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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015389
Report Date: 08/21/2019
Date Signed: 08/21/2019 11:07:59 AM

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:MCKINLEY HEAD STARTFACILITY NUMBER:
198015389
ADMINISTRATOR:MARICELA GUIDOFACILITY TYPE:
850
ADDRESS:6822 PARAMOUNT BLVD.TELEPHONE:
(562) 630-6200
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:60CENSUS: 0DATE:
08/21/2019
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Jenny Acosta, Program AdmininstratorTIME COMPLETED:
11:25 AM
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Licensing Program Analysts (LPAs) Rita Ramos and Alicia Bailey conducted an announced case management inspection to the above facility. LPAs met with Jenny Acosta, Program Administrator, who guided analysts on a tour of the facility. There were no children present during the inspection.

This facility is located at McKinley Elementary School in the city of Long Beach. The facility was initially licensed in Rooms 1, 2 and 3 and had temporary relocated to rooms 32,33, and 36 while the elementary school was under construction. The Licensee has requested that the facility return to two of the originally licensed classrooms and relocate one classroom. The Licensee is returning to Rooms 1 and 2, however, Room 1 is now titled Room 1101 and Room 2 is now titled Room 1109. Room 3 has now been converted to an Administrative Office, therefore, the new classroom the Licensee is requesting to be licensed for is Room 1103.

Due to the aforementioned, the purpose of today's inspection was to measure and inspect Room 1103 for capacity determination.

This is a proposed preschool Program which consists of 3 classrooms; Room 1101, Room 1109, and Room 1103. This program will serve children ages 2 years to 5 years. This program will operate Monday - Friday. Rooms 1101 and 1109 will operate Full-Day programs from 7:45AM to 2:45PM. Room 1103 with operate a Part-Day program from 7:45AM to 11:15AM.

All areas identified on the facility sketch were toured both indoors and outdoors; measurements were taken.

Parents will sign children in and out electronically via a computer tablet in each classroom. The facility will also provide paper sign-in and out sheets. A health check will be conducted prior to children signing in on a daily basis. There is drinking water readily available in each class. ----------Page 1 of 3

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
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: MCKINLEY HEAD START
FACILITY NUMBER: 198015389
VISIT DATE: 08/21/2019
NARRATIVE
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Program Administrator states that medication will be stored in a high and inaccessible area to children in the classroom. First aid kits are available in each classroom and were observed to contain the required first-aid supplies.

LPAs inspected the nurse's office since it will be used as an ill/isolation area. Ill children will use the restroom located in the nurse's office. LPAs observed that there is a bed available for children to rest if needed. This room was observed to be conducive for children's use at this time.

Incidental Medical Services (IMS): This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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.

LPAs advised that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

Based on measurements taken in Room 1103 there is enough space for 21, however, the Licensee requested a capacity of 20 for Room 1103 and the fire clearance was granted for 20.

After final review of the application submitted this facility may be licensed for the 20 requested in Room 1103 for a Room relocation.

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. Exit interview was conducted with Jenny Acosta, Program Administrator, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

---------Page 3 of 3

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
LIC809 (FAS) - (06/04)
Page: 3 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: MCKINLEY HEAD START
FACILITY NUMBER: 198015389
VISIT DATE: 08/21/2019
NARRATIVE
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Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Children in Rooms 1101 and 1109 will nap at the facility. Linen will be washed by a laundry service provided through the Long Beach Unified School District. Napping equipment (cots) were observed in a separate storage area in Rooms 1101 and 1109. Per Program Administrator, the isolation area is located in the nurse's office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. LPAs observed that the facility does have a carbon monoxide detector, smoke detector, and a serviced fire extinguisher.

Disinfectants, cleaning solutions, and other items that are dangerous to children, will be inaccessible to children and will be stored in a high locked cabinet. Program Administrator states that there are no poisons stored at the facility.

This program will provide breakfast to the children in Room 1103 (AM session) and children in Rooms 1101 and 1109 will be provided with breakfast, lunch, and snack. A monthly menu was available during the inspection. Program Administrator posted the menu during the inspection.

This facility does not have a kitchen to store and prepare food. A truck delivery service is in place and all meals and snacks will be delivered daily. The food service is provided by the Long Beach Unified School District. The food delivery service will place all delivered food in the staff lounge and Head Start staff will deliver the meals in a cart to each classroom. LPAs inspected the staff lounge and observed that it was clean and free of litter, rubbish, rodents, and/or any other vermin. Trash cans used to discard food have tight fitting lids. The facility in general was observed to be free of flies, other insects and rodents.

Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPAs advised
the Program Administrator that the children need to be within the direct care and supervision, including visual supervision of the teachers and Head Start staff at all times. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, swings, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed.

There are no bodies of water on the premises.
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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3