191603200-11-20-2020-54-CC-DGIS-BVK4SJ-20201120182137

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191603200
Report Date: 11/20/2020
Date Signed: 11/20/2020 06:22:10 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:	FIRST BAPTIST CHURCH OF LAKEWOOD PRESCHOOL		FACILITY NUMBER:	191603200
ADMINISTRATOR:	MELISSA CLAYTON		FACILITY TYPE:	850
ADDRESS:	5336 ARBOR ROAD		TELEPHONE:	(562) 420-2833
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90808
CAPACITY:	60	CENSUS: 11	DATE:	11/20/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Melissa Clayton, Director		TIME COMPLETED:	04:15 PM

NARRATIVE

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This was Case Management inspection conducted on 11/20/2020 at 2:00 PM by Denise Gibbs, Licensing Program Analyst (LPA). Due to COVID-19 and precautionary measures, this Case Management Inspection was conducted with Melissa Clayton, Director via a tele-inspection by use of Zoom and Facetime for the purpose of a capacity increase.

There were 11 children present and 6 staff when the visit began. Teacher-Child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under visual supervision of a teacher at all times.

This is a preschool program providing care for children 2 to 5 years old. The facility operates Monday - Friday 7:00 AM - 5:00 PM. This facility is currently licensed for a capacity of 60 children with a total of four classrooms in use. Director is requesting to open four additional classrooms and increase the capacity to 90 preschool children.

Director guided LPA on a tour of the facility. All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken as needed.

Director is seeking to provide care for 90 preschool children; Based on measurements, the facility has space for: 75 Preschool Children. A fire clearance has been granted as of 10/21/20. Capacity increase may be granted upon Licensing Program Manager (LPM) approval.

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

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2020

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: FIRST BAPTIST CHURCH OF LAKEWOOD PRESCHOOL	FACILITY NUMBER: 191603200
	VISIT DATE: 11/20/2020

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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.

Exit interview was conducted with Melissa Clayton Director, via Facetime and Zoom, during which appeal rights were explained. This report along with a copy of the appeal rights will be sent to the facility via email with a read receipt or confirmation of receipt of email, which will act as the Director's signature.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 11/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2020

LIC809 (FAS) - (06/04)

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