198001757-9-13-2023-54-CC-WBIS-CVMQZ9-20230913123622

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198001757
Report Date: 09/13/2023
Date Signed: 09/13/2023 02:01:13 PM

Document Has Been Signed on 09/13/2023 02:01 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:	CHRIST LUTHERAN INFANT CENTER		FACILITY NUMBER:	198001757
ADMINISTRATOR:	CLINTON, LISA		FACILITY TYPE:	830
ADDRESS:	6500 STEARNS ST.		TELEPHONE:	(562) 594-6117
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90815
CAPACITY: 9	TOTAL ENROLLED CHILDREN: 9	CENSUS: 5	DATE:	09/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:58 AM
MET WITH:	Rachyl Theriault/Lisa Clinton		TIME COMPLETED:	12:40 PM

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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Required 1 year inspection. LPA met with Assistant Director Rachyl Theriault and Director Lisa Clinton who guided analyst on tour of the facility. This is an infant program serving infants (zero to two years old). The program is physically separate from a preschool program housed on the premises. The facility operates Monday through Friday from 7:00 AM to 6:00 PM.

At approximately 9:15am all areas identified on the Facility Sketch were inspected. LPA observed the following teacher-child ratios during the inspection: Infant Room 1: (One teacher and four infants), Infant Room 6 (One teacher and one infant). Teacher-child ratios were in compliance and staff have the required clearances at this time. LPA informed Assistant Director Therault to ensure ratios are constantly maintained.

LPA observed and inspected all furniture and equipment for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were observed to be satisfactory. Storage for infants’ belongings and cribs were inspected and found to meet all regulatory requirements at this time. Room 1 uses a one inch concave changing pad with 3 inch sides and Room 2 uses a changing table with 3 inch sides and a 1 inch pad. LPA noted that the concave pad does prevent child from rolling however LPA advised Assistant Director to install a three inch sided changing equipment for Room 1 (Note: facility has been using the concave pad for years). The changing area is within arm’s reach of a hand washing sink. LPA observed toys to be clean and appear age appropriate. LPA observed first aid kits kept in each classroom. Carbon monoxide detectors and smoke detectors are present in the facility. 2A10BC Fire extinguishers are due for service in June 2024.

Hazardous items such as medicines and cleaning compounds are stored in high cabinets and/or storage rooms inaccessible to children. The office is used as an isolation area and portable mats for resting and changing are available if necessary. Parents provide breast milk, formula, snacks, and lunch. The facility always has food on hand (if necessary). LPA observed the food on hand to be adequate.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2023

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: CHRIST LUTHERAN INFANT CENTER	FACILITY NUMBER: 198001757
	VISIT DATE: 09/13/2023

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LPA observed drinking water in each classroom and children have their names labeled on their bottles and cups. Formula and breast milk have labels (along with child information listed) to distinguish one from the other. The parent provides sheets that are sent home to be laundered weekly however there are plenty of clean sheets available daily (back up sheets are available at the facility). Food preparation areas (snack cabinets) were observed for safety and cleanliness. There is an adequate amount of snacks at the facility.

At approximately 9:30am the outdoor play equipment was inspected for safety, cushioning material, age appropriateness and good repair. LPA observed the outdoor play area to be physically separate from the preschool play area. LPA observed the infant playground to have adequate shade and adequate fencing. There were no bodies of waters and no appearance of immediate hazards on the playground. LPA Birks reminded Assistant Director that infants need to have direct care and supervision, including visual supervision of staff at all times. Note: LPA was informed that the play area is going to be upgraded this winter.

LPA evaluated care and supervision and determined the basic needs of infants were met. LPA observed digital Sign in and Sign out records to be complete. At approximately 10:15am LPA observed eight of eight files to be in compliance during a Children's Records Review. The review ensures children files are complete and have the proper forms (such as Identification and Emergency forms, Immunization records, Health History records, Personal Rights, Parents Rights, Needs and service plans, Infant safe sleep forms etc. The children's roster is current). LPA observed a portion of Sleep plan information missing. A technical advisory violation was issued to update records.

At approximately 11:00am LPA reviewed Staff Records to ensure: All individuals present have criminal record clearance (or criminal record exemption), education, Criminal Record Clearance documents, current CPR and First, proof of immunization against pertussis and measles and influenza (or flu declination available) etc. LPA observed at least one staff member to have current CPR (Expiration in 2025).

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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: CHRIST LUTHERAN INFANT CENTER	FACILITY NUMBER: 198001757
	VISIT DATE: 09/13/2023

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The following was discussed with Director: Recently Approved Safe Sleep Regulations in Effect (PIN 20-24-CCP). LPA also informed Director to have staff sleep infants on their backs and check on them at a maximum at least every 15 minutes to observing signs on distress, labored breathing, flushed skin color, increase in body temperature and restlessness).

Rooms that are off-limits need to always be inaccessible during operating hours. Smoking is prohibited. No infant walkers, no infant bouncers, no Johnny Jumpers, no excer-saucers or any other item that falls into that category are allowed in facility. Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. Mandatory Forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Last drill conducted March 2023. Role and responsibilities of being a Mandated Reporter were reviewed. The Site Supervisor was advised how to access forms and Regulations online at www.ccld.ca.gov. Site Supervisor was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care.

LPA advised Director Lisa Clinton that all adults 18 years of age and older providing Care & Supervision and/or have continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. Records for all children and staff must be maintained for three (3) years after separation from the facility and report Unusual Incidents to parents/guardians and Licensing within the time frame specified by the regulation. 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.

Exit interview was conducted with Director Lisa Clinton and Assistant Director Rachyl Theriault. The facility was provided a copy of their appeal rights (LIC 9058). The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

LIC809 (FAS) - (06/04)

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