198011011-5-21-2019-54-CC-WBIS-BCDRTU-20190521131854

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011011
Report Date: 05/21/2019
Date Signed: 05/21/2019 01:19:00 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 HORIZON-GRISHAM SITE		FACILITY NUMBER:	198011011
ADMINISTRATOR:	TANDOC, NICETA		FACILITY TYPE:	830
ADDRESS:	11 W. 49TH STREET		TELEPHONE:	(562) 984-3801
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	24	CENSUS: 20	DATE:	05/21/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Chhum Ken		TIME COMPLETED:	01:30 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) Warren Birks conducted an unannounced Annual Random inspection. LPA met with Site Supervisor Chhum Ken who guided analysts on tour of the facility. The is an infant program with a toddler component consisting of two classrooms. The facility operates Monday through Friday 7:00am - 6:00pm. There is a Preschool Program also housed on site. Visitors are buzzed in using a video monitor at the main entrance. All areas of the Facility Sketch were inspected. The following was observed: Room 1: Four Teachers, 10 infants (6 napping); Room 2: Three Teachers 10 toddlers (5 napping). INFANT LICENSE: The infant/toddler program's indoor and outdoor areas are physically separate from the preschool component at this facility. Changing tables have the required padded surface (1 inch thick) and is covered with washable vinyl. The raised sides on the changing table in the infant/toddler rooms are at least 3 inches high. Toys and equipment are clean and napping equipment meets requirements (Title 22 101439.1). Feeding and Needs and Service plans were reviewed and are current and updated quarterly. Furniture and equipment was inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Cribs and sheets were inspected for good condition, appropriate storage and cleanliness. Children have storage for their belongings. At this time, the office is used as an isolation area. There are portable cots and changing mats for infants/toddlers to rest and be changed if needed. The facility provides breakfast, lunch and snack delivered from the main office. Some parents provide breast milk for infants. There is drinking water available both indoors and outdoors. Containers used to discard food have tight fitting lids at this time. Cleaning compounds are stored in high inaccessible areas. Licensee states there are no poisons on the premises. Children’s Records were reviewed for accuracy and completeness.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

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 HORIZON-GRISHAM SITE	FACILITY NUMBER: 198011011
	VISIT DATE: 05/21/2019

NARRATIVE

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Children's files reviewed have the required medical assessments on file. Files have the name, address and telephone number of the child's authorized representative or others who can assume responsibility for the child. The person who signs the child in/out shall use their full legal signature and shall record the sign out at the end of the day. Sign in and Sign out in compliance.

The name of the child care center site supervisor or fully qualified teacher(s) designated to act in the Site Supervisor's absence is on file. Staff files are located in the main office off site and will be reviewed at a later date for Educational background, training, and/or experience.

Incidental Medical Services (IMS)

This facility provides Incidental Medical Services - 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. Any medications requiring refrigeration are stored in an inaccessible refrigerator. Medication policy is as follows: A prescription medication policy is as follows: Facility only administers prescription medication. A form must completed by parent and the same form is completed by staff once medication is administered. Medication is kept locked in a file cabinet. LPA advised Site Supervisor to monitor all expiration dates of creams or medicines.

LPA advised the licensee to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. UPDATE: LPA provided the following documents to the licensee during this visit: 1) A Child Care Provider’s Guide to Safe Sleep, by American Academy of Pediatrics and 2) Updated Parent’s Rights Poster (with complaint hotline).

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 and Site Supervisor Chuum Ken.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019

LIC809 (FAS) - (06/04)

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