191605714-12-10-2019-54-CC-RRAS-BJQP6G-20191210100220

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191605714
Report Date: 12/10/2019
Date Signed: 12/10/2019 10:02:28 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:	CARMELITOS HEAD START		FACILITY NUMBER:	191605714
ADMINISTRATOR:	MARTHA VILLAFANA & KIRSTEN		FACILITY TYPE:	850
ADDRESS:	5250 VIA PASILLO		TELEPHONE:	(310) 428-1926
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	52	CENSUS: 8	DATE:	12/10/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Martha Villafana & Natasha Jackson		TIME COMPLETED:	10:20 AM

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Licensing Program Analysts (LPAs) Rita Ramos and Jose Guzman conducted an unannounced three year required inspection. LPAs met with Martha Villafana, Head Teacher, who guided analysts on a tour of the facility. LPAs were later met by Natasha Jackson, Early Learning Center Manager. This is a preschool program which consists of 2 classrooms; Room 1 and Room 2. Facility operation hours are Monday through Friday from 7:45 AM to 2:45 PM.

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Room 1: Staff #1, #2 with 4 preschool children; Room 2: Staff #4 and #5 with 4 preschoolers. The following was observed during the tour of the facility.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are washed weekly by a laundry service that the district provides. Napping equipment (cots) were observed to be stored in the classroom. Per Early Learning Center Manager, the isolation area is located next to the food preparation area where a cot is available for a child to rest if they need to do so. Age appropriate sinks and toilets were inspected for availability and good 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. Per Head Teacher, there are no poisons stored at the facility.

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. Trash cans used to discard food have tight fitting lids -----Page 1 of 3

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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: CARMELITOS HEAD START	FACILITY NUMBER: 191605714
	VISIT DATE: 12/10/2019

NARRATIVE

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This facility was observed to have carbon monoxide detectors.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPAs observed that the edge of the fencing does have an area that is raised at the bottom. The Early Learning Center Manager informed LPAs that the area is not used by the preschool children and provided LPAs with a work order to have it fixed. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed.

All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Long Beach Unified School District. 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 made. LPAs issued the Children’s Record Review (LIC 857) to Natasha Jackson during this inspection. LPAs also issued the Review of Staff records (LIC 859) to the during this inspection. The LIC 857 and the LIC 859 documents the staff and children’s files that were reviewed during this inspection. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against measles, pertussis, and influenza.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 09/24/19.

When inspecting Room 1, LPAs observed that the lunch menu was dated for the month of November. The Head Teacher and Early Learning Center Manager informed LPAs that the December menu was posted directly behind the month of November. LPAs advised the Head Teacher and Early Learning Center Manager to ensure that the current month be visible at all times. This facility provides breakfast, lunch, and snack. There are separate monthly menus available to parents for each meal and snack provided. All meals are provided by the Long Beach Unified School District.

First Aid supplies were observed in the classroom in a cabinet. According to the Head Teacher, medication is only administered to a child when accompanied with a doctor's note and is stored in the a locked box in each classroom. Per Head Teacher, there are currently no children on medication at the facility. -----------Page 2 of 3

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

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: CARMELITOS HEAD START	FACILITY NUMBER: 191605714
	VISIT DATE: 12/10/2019

NARRATIVE

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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

LPAs advised the Early Learning Center Manager to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: A copy of the Effects of Lead Exposure form was provided during the inspection.

There were no deficiencies cited during today’s inspection.

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 Natasha Jackson, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 12/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/10/2019

LIC809 (FAS) - (06/04)

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