191607806-4-29-2022-54-CC-RNAO-CDXUA8-20220429152419

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191607806
Report Date: 04/29/2022
Date Signed: 04/29/2022 03:24:27 PM

Document Has Been Signed on 04/29/2022 03:24 PM - 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:	YMCA GLB LOS ALTOS BRANCH - NAPLES ELEMENTARY		FACILITY NUMBER:	191607806
ADMINISTRATOR:	KENNETH SOL		FACILITY TYPE:	840
ADDRESS:	5537 THE TOLEDO		TELEPHONE:	(562) 230-7651
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90803
CAPACITY:	50	CENSUS: 35	DATE:	04/29/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:09 PM
MET WITH:	Abril Fragoso		TIME COMPLETED:	03:45 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	An unannounced Required Annual Inspection was conducted on 04/29/22 at 1:09pm by Licensing Program Analyst (LPA) Raul Navarro. Facility is currently licensed for a capacity of 50 School Age Children ranging from 5 to 11 years of age. At the time of arrival there were 35 children present with four school-age staff present. Licensing staff met with Director Abril Fragoso who guided LPAs on an indoor and outdoor tour of the facility. The program currently operates Monday thru Friday from 12:15 am - 6:30 am. Facility is located inside of Naples Elementary. All areas identified on the Facility Sketch were inspected. Areas used by the children include one classroom, a portion of the playground, outside lunch area, and restrooms located near the outside lunch area. Restrooms are in good condition. Food is brought to the facility from an outside vendor. Per Director, children bring water from home. Facility has a refill station and water fountains as well. Sign-in sheets were reviewed. Children items are stored on hooks outside the classroom. LPA observed age appropriate toys and equipment. There was no napping equipment to be inspected. Outdoor area and equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. Play area was inspected for hazards and inaccessibility to bodies of water. Teacher child ratios were observed and staff names recorded. First Aid kit was inventoried. Per director there are no children are currently taking medication at this time. Review of required forms was made. LPA observed required forms to be posted on the Parent Board located near the entrance of the facility. LPA observed the following: Facility License, Snack Menus, LIC 913A Personal Rights, PUB 269 Child Car Seat Poster, PUB 369 Notification Of Parent's Rights and LIC 610 Emergency Disaster Plan. LIC 9148 Earthquake Preparedness and Verification of Disaster and Fire Drills were reviewed.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

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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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: YMCA GLB LOS ALTOS BRANCH - NAPLES ELEMENTARY	FACILITY NUMBER: 191607806
	VISIT DATE: 04/29/2022

NARRATIVE

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Smoke detectors and Carbon Monoxide are present in the facility and were tested and operating. Fire extinguisher was serviced on November, 2021. Snack menus were reviewed and facility provides an afternoon snack to children.

Director, was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no citations issued during today's inspection.

Exit interview conducted and report was reviewed with the Director Abril Fragoso. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Raul Navarro	TELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

LIC809 (FAS) - (06/04)

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