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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018884
Report Date: 12/12/2019
Date Signed: 12/12/2019 12:09:11 PM

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:KIDZ LEARNING KINGDOMFACILITY NUMBER:
198018884
ADMINISTRATOR:RIVAS, CARINAFACILITY TYPE:
830
ADDRESS:3588 LONG BEACH BLVD.TELEPHONE:
(562) 989-8228
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY:24CENSUS: 9DATE:
12/12/2019
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
07:35 AM
MET WITH:Carina Rivas, LicenseeTIME COMPLETED:
09:45 AM
NARRATIVE
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An unannounced Case management deficiencies- Inspection was conducted on this date by Susann Sanchez, Licensing Program Analyst (LPA). Upon arrival LPA met with teachers Letica Ramirez- Murry & Delicia Mckie. The purpose of this visit was to address citations observed. Upon LPA's arrival, three infants and six children were observed with two staff in the preschool area. Carina Rivas, Director/ Owner arrived during inspection.

On 10/04/2019 & 12/12/2019, LPA observed Infant Center co-mingling with the Preschool. On both inspections, all the children were gathered in the preschool room. During interviews conducted with staff and parents, discourses were made that children all gather in the morning time (6:00am) in the preschool area. This issue was address on 10/04/2019, per director staff will be coming in earlier at 7:30am so facility is not co-mingling. As preschoolers are supposed to be kept physically separated from the infants and toddlers, the Center is being cited for co-mingling.

LPA also observed a child strapped in a car seat and staff #2 moving the car seat up and down with her/his foot. LPA asked staff #2 to please remove child from the car seat.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. A copy of the Parent Notification Requirements was also provided to the licensee.

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. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Carina Rivas, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.



SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
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: KIDZ LEARNING KINGDOM
FACILITY NUMBER: 198018884
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/13/2019
Section Cited

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Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components.The requirement is not met as evidenced by LPA observed infants with preschool children on 10/04/2019 &12/12/2019.
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 This poses an immediate risk to the health and safety of children in care.
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Type A
12/13/2019
Section Cited

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Personal Rights: Children should not to be placed in any restraining device. Postural supports may be used as specified in Section 101223.1. The requirement is not met as evidenced by LPA observed infant strapped into a car seat. This poses an immediate risk to the health and safety of children in care.

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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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Susann SanchezTELEPHONE: (323) 981-3366
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2019
LIC809 (FAS) - (06/04)
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