191605684-2-19-2020-54-CC-DCHS-BLXVZB-20200219155227

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191605684
Report Date: 02/19/2020
Date Signed: 02/19/2020 03:52:35 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:	CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTR		FACILITY NUMBER:	191605684
ADMINISTRATOR:	MARIA VARGAS		FACILITY TYPE:	840
ADDRESS:	3759 ORANGE AVENUE		TELEPHONE:	(562) 595-0056
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90807
CAPACITY:	120	CENSUS:	DATE:	02/19/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:			TIME COMPLETED:	04:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced annual inspection to the above facility. LPA met with April Behrendt, Director and Iris Alicea, who guided analyst on a tour of the facility. This is a school age program which consists of 5 classrooms; Elephant Room, Kindergarten, Tiger Room, 1st grade, Astro World 2nd and 3rd grade, Galaxy Room (4th and 5th grade), and Discovery Room (6th and 7th grade). Facility operation hours are Monday to Friday from 7:00 AM to 6:00 PM. All areas identified on this report were inspected. Upon arrival, the school age children were still at school and not present during this inspection. The following was observed during the tour of the facility: Furniture and equipment were inspected for age appropriateness and good repair, free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTR	FACILITY NUMBER: 191605684
	VISIT DATE: 02/19/2020

NARRATIVE

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Children have their own cubby to store their belongings.

Per Director, the isolation area is located in the office called the kids sick room. Age appropriate sinks and toilets were inspected for availability and in good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. There are water fountains outside and inside. Inside also has Sparkletts water and cups available.

The smoke alarm system is hooked up to the fire department. The Long Beach Fire Department services the fire extinguishers and the fire alarm system. The last fire alarm system was certified on 10/15/2019. The fire extinguishers were serviced on 08/2019. Carbon monoxide detectors were tested and are operable.

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 and PM snack. Children's parents provide the meals for their children. LPA observed required licensing documents posted on bulletin board by the front entry way.

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.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTR	FACILITY NUMBER: 191605684
	VISIT DATE: 02/19/2020

NARRATIVE

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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 Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Director 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 11/14/2019.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Dayna Chambers	TELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

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: CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTR	FACILITY NUMBER: 191605684
	VISIT DATE: 02/19/2020

NARRATIVE

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First Aid supplies were observed in the classroom. According to the Director, medication is only administered to a child when accompanied with a doctor's note. Medication is stored in the office kids sick room and is inaccessible to children. Director will provide LPA with an updated IMS service plan.

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
LPAs advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing At this time, the licensee is in compliance with California Title 22 Regulations. 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.
Exit interview was conducted with Director, April Behrendt, 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: 02/19/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2020

LIC809 (FAS) - (06/04)

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