191670879-4-7-2022-54-CC-RRAS-CD9QR8-20220407122330

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191670879
Report Date: 04/07/2022
Date Signed: 04/07/2022 12:23:42 PM

Document Has Been Signed on 04/07/2022 12:23 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:	LBUSD-MUIR CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191670879
ADMINISTRATOR:	RANDY SANCHEZ		FACILITY TYPE:	850
ADDRESS:	3105 EASY STREET		TELEPHONE:	(562) 427-5515
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90810
CAPACITY:	72	CENSUS: 64	DATE:	04/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Randy Sanchez, Coordinating Teacher		TIME COMPLETED:	12:45 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	Licensing Program Analyst (LPA) Rita Ramos conducted an unannounced required 1 year inspection to the above facility on 04/07/22. LPA arrived at the facility at 9:55AM. LPA identified self to Staff #1. LPA singularly toured 2 classrooms before being met by Coordinating Teacher, Randy Sanchez, who toured the rest of the facility with LPA. LPA provided Coordinating Teacher with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 4 classrooms; Room 28107, 28108, 28103, and 28104. Rooms 28108 and 28107 operate from 9:30AM to 12:30PM Monday through Friday. Room 28103 operates from 9:00AM to 12:00PM Monday through Friday. Currently Room 28104 does not have any children enrolled. This facility is located within John Muir Elementary School in the city of Long Beach. All areas identified on the Facility Sketch were inspected. Upon arrival, the following staff were present during this inspection: Room 28108: Staff #1, #2 and #3 with 23 preschoolers; Room 28107: Staff #4, #5 and #6 with 21 preschoolers; and Room 28103: Staff #7, #8, and #9 with 20 preschoolers. The facility was observed to be within the license capacity and limitations. 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. Children at this facility do not nap due to part-day enrollment. Per Coordinating Teacher, the isolation area is located in the nurse's office and temporarily in Room 28104. 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. At approximately 10:05AM LPA advised Staff #1 to be aware of the location of teacher materials such as scissors and paper cutters that can pose a hazard if stored too low. -----Page 1 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: LBUSD-MUIR CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191670879
	VISIT DATE: 04/07/2022

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
26
27
28
29
30
31
32

Per Coordinating Teacher, there are no poisons stored at the facility. Carbon monoxide detectors were tested in all classrooms to ensure that they are operable.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, 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. LPA advised that no children shall be left without the supervision of a teacher at any time.

All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic-free There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed. Inspection of required forms was made and documented on the LIC 857.

LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. LPA did not review medical or confidential information due to them being stored at the administrative office.

Children's roster was reviewed and is current. Sign-In and Sign-Out reviewed. This facility utilizes electronic sign-in and out. Children present were signed in. Disaster drill log was available, last drill was conducted on 02/23/22.

Menus were observed to be posted. Preschoolers are provided with a full lunch due to part day enrollment.

First Aid supplies were observed in the classrooms. Medication is only administered to a child when accompanied with a doctor's note and is stored in locked boxes in the classrooms.
------Page 2 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: LBUSD-MUIR CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191670879
	VISIT DATE: 04/07/2022

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
26
27
28
29
30
31
32

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

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

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/tion-process.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Coordinating Teacher, Randy Sanchez.

----Page 3 of 3.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Rita Ramos	TELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3