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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601750
Report Date: 08/12/2019
Date Signed: 08/12/2019 04:12:32 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:CHRIST LUTHERAN PRE-SCHOOLFACILITY NUMBER:
191601750
ADMINISTRATOR:LISA CLINTONFACILITY TYPE:
850
ADDRESS:6500 STEARNSTELEPHONE:
(562) 594-6117
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:59CENSUS: 28DATE:
08/12/2019
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:27 PM
MET WITH:Lisa ClintonTIME COMPLETED:
03:05 PM
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An Increased inspection was conducted Licensing Program Analysts (LPA) Timothy Fields and Dayna Chambers. Licensing staff met with Lisa Clinton who guided staff on a tour of the facility. All areas identified on the facility sketch were inspected. The facility was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.

Four classrooms are used to operate the preschool program. Analysts learned children bring lunches from home. Snacks are provided by the facility along with parent contributions. Medications is administered to children in care and is stored in the facility's office. Children are isolated in office when observed to be sick. Cots are used for napping and a restroom is accessible to the child.

Each classroom were observed to be within ratio. Upon inspection 14 napping children were supervised by two teachers in classroom #2 and one teacher was supervising 14 napping children in classroom #3. There were no children present in classrooms #4 and #5.

Each classroom was inspected for cleanliness and good repair. LPA observed age appropriate toys and equipment. Lighting was in operable condition. Cots were in use during the inspection. Changing tables were within arms reach of sinks. Carpets were sufficient for use. First aid kits were inventoried and children's individual storage space has been inspected. Sign in/out sheets have been reviewed.

Playground is adequately fenced. There was no swimming pool, spa or other bodies of water observed on the premises. There is a drinking fountain adjacent to the playground used by children in care. The snacks and lunches are stored in each classroom. Transportation is not provided.

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

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
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 2
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: CHRIST LUTHERAN PRE-SCHOOL
FACILITY NUMBER: 191601750
VISIT DATE: 08/12/2019
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Teacher child ratios were observed and staff names recorded. Staff and children records were reviewed for completeness including but not limited to Criminal Record Clearances for adults, Teacher Qualifications, and verification of CPR/First Aid documentation. Required licensing documents were posted in the facility along with the snack menu.
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

After a complete inspection of the facility, there were no deficiencies observed according to California Code of Regulations Title 22 Division 12 during today's visit.



An exit interview was conducted and Appeal procedures explained. A copy of this report was provided.
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: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2