191603546-3-6-2020-54-CC-DCHS-BMFNRK-20200306094139

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191603546
Report Date: 03/06/2020
Date Signed: 03/06/2020 09:41:45 AM

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:	LONG BEACH CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191603546
ADMINISTRATOR:	MARIE GAINES		FACILITY TYPE:	840
ADDRESS:	2222 OLIVE AVE		TELEPHONE:	(562) 426-8897
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90806
CAPACITY:	18	CENSUS: 0	DATE:	03/06/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Marna Collins, School Age Teacher		TIME COMPLETED:	10:00 AM

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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced annual inspection. LPA met with Marna Collins, Teacher, who guided analyst on a tour of the facility. This is a school age program which consists of 1 classroom called Extended Day Program. The program is upstairs. Facility operation hours are Monday to Friday from 6:30am to 6:00pm. There are currently 7 children enrolled in the program. There is a preschool program component that operates downstairs, #191670847.

All areas identified on this report were inspected. Upon arrival, the school age children were not present.

The following was observed during the tour of the facility:

Furniture and equipment were inspected for age appropriateness and in good repair, free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated. Linens are washed by the facility weekly. Per Teacher, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good in repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Teacher states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked with a key or combination lock. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. This facility has a separate building next door where the food is prepared and there is a full kitchen. The teachers bring the meals to the children. Menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides AM snack,Breakfast, lunch and PM snack. LPA observed required licensing documents posted on bulletin board in entry way. Menus were observed to be posted in the classrooms, along with other informational materials for parents.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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: LONG BEACH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191603546
	VISIT DATE: 03/06/2020

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All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages capable of spoiling are stored in covered containers at 45˚ (F) or less.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. The outdoor area had adequate shade. The Teacher states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Teacher states there are no weapons or firearms on the premises.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was conducted. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

Staff Records were reviewed for completeness; Inspection of required forms was conducted.

Children's roster was reviewed and is current. Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Children present were signed in. Disaster drill log was available, last drill was conducted on 03/04/20.

First Aid supplies were observed in the classroom. According to the Teacher, medication is only administered to a child when accompanied with a doctor's note and they are stored in the office where it is inaccessible to children in care.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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: LONG BEACH CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191603546
	VISIT DATE: 03/06/2020

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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.htmADA, available at: http://www.ada.gov/childqanda.htm

LPAs advised the teacher to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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

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. Failure to maintain posting as required will result in a civil penalty of $100.00.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

Exit interview was conducted with Teacher, Marna Collins, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

LIC809 (FAS) - (06/04)

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