191600963-1-23-2025-54-CC-DCHS-DD72KF-20250122162751

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600963
Report Date: 01/22/2025
Date Signed: 01/23/2025 08:38:40 AM

Document Has Been Signed on 01/23/2025 08:38 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	BAYSHORE NURSERY SCHOOL, INC		FACILITY NUMBER:	191600963
ADMINISTRATOR/ DIRECTOR:	CORINNA GIST		FACILITY TYPE:	850
ADDRESS:	5431 OCEAN BLVD		TELEPHONE:	(562) 570-1715
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90803
CAPACITY: 17	TOTAL ENROLLED CHILDREN: 17	CENSUS: 5	DATE:	01/22/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:00 PM
MET WITH:	Corinna Gist, Director/Owner		TIME VISIT/ INSPECTION COMPLETED:	04:50 PM

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	Licensing Program Analyst (LPA) on January 22, 2025, LPA conducted an unannounced required 1 year inspection to the above facility at 1:00pm. LPA identified self and met with Corinna Gist, Director/Licensee , who guided analyst on a tour of the facility. LPA provided Licensee with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This property is owned by Long Beach City and is located by Long Beach Bay near the kayak rentals. See photos. This is a preschool program which consists of 1 classroom. Activity Room - inside – One Restroom, Outside Play yard #1 connected to activity Room, The Play Yard has removable mesh fencing during operation hours. The mesh fencing is removed when daycare closes. Facing Building: Left Side: children use the Bike Yard – Long Beach Hockey Rink) , Right Side: Playground Area (Public – City of Long Beach: Bayshore) Facility operation hours are Tuesday, Wednesday, Thursdays: 9:00am to 12:00pm. For Emergency relocation: If the weather or air is bad, the children are relocated to the emergency address at Saints Episcopal Church at 346 Termino Ave, Long Beach CA 90814. The center has a permission authorization letter for the relocation. All areas identified on the Facility Sketch were inspected. Upon arrival, the Director, Corinna Gist was present with 5 children in care. The total enrolled children are currently 14 children. The maximum capacity is 17 children. The age group is 2.9 years to 5 years old. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the

Denise Gibbs	TELEPHONE: (323) 981-3350
Dayna Chambers	TELEPHONE: (323) 558-2962
	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

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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Document Has Been Signed on 01/23/2025 08:38 AM - It Cannot Be Edited

Created By: Dayna Chambers On 01/22/2025 at 04:08 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: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/22/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101174(d)(2)

Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not document the drill log, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/21/2025
	Plan of Correction
1 2 3 4	Licensee documented the drill log during inspection.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	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:

Denise Gibbs

TELEPHONE: (323) 981-3350

LICENSING EVALUATOR NAME:

Dayna Chambers

TELEPHONE: (323) 558-2962

LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/22/2025

NARRATIVE

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facility: Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. This is a part time 3-hour program and there is no napping. Children have their own cubby to store their belongings. There is one toilet and one sink available and is in good repair. General sanitation was observed. Availability of indoor and outdoor drinking water was observed in classrooms via Sparklets’ service. Parents take turns cleaning and disinfecting toys, tables, restrooms, and surfaces. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children and stored in storage room inside activity room. Smoke and Carbon monoxide detectors were observed and are operable. The fire extinguisher and carbon monoxide and smoke detectors are serviced by the Long Beach Fire Department annually. (Licensee will provide the last invoice to LPA) There is no kitchen area. Parents bring snacks for the children. Trash cans used to discard food have tight fitting lids or solid waste bags shall be discarded immediately after each meal. Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with sand that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. The licensee provides 100 percent visual supervision when the children play on the outside public playgrounds. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises. The Long Beach Bay and kayak rentals is next to the daycare. There is mesh netting around the daycare area during daycare hours. Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Childcare Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/22/2025

NARRATIVE

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There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Children’s Records were reviewed. The name, address, and telephone number of child’s authorized representative is on file. Inspection of required forms was made and documented on the LIC 857. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against TB, measles, pertussis, and influenza. Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children presents were signed in. Disaster drill log was unavailable. Per licensee, last drill was conducted on 01/21/2025. First Aid supplies were observed in the kitchen cabinet. To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Childcare Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. The licensee is exempt from the lead testing requirements. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018.

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/22/2025

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Corinna Gist.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

Disaster and Mass Casualty Plan

101174(d)(2)

(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the childcare center for at least one year.

SUPERVISOR'S NAME: Denise Gibbs	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

LIC809 (FAS) - (06/04)

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