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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018410
Report Date: 12/07/2022
Date Signed: 12/16/2022 07:35:36 AM


Document Has Been Signed on 12/16/2022 07:35 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:BIXBY OAKS INFANT CENTERFACILITY NUMBER:
198018410
ADMINISTRATOR:GLORIA SOTOFACILITY TYPE:
830
ADDRESS:3832 LONG BEACH BLVD.TELEPHONE:
(562) 424-2233
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:39CENSUS: 13DATE:
12/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Rudy Rodriguez, Site SupervisorTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Dayna Chambers conducted an unannounced annual inspection on December 7, 2022 at 8:45AM. LPA met with Site Supervisor, Rudy Rodriguez, who guided analyst on a tour of the facility. This is an infant program which consists of 3 classrooms; – Main Room- Wiggle worms- ages 0-2 years, Toddler Component – ages 18 months to 2.5 years old in Classroom #1-Pollywogs and Classroom #2 – Kangaroos. Facility operation hours are Monday to Friday from 7:00AM to 5:30PM. The infant program is located adjacent to the center's pre-school program. The infant program has no shared areas. All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Wiggle worms, Staff #1 and Staff #2 with 7 infants. Room #1 – Pollywogs Staff #3 with 6 toddlers. The Kangeroo Classroom is currently closed due to low enrollment. The facility was observed to be within the license capacity and limitations. The following was observed during the tour of the facility:
Furniture and equipment were inspected for age appropriateness and good repair. The facility has sufficient napping equipment, feeding chairs, and changing tables. Infants in this program are from the age of birth to 24 months. Infants sleep on cribs and cots. No infants were observed to be swaddled.
Telephone service, heating, lighting and ventilation were evaluated. Infants have their own cubby to store their belongings. Linens are washed weekly by a laundry service. Per Teacher, the isolation area is in the front desk or in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in the classroom. Disinfectants, cleaning solutions, medication and other items that are dangerous to infants, were inaccessible to infants. Teacher states that there are no poisons stored at the facility. Carbon monoxide detectors were observed and are operable. The Center does not provide food for children. The 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 shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. Bottles were observed to be labeled individually with the children's name. Kitchen counter tops were clean and free of clutter or standing food. The outdoor playground was observed to be physically separate from the preschool
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:
DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/07/2022
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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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: BIXBY OAKS INFANT CENTER
FACILITY NUMBER: 198018410
VISIT DATE: 12/07/2022
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component. Outdoor playground equipment is in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is adequate shade in the play yard. Availability of outdoor drinking water was observed. LPA advised that no children shall be left without the supervision of a teacher at any time. All floors were observed to be clean and safe. All materials accessible to infants were observed to be toxic free. There are no firearms stored on the premises. There are no pools or bodies of water in the facility.
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 Records were reviewed. Infant Needs and Service plans and LIC 9227 Individual Infant Sleeping Plan were reviewed and observed to be in each file. Facility maintains a sleeping log in which infants are physically checked on by staff every 15 minutes. Inspection of required forms was made and documented on the LIC 857. LPA also reviewed staff records. The review of Staff records was documented on the LIC 859. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. Staff present did have proof against TB, measles, pertussis, and influenza. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. Children's roster was reviewed and is current. Center used Bright Wheel Application for Sign-In and Sign-Out sheets and they were reviewed. Children present were signed in. The Facility does not provide meals or snacks; parents provide the food. Parents bring formula from home. First Aid supplies were observed in the classroom. According to the Director, there are currently no infants on medication.
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.htm LPA advised the Director how to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
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: BIXBY OAKS INFANT CENTER
FACILITY NUMBER: 198018410
VISIT DATE: 12/07/2022
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There were no deficiencies cited during today’s inspection. Exit interview was conducted with Site Supervisor, Rudy Rodriguez. 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.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Dayna ChambersTELEPHONE: (323) 558-2962
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
LIC809 (FAS) - (06/04)
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