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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191603200
Report Date: 09/21/2022
Date Signed: 09/21/2022 11:37:16 AM


Document Has Been Signed on 09/21/2022 11:37 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:FIRST BAPTIST CHURCH OF LAKEWOOD PRESCHOOLFACILITY NUMBER:
191603200
ADMINISTRATOR:MELISSA CLAYTONFACILITY TYPE:
850
ADDRESS:5336 ARBOR ROADTELEPHONE:
(562) 420-2833
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:75CENSUS: 63DATE:
09/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:14 AM
MET WITH:Melissa ClaytonTIME COMPLETED:
11:45 AM
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Licensing Program Analyst Warren Birks conducted a Case Management inspection to provide technical assistance (indoor measuring) and observing an empty classroom (A103) that is temporarily not in use (at this time). LPA met with Director Melissa Clayton who provided LPA with a tour of the facility.

LPA measured total space of six classrooms and encumbered space (space not included such storage cabinets). LPA concluded that the classrooms minus the encumbered space can accommodate more children than the capacity listed on the license. However, based on initial 11/20/2020 measurements, the outdoor space limits the capacity to 75. LPA recommended Director Melissa Clayton request a waiver for staggered play if the facility wishes to accommodate more than 75 children.

LPA also informed Director that today's inspection is an assumption based on current observations. It is possible that the room capacity numbers may change (up or down) depending on how classrooms are rearranged.

Director Clayton indicated she will contact LPA Birks at a later date if the facility chooses to request a waiver for staggered play.

Note: Director Clayton is communications with the board in regards to the direction for the use of the empty class. She will inform LPA regarding class (A103) at a later date.

Exit interview was conducted with Director Melissa Clayton. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as will result in a $100 civil penalty.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2022
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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