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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015390
Report Date: 11/30/2022
Date Signed: 11/30/2022 11:32:30 AM


Document Has Been Signed on 11/30/2022 11:32 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:SMITH HEAD STARTFACILITY NUMBER:
198015390
ADMINISTRATOR:ANGELA HULLETT & PETRINA DFACILITY TYPE:
850
ADDRESS:565 E. HILL STREETTELEPHONE:
(562) 426-6313
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:80CENSUS: 36DATE:
11/30/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Angela Hullet, Head TeacherTIME COMPLETED:
12:00 PM
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An unannounced Required – 1 Year Inspection was conducted on 11/30/2022 at 9:30 AM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 80 but have 72 enrolled. Licensing staff was greeted by Maribel Guerrero (FSL) and met with Head Teacher, Angela Hullet (S9) who provided guided tour of the facility both indoors and outdoors. Facility is located on Bonnie Smith Elementary School campus. The program currently operates part-time AM/PM programs in classroom B-17 and Full Day programs in classrooms B-18 and B-23, and a Collaborative program with elementary school's TK in B-24. At beginning of inspection, B-24 was operating TK program that is license exempt, licensed program begins at 10:45 AM. Facility's Part Time AM Program is from 7:45 AM to 11:15 AM, PM Program from 12:15 PM to 3:45 PM, Full Day Program from 7:45 AM to 2:45 PM, Collaborative Program fro 10:45 AM to 2:45 PM Monday thru Friday.

At the initial start of the site visit, LPA observed 13 children with two staff (S1 and S2) in RM B-17, seven children with two staff (S3 and S4) in RM B-18, sixteen children with three staff (S5, S6, S7) in RM B-23, total census for the program is 36 children with ten staff. LPA observed required postings in each classroom including waiver for shared use of outside playground.

Beginning at 9:42 AM, Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed child size tables and chairs well maintained and learning stations in each classroom for dramatic play, art, and manipulatives with toys free of loose and sharp parts and well maintained in each classroom. LPA observed library with soft seating area available for quiet play in each classroom. There were cubbies observed as storage for children's belongings in each classroom. Floors of each classrooms observed to be free of hazards at time of inspection. LPA observed cots stored in classrooms and inspected. Per Head Teacher, RMs B-23 and B-18 are the only classrooms that provide a nap time and per Head Teacher, linens are provided by the facility and
Report Continues - Page 1 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2022
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 4


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: SMITH HEAD START
FACILITY NUMBER: 198015390
VISIT DATE: 11/30/2022
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washed weekly by a laundry service. Availability of drinking water was reviewed, LPA observed water pitchers and cups in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed B-17 and B-18 share a bathroom with two toilets and one sink inside, both classrooms each have a sink outside of bathroom totaling two sinks available. LPA observed B-18 to have step up diaper changing table that meets regulation requirements. LPA observed B-23 to have shared bathroom with B-24 to have two toilets and one sink inside, with an additional outside sink in each classroom.

A first aid kit is kept in each classroom above classroom sinks. LPA observed carbon monoxide detectors are operable and smoke detectors are present in the facility. Fire extinguishers have been serviced on 07/18/2022. LPA observed medications for C1 and C2 in RM-B17 and medication for C3 in RM-B18 stored per Title 22 regulation requirement. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. Per Early Learning Center Manager (ELCM), there are no poisons stored at the facility. Disaster drill log was available for review during today's inspection, last drill conducted on 11/01/2022.

Snack/lunch menus were observed posted and reviewed. Per Head Teacher, facility provides Part Time Programs one full meal (breakfast or lunch), and Full Day Programs are offered breakfast, lunch, and a snack. There is no kitchen at the facility. All meals and snacks are picked up from the nearby elementary school cafeteria. Trash cans used to discard food have tight fitting lids.

Beginning at 10:10 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPA observed large play structure with slides and climbing equipment, balancing steps, crawl tube, and other items available for children in outdoor play yard. LPA observed outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. LPA observed a large crack on cushioning material that Head Teacher states she already has placed a work order for to fix. LPA observed work order at time of inspection. All areas around or under high climbing equipment, slides, 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 discussed, per Head Teacher water pitchers are brought out for drinking water. LPA observed water fountains available outside that Head Teacher states is still currently not being used. LPA advised that no children shall be left without the supervision of a teacher at any time.
Report Continues - Page 2 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: SMITH HEAD START
FACILITY NUMBER: 198015390
VISIT DATE: 11/30/2022
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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. LPA observed all children present to be signed in with full legal signatures. Personal Rights of children were observed by LPA.

Beginning at 10:50 AM, staff and Children’s Records were reviewed. 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. 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. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. CPR card expires on 03/13/2023 for S4. Inspection of required forms made.

Incidental Medical Services:
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 facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 11/30/2022.

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 Representative, Maricela Guido.
Report Ends - Page 3 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4