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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000638
Report Date: 04/29/2021
Date Signed: 04/29/2021 05:57:02 PM

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:YOUNG HORIZONS CHILD DEVELOPMENT CENTERSFACILITY NUMBER:
198000638
ADMINISTRATOR:ARIANA CHAVEZFACILITY TYPE:
850
ADDRESS:501 ATLANTIC AVETELEPHONE:
(562) 437-8991
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:65CENSUS: 17DATE:
04/29/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
05:15 PM
MET WITH:Ariana ChavezTIME COMPLETED:
06:00 PM
NARRATIVE
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This Case Management tele-inspection was conducted by Licensing Program Analyst (LPA) Warren Birks via teleconference due to COVID-19 and precautionary measures. LPA met with Director Ariana Chavez who assisted with the inspection. This tele-inspection is regarding an incident that took place on January 4, 2021 and January 15, 2021.

The facility provided internal incident reports (dated January 4, 2021 and January 15, 2021). LPA observed the incident reports indicated disclosure from child #1 which should have been reportable to Department of Children and Family Services (DCFS) and Child Care Licensing (CCL).

LPA informed Director Chavez that staff is required to report the incident as they are Mandated Reporters. The incidents also qualify as an unusual incidents and should have been reported to CCL within 24 hours. The facility is cited for "reporting requirements" as Title 22 Regulations require unusual incidents be reported to Community Care Licensing within 24 hours (followed up with a written report within 7 days).

Director Chavez indicated that the facility will submit an Unusual Incident Report to CCL April 30, 2021.

Exit interview conducted with Director Chavez via teleconference. This report along with a copy of the appeal rights will be sent to the Licensee via email with a read receipt to confirm receipt of the report and to act as the signature on the report.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2021
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: YOUNG HORIZONS CHILD DEVELOPMENT CENTERS
FACILITY NUMBER: 198000638
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/29/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/29/2021
Section Cited

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Reporting requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall
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be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (D) Any suspected physical or psychological abuse of any child. *This requirement was not met as evidenced by: Facility failed to report child #1 disclosure. This is a potential risk to children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 04/29/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/29/2021
LIC809 (FAS) - (06/04)
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