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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198001941
Report Date: 09/23/2021
Date Signed: 09/23/2021 04:04:25 PM

COMPREHENSIVE INSPECTION
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:ST. ANTHONY PRESCHOOLFACILITY NUMBER:
198001941
ADMINISTRATOR:NORMA HENDLEFACILITY TYPE:
850
ADDRESS:855 EAST 5TH ST.TELEPHONE:
(562) 432-5946
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:39CENSUS: 0DATE:
09/23/2021
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
03:00 AM
MET WITH:Norma HendleTIME COMPLETED:
04:25 PM
NARRATIVE
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Annual Required Continuation inspection. LPA met with Director Norma Hendle who assisted with inspection. LPA conducted follow up in regards to Staff #3's qualification (records were unavailable/off-site at the time).

During the previous 8/27/2021 visit LPA observed one teacher and staff #3 with 17 children. Today Director Hendle informed LPA that Staff #3 does not have six units in early childhood education (which allows a capacity up to 18 children with a qualified teacher). LPA informed Director Hendle that the facility will be cited for being out of Ratio and informed Director Hendle that staff #3 and a teacher may care for up to 15 children.

Director Hendle informed LPA that she is in the process of hiring a part-time associate teacher with six units and enrolled in school for the additional six units.

A copy of this report must be provided to the parent or guardian of every child and (including any newly enrolled children) for the next 12 months. The Acknowledgement of Receipt (LIC 9224 form must be maintained in each child’s file immediately upon receipt from parent/guardian). Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224) form by email.



The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. This report along with a copy of the appeal rights was provided. Exit interview was conducted with Director Hendle.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2021
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: ST. ANTHONY PRESCHOOL
FACILITY NUMBER: 198001941
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/23/2021
Section Cited

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A ratio of one fully qualified teacher (as specified in Section 101216.1(c)) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).
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This requirement was not met as evidenced by: On 8/27/2021 LPA observed staff #4 and a teacher with 17 childeren. Staff #3 does not have the six early childhood education units to assist a teacher with 17. The maximum amount staff #3 can assist with is 15 children. This is an immediate 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: 09/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/23/2021
LIC809 (FAS) - (06/04)
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