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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670550
Report Date: 05/23/2024
Date Signed: 05/23/2024 10:57:48 AM


Document Has Been Signed on 05/23/2024 10:57 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:LBUSD-BURBANK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670550
ADMINISTRATOR:TIFFANY SANCHEZFACILITY TYPE:
850
ADDRESS:535 JUNIPERO AVETELEPHONE:
(562) 438-4108
CITY:LONG BEACHSTATE: CAZIP CODE:
90814
CAPACITY:74CENSUS: 33DATE:
05/23/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Coordinating Teacher Tiffany Sanchez TIME COMPLETED:
11:00 AM
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Licensing Program Analysts (LPAs) Jeanette Estrada and Jonnisha Culbert made an unannounced Case Management Incident visit at the facility to follow up on a self reported incident reported to the Department on 5/14/24. There were 33 children present with 8 staff during today's visit. Upon arrival LPAs met with Coordinating Teacher Tiffany Sanchez and informed her of the reason for the visit.

It was reported to the Department that Child 1 informed their parent that Staff 1 pinched them. During today's visit, LPAs conducted staff interviews and collected pertinent documents. Per Staff interviews conducted today, there were no statements made confirming the incident occurred or that any similar incidents have occurred. Per staff, at least two staff are present with the children at all times.

At this time, further investigation will be conducted by CCLD. No deficiencies cited at this time.

Notice of site visit was provided and Coordinating Teacher Tiffany Sanchez who was reminded it must remain posted for 30 days.
Exit interview conducted and a copy of the report was provided to Coordinating Teacher, Tiffany Sanchez.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024
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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