191600963-1-19-2023-54-CC-RNAO-CN8PZY-20230119104620

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191600963
Report Date: 01/19/2023
Date Signed: 01/19/2023 10:46:30 AM

Document Has Been Signed on 01/19/2023 10:46 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
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: 13	DATE:	01/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Corinna Gist		TIME COMPLETED:	11:15 AM

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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced annual inspection on 01/19/2023 at 9:20 AM. 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. Parents assist Ms. Gist in providing care and supervision. Ms. Gist has fingerprint clearances. Ms. Gist was hired as Director by Co-Op board.

All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: 13 children present with Director Gist and three parents. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Per director, the isolation area is located in the classroom. Age appropriate sinks and toilets were inspected for availability and good repair in the restroom. General sanitation was observed. Availability of indoor drinking water was observed.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Carbon monoxide detector was observed in each room and are in operable condition.

All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids or solid waste bags are discarded immediately after each meal

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

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: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/19/2023

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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.

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.

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. 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 11/2023.

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

Children’s Records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

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: BAYSHORE NURSERY SCHOOL, INC	FACILITY NUMBER: 191600963
	VISIT DATE: 01/19/2023

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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 and proof against TB, measles, pertussis, and influenza on file.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available.

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 Child Care 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.

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

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted with Director, Corinna Gist.

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/inspection-process.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023

LIC809 (FAS) - (06/04)

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