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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004841
Report Date: 02/07/2023
Date Signed: 02/07/2023 10:52:22 AM


Document Has Been Signed on 02/07/2023 10:52 AM - 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:LONG BEACH CITY COLLEGE CDCFACILITY NUMBER:
198004841
ADMINISTRATOR:AMY BIGELOWFACILITY TYPE:
850
ADDRESS:4630 CLARK AVETELEPHONE:
(562) 938-4253
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY:115CENSUS: 55DATE:
02/07/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:28 AM
MET WITH:Amy BigelowTIME COMPLETED:
11:15 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Required - 1 Year Inspection. LPA met with Director Amy Bigelow who assisted analyst with a tour of the facility. This is a Title 5 Preschool program serving children ages two (2) until entry into Kindergarten. The hours of operation are 7:00am to 5:30pm Monday through Friday and part-time 8:00am to 11:30am and 12:30pm to 3:30pm

All areas identified on the Facility Sketch were inspected. Upon arrival through 9:00am LPA observed: Room 1 (Two staff and six children); Room 2 (Three staff and 14 children); Room 3 (Three staff and 14 children); Room 5 & 6 combined outdoors (five staff and 21 children); Note: Room 5 and 6 are part-time programs operating in bungalows on one side of the playground. Two to three year olds have a separate playground.



From arrival through 9:30am furniture and equipment was inspected for age appropriateness and good repair. LPA also observed telephone service, heating, lighting and ventilation to be satisfactory. Children have adequate storage for their belongings as each child has individual cubbies. Napping mats are stored outside the classrooms. LPA observed drinking water with drinking cups readily available in the classrooms. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, safety and sanitation. All toilets and hand washing facilities are in operating condition with the exception of one toilet with a work order for repair. Indoor classrooms have surfaces that appear to be clean and safe. All materials and surfaces accessible to children are toxic free. Storage areas for poisons are locked. The office is used as an isolation area to care for ill children. Mats, chairs and a staff restroom is available for children to use if they are ill. Parents are contacted immediately for pick up for ill children.

At approximately 9:00 LPA observed outdoor play equipment appearing to be in good condition, free of sharp, loose or pointed parts. The outdoor activity space surface is maintained in a safe condition and appears to be free of hazards. Areas around and/or under climbing equipment have cushioning material to absorb a fall.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2023
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: LONG BEACH CITY COLLEGE CDC
FACILITY NUMBER: 198004841
VISIT DATE: 02/07/2023
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 Director Bigelow indicated there are no bodies of water on the premises and LPA did not observe any bodies of water during today's inspection. The facility outdoor fencing that is at least 5 feet tall and two roll up sheds on the playground that are inaccessible.

From 9:35am to 9:45am LPA reviewed snack menus and observed that they are being posted at least one week in advance (visible to an authorized representative). The facility provides an AM snack and PM snack and uses an outside vendor to provide lunch. Food and snack preparation areas appear to be safe, clean and have proper equipment. LPA observed an adequate amount of snacks available and LPA also observed snacks and milk to be within the expiration dates. LPA observed drinking water available for children indoors and outdoors. Trash receptacles have tight fitting covers and are in good repair.

Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible. The facility has one or more functioning smoke detectors and carbon monoxide detectors that meet statutory requirements. The required 2A10BC fire extinguisher gauge is in the green and has been serviced within the last 12 months (Last service date December 2022).

LPA reviewed sign in and sign out forms to ensure children are being properly signed in and signed out. LPA conducted a Children's Records Review to ensure children have Identification and Emergency forms, Immunization records, Health History, Personal Rights and Parents Rights on file.

Staff Records were reviewed to ensure the following: Appropriate documentation of education credits, Criminal Record Clearance documents available, Verification of current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination available.

All paperwork was readily available during today's inspection. LPA advised Director Bigelow to occasionally conduct spot check audits to ensure constant compliance for children's files and staff files (especially for expiring requirements such as CPR and Mandated reporter training). LPA observed all CPR and Mandated reporter training to be current (CPR expires March 10, 2023).

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

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
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: LONG BEACH CITY COLLEGE CDC
FACILITY NUMBER: 198004841
VISIT DATE: 02/07/2023
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Note: First Aid supplies were observed in each classroom. Director Bigelow indicated that medication is only administered to children once parent's provide a doctor's note. All medications are stored in a high kitchen cabinet or locked refrigerator for inaccessibility. LPA informed Director that fire extinguishers type 2A-10BC must be serviced at least annually. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed. Any construction or remodeling should be reported to the Department before it occurs. .

Mandatory forms for the children’s files and staff files, requirements for fire drills, earthquake drills and documentation were discussed. Role and responsibilities of being a Mandated Reporter were reviewed. The Director was advised how to access forms and Regulations online at www.ccld.ca.gov. Director was made aware that it is his/her responsibility to know the regulations as well as anyone who assists in providing care. LPA advised that inaccessibility of hazards must be constantly reassessed depending on the children in care.



LPA advised Director Bigelow that all adults 18 years of age and older providing Care & Supervision and having a continuous presence in the facility shall adhere to a criminal background clearance with the Department of Justice, FBI and Child Abuse Index Check. LPA informed Director to log onto web site www.ccld.ca.gov to access forms, regulations and quarterly updates. Records for all children and staff must be maintained for three (3) years after separation from the facility. Report Unusual Incidents and/or injuries to the parent/guardian immediately and to Child Care Licensing within 24 hours and/or the next business day. Visit www.shotsforschool.org for immunization information. All care for children require supervision at all times. If away from the facility, staff must be with children at all times (especially when outdoors). There were no violations of Title 22 requirements at this time.

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.

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 Exit interview was conducted with Director Amy Bigelow and a copy of Appeal Rights (LIC 9058) was discussed and provided

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren BirksTELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
LIC809 (FAS) - (06/04)
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