198015388-10-6-2022-54-CC-KCHE-CJXPNQ-20221006112820

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015388
Report Date: 10/06/2022
Date Signed: 10/06/2022 11:28:28 AM

Document Has Been Signed on 10/06/2022 11:28 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:	BIRNEY HEAD START		FACILITY NUMBER:	198015388
ADMINISTRATOR:	MARSHAE JACKSON		FACILITY TYPE:	850
ADDRESS:	710 W. SPRING STREET		TELEPHONE:	(562) 426-6314
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90806
CAPACITY:	36	CENSUS: 13	DATE:	10/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Marshae Jackson, Head Teacher		TIME COMPLETED:	12:00 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	An unannounced Required – 1 Year Inspection was conducted on 10/06/2022 at 9:15 AM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 36. Licensing staff met with Marshae Jackson, Head Teacher. LPA was later joined by Jennie Acosta and Olivia Ugarte, Early Learning Center Managers (ELCM) and LaShell Program Director. The program currently operates two programs a half day program from 10:45 AM to 2:45 PM and a full day program from 7:45 AM to 2:45 PM Monday thru Friday. The facility is made up of two classrooms, RM 11 and RM 10. Per Head Teacher, RM 11 operates a dual TK Elementary that is license exempt and Head Start Program. At time of inspection, TK Elementary program was operating in RM 11, Head Start program occurs in the latter half of the day in RM 11. LPA was taken on a guided tour of the facility of both indoors and outdoors. LPA observed required licensing forms posted in each classroom which includes a waiver for the use of shared outdoor play yard with Kindergarten program. At the initial start of the site visit, LPA observed RM 11 to have 19 children and three staff (Staff #2, #3, #4) and RM 10 to have 13 children and a total census of two staff (Staff #5, #6). Beginning at 9:20 AM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPA observed floors to be free of hazards at time of inspection. LPA observed learning stations in each classroom for Dramatic Play, Art, Math and Science with shelves filled with child appropriate toys all well maintained free of loose and sharp parts. LPA observed library area available for children for quiet play in each classroom. Telephone service, heating, lighting and ventilation were evaluated in each classroom. There were cubbies observed as storage for children's belongings for each classroom. Mats/cots were inspected. Per Head Teacher, facility provides linens and are washed by a laundry service weekly, and parents provide blankets that are taken home weekly. Availability of drinking water was reviewed. LPA observed water coolers in each classroom with plastic cups. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. At 9:37 AM, LPA observed Bathroom used by the children to be located across the classroom. Bathroom is located in elementary school but is only used by the Head Start program, LPA observed signs posted on restroom door indicating for Head Start Preschool use only. Report Continues - Page 1 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

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 3

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: BIRNEY HEAD START	FACILITY NUMBER: 198015388
	VISIT DATE: 10/06/2022

NARRATIVE

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LPA observed a first aid kit is kept in each classroom and was inventoried for supplies. At 9:29 am, LPA observed carbon monoxide detectors are operable and smoke detectors are present in the facility. Fire extinguishers have been serviced on 07/15/2022. Disaster drill log was available during inspection and last drill conducted on 09/26/2022. Per Program Director, there are no poisons stored at the facility.

Snack/lunch menus were reviewed. There is no kitchen at the facility. All meals and snacks are delivered from the nearby elementary school cafeteria. Trash cans used to discard food have tight fitting lids.

Beginning at 9:39 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed large play structure with cushioning below to absorb fall that is well maintained, bicycles, crawl tube, and other outdoor play toys available that is well maintained. Required shade and fencing were inspected. LPA observed drinking fountains in outdoor play area, per Head Teacher drinking fountains are currently not being used and water coolers are brought out for drinking water. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed. LPA advised that no children shall be left without the supervision of a teacher at any time.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPA. Per ELCM, sick/isolation area is school's Nurse's office.

All staff and employees have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Long Beach Unified School District.

Beginning at 10:45 AM, staff and Children’s Records were reviewed. CPR card expires on 02/2024 for Staff #6. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. LPA did not review confidential forms and information due to the files being stored at the administrative office.

Report Continues - Page 2 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: BIRNEY HEAD START	FACILITY NUMBER: 198015388
	VISIT DATE: 10/06/2022

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

The following were discussed with Facility Representatives:

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed.

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.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 10/06/2022.

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.

Exit interview was conducted and report was reviewed with the Facility Representatives.

Report Ends - Page 3 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

LIC809 (FAS) - (06/04)

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