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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670550
Report Date: 09/26/2024
Date Signed: 09/26/2024 02:43:54 PM


Document Has Been Signed on 09/26/2024 02:43 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
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: 20DATE:
09/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Coordinating Teacher Stephany Sanchez TIME COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Jeanette Estrada and Portia Bowden conducted a Case Management visit at the facility to follow up on an incident reported to the Department on 5/14/24. LPAs met with Coordinating Teacher (CT) Tiffany Sanchez and informed her of the reason for the visit. CT provided a tour of the facility. LPAs observed a total of 20 children in care supervised by six staff. LPAs observed 12 napping children in the full day classroom supervised by 2 staff and 8 children in the half day classroom supervised by four staff.
On 5/14/24 the facility reported an Unusual Incident Report to the Department regarding an allegation that Staff 1 pinched Child 1. A visit was conducted on 5/23/24 for the initial follow up of the incident. LPAs conducted interviews at that time. Further interviews were conducted with other staff and the parent of Child 1. Per staff interviews, there were no eye-witnesses to the alleged incident and Staff 1 denied the allegation. No bruises or pinch marks were observed on the child's body and Staff do not recall any incidents with other students that may have been similar.
No deficiencies are issued regarding the incident.

Exit interview conducted with CT Tiffany Sanchez. A copy of this report and a notice of site visit were provided to facility representative. Facility Representative was reminded to post the notice of site visit for 30 days.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/26/2024
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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