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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016558
Report Date: 09/26/2019
Date Signed: 09/26/2019 02:11:28 PM

COMPREHENSIVE INSPECTION
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:EDISON HEAD STARTFACILITY NUMBER:
198016558
ADMINISTRATOR:PADMA RAJENDRAN & ODESSA PFACILITY TYPE:
850
ADDRESS:625 MAINE AVENUETELEPHONE:
(562) 590-8481
CITY:LONG BEACHSTATE: CAZIP CODE:
90802
CAPACITY:57CENSUS: 0DATE:
09/26/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Jenny Acosta & Padma RajendraTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Rita Ramos and Alicia Mooberry conducted an unannounced required annual inspection. LPAs met with Padma Rajendra, Head Teacher, who guided analysts on a tour of the facility. LPAs were later met by Jenny Acosta, Program Administrator. This is a preschool program which consists of 3 classrooms; Room 16, Room 18, and Room 19. Rooms 16 and 18 operate a full session from 7:45AM to 2:45PM. Room 19 operates a part-day program from 7:45AM to 11:15 AM. Thursdays are early dismissal for the full-day program and dismissal time is at 12:15PM, therefore, there were no children present upon arrival. The facility operates from Monday through Friday.

All areas identified on this report were inspected. Upon arrival, the following staff were present: Staff #1, #2, #3, #4, #5 and #6. The following was observed during the tour of facility:

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 16 and 18 nap and their linens are washed weekly by a laundry service the district provides. Napping equipment (cots) were observed in a separate storage area. Per Head Teacher, the isolation area is located in the nurse's office if an ill child were to require to use it. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. LPAs observed that facility does have a carbon monoxide detector in each classroom. General sanitation was observed. Availability of indoor drinking water was observed in classrooms.


Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. The Head Teacher states that there are no poisons stores at the facility.

This facility does not have a kitchen area. All meals and snacks are delivered to the facility. All meals and snacks are provided by the Long Beach Unified School District. -------Page 1 of 3

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

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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: EDISON HEAD START
FACILITY NUMBER: 198016558
VISIT DATE: 09/26/2019
NARRATIVE
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First Aid supplies were observed in the classrooms. According to Head Teacher, medication is only administered to a child when accompanied with a doctor's note and is stored in locked boxes in each classroom.

This facility provides Incidental Medical Services – IMS. LPAs 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

LPAs advised the Program Administrator to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

There were no deficiencies cited during today’s inspection.

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: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
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: EDISON HEAD START
FACILITY NUMBER: 198016558
VISIT DATE: 09/26/2019
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All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids.

Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. LPAs advised the Head Teacher that the children need to be within the direct care and supervision, including visual supervision, of the teacher(s) and supervising 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, 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 observed.

All individuals present have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Long Beach Unified School District. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made. LPAs issued the Children’s Record Review (LIC 857) to the Program Administrator during this inspection. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.


LPAs also issued the Review of Staff records (LIC 859) to the Program Adminsitrator during this inspection. Staff present have the required immunization records on file. The LIC 859 documents the staff files that were reviewed during this inspection.

Children's roster was reviewed and is current. Sign-in and Sign-out sheets were reviewed for the children that were present prior to LPAs arriving. Disaster drill log was available, last drill was conducted on 09/24/19.

Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Preschoolers in Rooms 16 and 18 are provided with a breakfast, lunch, and snack. Preschoolers in Room 19 are provided with breakfast.
-----------Page 2 of 3
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3439
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3