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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013045
Report Date: 05/26/2023
Date Signed: 05/26/2023 02:06:39 PM

Document Has Been Signed on 05/26/2023 02:06 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:LUDLOFF CENTER-YOUNG HORIZONSFACILITY NUMBER:
198013045
ADMINISTRATOR:MARIA CORTEZFACILITY TYPE:
850
ADDRESS:2650 PACIFIC AVENUETELEPHONE:
(562) 988-5799
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 86TOTAL ENROLLED CHILDREN: 86CENSUS: 39DATE:
05/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Maria Lopez, DirectorTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Director, Maria Lopez. There were 39 children present during inspection.

On 10/6/2022, Assistant Site Supervisor submitted an unusual incident/injury report to the Department for an incident occurring on 10/05/22.

The name of Child #1 was spelled incorrectly when OD took the incident report information. Per Director, Child #1 disenrolled on 12/12/2022 because parents moved out of state. LPA was unable to interview the parent and child. Per Director, the parent Child was taken to obtain medical care. Child #1 returned to the center on October 10, 2022. Parent provided a physician note to the center. LPA reviewed child's record and reviewed pertinent documentation.

The center followed their procedures when a child is injured. Based on the information provided, proper supervision was provided when the incident occurred. There were 8 children present and 2 staff members during the incident. LPA conducted a physical inspection of the classroom today. LPA was unable to interview parents due to moving out of state in December 2022.

Based on information obtained, LPA determined there were no violations that resulted in the incident nor resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview conducted with Director, Maria Lopez. A copy of this report was provided. Notice of Site Visit was issued and must remain posted in the facility for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE: DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/26/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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: LUDLOFF CENTER-YOUNG HORIZONS
FACILITY NUMBER: 198013045
VISIT DATE: 05/26/2023
NARRATIVE
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Director, Maria Lopez. There were 39 children present during inspection.

On 12/05/2022, Maria Lopez, Director, submitted an unusual incident/injury report to the Department for an incident occurring on 12/02/22.

On 12/02/22, Staff#1 observed Staff#2 not handling a situation with Child #1 and Child #2 appropriately. The incident was observed on surveillance video by the Executive Director and Program Director. There was an investigation and Staff #2 was terminated on 12/05/22. Parents were notified and the Department was also notified of the incident


The center followed their procedures by reporting incident to the Director. Based on the information provided, proper supervision was provided when the incident occurred. There were 6 children present.

Based on information obtained, LPA determined there were no violations that resulted in the incident nor resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: LUDLOFF CENTER-YOUNG HORIZONS
FACILITY NUMBER: 198013045
VISIT DATE: 05/26/2023
NARRATIVE
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Director, Maria Lopez. There were 39 children present during inspection.

On January 27, 2023, Maria Lopez, Director, submitted an unusual incident/injury report to the Department for an incident occurring on January 27, 2023.

Staff #1 and Staff #2 were supervising the playground and observed right after Child #1 fell and hit forehead. Child #1 was playing with a toy and fell. Site Supervisor inspected the playground area for safety issues and there were none observed. Staff took care of the injury and staff contacted the guardian. The guardian came and took the child to the doctor where they were treated. Child returned to the center on January 31, 23.

The center followed their procedures by reporting incident to the Director. Based on the information provided, proper supervision was provided when the incident occurred. There were 13 children present and two staff.

Based on information obtained, LPA determined there were no violations that resulted in the incident nor resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview conducted with Director, Maria Lopez. A copy of this report was provided. Notice of Site Visit was issued and must remain posted in the facility for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: LUDLOFF CENTER-YOUNG HORIZONS
FACILITY NUMBER: 198013045
VISIT DATE: 05/26/2023
NARRATIVE
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Director, Maria Lopez. There were 39 children present during inspection.

On March 07, 2023, Maria Lopez, Director, submitted an unusual incident/injury report to the Department for an incident occurring on March 6, 2023.

Staff #1 noticed child #1 had an injury during the day. Staff #1 reported the incident to DCFS on 03/07/23. DCFS provided the investigation report and the investigation concluded and case was closed. The child returned to the center.

The center followed their procedures by reporting incident to the Director. Based on the information provided, proper protocols were followed when the incident occurred.

Based on information obtained, LPA determined there were no violations that resulted in the incident nor resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview conducted with Director, Maria Lopez. A copy of this report was provided. Notice of Site Visit was issued and must remain posted in the facility for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: LUDLOFF CENTER-YOUNG HORIZONS
FACILITY NUMBER: 198013045
VISIT DATE: 05/26/2023
NARRATIVE
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Director, Maria Lopez. There were 39 children present during inspection.

On 04/14/23, Assistant Site Supervisor submitted an unusual incident/injury report to the Department for an incident occurring on 04/13/23.

Child #1 was playing outside and tripped, the upper lip and inside of mouth were swollen but no cuts. Staff #1 was supervising 10 children when the incident occurred. Staff applied ice pack and contacted the parent. Parent picked up to the doctor and was advised to wait until the swelling went down. No further treatment was needed.

Per Director, the parent took Child #1 to obtain medical care. Child #1 returned to the center on 04/17/23. Parent provided a physician note to the center. LPA reviewed child's record and reviewed pertinent documentation.

The center followed their procedures when a child is injured. Based on the information provided, proper supervision was provided when the incident occurred. There were 10 children present and 1 staff member during the incident. LPA conducted a physical inspection of the classroom today.

Based on information obtained, LPA determined there were no violations that resulted in the incident nor resulted from the incident. No deficiencies were cited on this date. Licensee met reporting requirements for this incident.

Exit interview conducted with Director, Maria Lopez. A copy of this report was provided. Notice of Site Visit was issued and must remain posted in the facility for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023
LIC809 (FAS) - (06/04)
Page: 5 of 5