2020
Date Signed: 01/23/2020 10:48:58 AM

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:	BAYSHORE NURSERY SCHOOL, INC		FACILITY NUMBER:	191600963
ADMINISTRATOR:	CORINNA GIST		FACILITY TYPE:	850
ADDRESS:	5431 OCEAN BLVD		TELEPHONE:	(562) 570-1715
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90803
CAPACITY:	17	CENSUS: 15	DATE:	01/23/2020
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	09:28 AM
MET WITH:	Corinna Gist		TIME COMPLETED:	11:08 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An Annual/Required inspection was conducted by LPA Raul Navarro. LPA met with Site Director/Teacher, Corinna Gist. This facility is located on the lagoon side of the bay. The facility is licensed as a Parent Co-operative. Operating hours are 9am to 12 noon, Tuesdays through Thursdays. On some days there is an afternoon session that ends at 2pm. Parents assist Ms. Gist in providing care and supervision. Ms. Gist has fingerprint clearances. Ms. Gist was hired as Director by Co-Op board. At this visit there were 15 children present with Director Gist and three parents. The facility is managed by the parent Co-Op Board. Most care is provided outside. The portable fencing is set up daily to enclose outside play area, three storage sheds, and house like structure. Inside structure there is a bathroom, teacher supplies, and small snack preparation area. Pictures of facility, outdoor storage sheds, play area, and fencing are on file. Inside structure activities occur like reading, story telling, art projects. Fire extinguisher, smoke and carbon monoxide detectors are operable. There are public restrooms and showers located outside of fenced area. Public do not have access to play area for children. The area for the children is completely enclosed with portable fencing making the lagoon inaccessible. The fence is made of a durable mesh, see through hard plastic. There are small openings in the fencing that do not exceed four inches. The fence is 5 feet in height and meets the bottom of the cement. Two fences enclose the out door activity area. The ends of the fence are anchored and attached with hooks to prevent children from leaving the area. The fence is held up by poles that go directly into the cement. The fencing used is the same as the portable fencing used for a pool. Director is aware that the fencing must be maintained at all times. Fencing must be repaired or replaced if damaged in accordance with Title 22 regulations. Report continues- Page 1 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 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: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/23/2020

NARRATIVE

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There are no climbing structures on the site however, there is a public playground area directly outside of the licensed space. When Co-op is closed, parents have the option to use the playground area with their children. The children use the enclosed outdoor hockey rink. It is only used by the Co-op during operating hours. Play area was inspected for hazards. The lagoon is inaccessible to children due to fencing.

Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children do not take naps at the facility. All toilets and hand washing facilities are in safe and sanitary operating conditions. All materials and surfaces accessible to children are toxic free. Snack menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The parents provide an AM snack. All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. There is drinking water available inside the classroom and a drinking container is taken outdoors.

Teacher/Parent child ratio was observed. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. All children were observed to be under supervision, including visual supervision, of a teacher at all times. The Licensee is within the conditions, limitations, and capacity specified on the license.

Emergency reporting requirements, emergency disaster plans were discussed. Parents provide earthquake packs. Director discuss disasters - earthquake, fire with children. Sign in and out sheets were reviewed to ensure the. Transportation is not provided by facility. First Aid supplies were inventoried. A review of medication policy, including administering, labeling, storage, and records was made. Director Gist has current CPR/First Aid expiring 9/2020.

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

Report continues- Page 2 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

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: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/23/2020

NARRATIVE

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Licensee(s) must report Unusual Incident/Injury/Death to Licensing office. This is a reporting requirement. Injuries and/or incidents requiring professional medical treatment must be reported to Licensing office within 24 hours of occurrence. Death reports must be reported immediately. Forward written follow-up report to Licensing within 7 days after incident or injury.

Immunization records must be maintained for Director and parent volunteers. Proof of TB test, Pertussis (whooping cough), and measles (MMR) are required. Influenza vaccine is voluntary. Director advised she and all volunteer parents have obtained proof of immunization for MMR (Measles) and TDAP (Pertussis).

LPA informed Director children enrolled must have received immunization's required by California Law. Licensee shall have the parents submit a copy of their immunization record prior to enrollment. LPA informed Director that she may visit www.ShotsForSchools.Org for details on California immunization laws.

LPA advised the Director to access forms, regulations and quarterly updates to visit the Child Care Licensing website at: www.ccld.ca.gov.

At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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 reprehensive. Failure to maintain posting as required will result in a civil penalty of $100.00

Exit interview was conducted with Director, Corinna Gist. The Director was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

End of Report- Page 3 of 3

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3