198015859-9-1-2022-54-CC-RDEO-CHUVCX-20220901161951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198015859
Report Date: 09/01/2022
Date Signed: 09/01/2022 04:20:01 PM

Document Has Been Signed on 09/01/2022 04:20 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:	YMCA GLB FIRST FRIENDSHIPS STATE PRESCHOOL		FACILITY NUMBER:	198015859
ADMINISTRATOR:	ALEXANDRA IZAGUIRRE		FACILITY TYPE:	850
ADDRESS:	6650 ORANGE AVENUE		TELEPHONE:	(562) 984-2358
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	105	CENSUS: 53	DATE:	09/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Director - Maria Perancullo		TIME COMPLETED:	04:35 PM

NARRATIVE

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Licensing Program Analyst (LPA) Randy Derraco conducted an unannounced required one year inspection on 09/01/22 at 12:50 pm. LPA met with Maria (Marben) Perancullo, Director, who guided analyst on a tour of the facility. This is a preschool program which consists of 5 classrooms. Facility operation hours are Monday to Friday from 7:00 AM to 5:00 PM.

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Room 1: S9, S12 with 8 children; Room 2: S10, S4, S8, S6 with 23 children; Room 3: S11 with 9 children; Room 4: S2, S7 with 13 children. Per Director, room 5 combined with room 4 temporarily while awaiting completion of a repair order for the air conditioning. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under visual supervision of a teacher at all times.

The following was observed during the tour of the facility:

Children's roster was reviewed and is current. Sign in and out sheets are provided via Care Cloud where parents scan a QR code to sign their children in and out of the facility. Children present were signed in. Disaster drill log was available, last drill was conducted on 06/27/22 LPA observed required licensing documents posted on bulletin board in hallway of the entrance to the facility..

Furniture and equipment were inspected for age appropriateness and good repair. LPA observed material and equipment to be free of sharp, loose, or pointed parts. Telephone service, heating, lighting and ventilation were evaluated and are operable. Children have their own cubby to store their belongings. Blankets are brought from the children's home on Monday and taken home on Friday to be washed. Linens are provided by the facility and are also laundered on site every Friday. Napping equipment (cots)

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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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Document Has Been Signed on 09/01/2022 04:20 PM - It Cannot Be Edited

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: YMCA GLB FIRST FRIENDSHIPS STATE PRESCHOOL	FACILITY NUMBER: 198015859
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/01/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(a)

Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/12/2022
	Plan of Correction
1 2 3 4	Director states she will email a photo to LPA of the repaired sand box/planter and the storage shed with lock.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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: YMCA GLB FIRST FRIENDSHIPS STATE PRESCHOOL	FACILITY NUMBER: 198015859
	VISIT DATE: 09/01/2022

NARRATIVE

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were observed in separate storage areas. Per Director, the isolation area is located in the director's office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed.

Disinfectants, cleaning solutions,and other items that are dangerous to children, were inaccessible to children. According to the Director, medication is currently not being used by any child that is enrolled. When needed, medication will be stored in the child's classroom in a locked cabinet where it is inaccessible to children in care. Director states that there are no poisons stored at the facility and understands that storage areas for poisons must be locked, not just inaccessible. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. First Aid supplies were observed in each classroom.

Menus were reviewed to ensure that they are being posted at least one week in advance and visible to an authorized representative. The facility provides Breakfast, Lunch and PM snack. LPA observed that water is readily available indoors in each classroom via a water cooler. .

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. All foods/beverages are stored in covered containers at 32˚ (F) or less.

Outdoor play equipment was observed to be in good condition, free of sharp, loose or point parts. LPA observed a plastic storage shed without a lock and a broken door containing several pieces of gardening equipment. A sand box was also observed next to the storage shed. Per Director, she currently has a repair order to replace the sand box with a gardening planter. LPA observed the sandbox to have a torn cover making the off-limits sandbox accessible to children in care. LPA advised Director that both the storage shed and the sand box pose a potential risk to the safety and well being the children in care; a citation under California Code of Regulation (CCR) section 101238(a) will be issued. Areas around and/or under climbing equipment, swings and slides have cushioning material to absorb a fall. The outdoor area had adequate shade. LPA observed that water is readily available outdoors via a water jug and cups. The Director states that there are no bodies of water on the premises and LPA did not observe any bodies of water during this visit. Director states there are no weapons or firearms on the premises.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

Page: 3 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: YMCA GLB FIRST FRIENDSHIPS STATE PRESCHOOL	FACILITY NUMBER: 198015859
	VISIT DATE: 09/01/2022

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All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection. Children’s and Staff’s Records were reviewed and are complete.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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.html

LPA advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.cdss.ca.gov.

The following deficiency listed on the attached deficiency page LIC809D are being cited in accordance with California Code of Regulations Title 22.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, appeal rights provided and report was reviewed with the Director Maria (Marben) Perancullo.

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SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy Derraco	TELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

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