198019547-11-30-2022-54-CC-KCHE-CLNT4U-20221130132430

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198019547
Report Date: 11/30/2022
Date Signed: 11/30/2022 01:24:42 PM

Document Has Been Signed on 11/30/2022 01:24 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:	LBUSD-KING CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198019547
ADMINISTRATOR:	KIMBERLY KELLY		FACILITY TYPE:	850
ADDRESS:	145 EAST ARTESIA BLVD		TELEPHONE:	(562) 428-3813
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	24	CENSUS: 8	DATE:	11/30/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Sandra Bobadilla, Teacher		TIME COMPLETED:	02:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced Required – 1 Year Inspection was conducted on 11/30/2022 at 12:05 PM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 24 but have 14 enrolled. Licensing staff initially met with Sandra Bobadilla (S1), Teacher, who provided a guided tour of the facility both indoors and outdoors. LPA was later joined by Nicole Vasallo, Coordinating Teacher, at 12:20 PM. Facility is located on Starr King Elementary School campus in RM 33. The program currently operates a Part Day program Monday thru Friday from 12:00 PM to 3:00 PM. LPA observed required licensing postings on Parent Board which includes waivers for shared outdoor playground space, use of outside restroom, and use of electronic sign in/out. At the initial start of the site visit, there is a total census of eight children and a total census of three staff present (S2 and S3). Beginning at 12:10 PM, furniture and equipment were inspected for age appropriateness and good repair. LPA observed carpets, and child size tables and chairs available for children well maintained. LPA observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library/sensory area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Availability of drinking water was reviewed. LPA observed water cooler available for children and children's personal water bottles. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. At 12:24 PM, LPA walked to the outside bathroom, which is located next to classroom and was less than a minute walk from classroom. LPA observed two bathrooms available each with three toilets and two sinks. Snack/lunch menus were observed posted and reviewed. All meals and snacks are provided by near by elementary school cafeteria, LPA observed lunch being delivered to classroom by cafeteria staff. Children are provided with a full lunch. Trash cans used to discard food have tight fitting lids. Report Continues - Page 1 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (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 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: LBUSD-KING CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198019547
	VISIT DATE: 11/30/2022

NARRATIVE

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A first aid kit is kept in a mobile cart in the classroom that is taken to and from outside play area. At 12:19 PM, carbon monoxide detectors were tested and smoke detectors observed present in the facility. Fire extinguishers have been serviced on 08/04/2022. LPA observed disaster drill log available, last drill conducted on 11/15/2022. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Coordinating Teacher states that there are no poisons stored at the facility. Per S1, there are currently no children with medications in the program.

Beginning at 12:25 PM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA observed benches and tables with shaded area and two play structures that has cushioning material to absorb fall that is all well maintained. LPA observed bicycles, plastic playhouse, and other toys available for children to use outside that is well maintained. LPA advised CT that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to their water bottles and a water cooler during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

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 signed in with full signatures via digital sign in during inspection. Personal Rights of children were observed by LPA.

Beginning at 12:55 PM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857. The review of Staff records was documented on the LIC 859.

Staff present did have proof of the AB 1207 Mandated Reporter Training certificate and Pest Management on file. LPA observed Pediatric First Aid/CPR expires on 10/2023 for S1. LPA did not review confidential staff files during the inspection due to the staff confidential files being stored at the administrative office.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.
Report Continues - Page 2 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (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 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: LBUSD-KING CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198019547
	VISIT DATE: 11/30/2022

NARRATIVE

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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, Nicole Vasallo.

Report Ends Page 3 of 3

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina Chicote	TELEPHONE: (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)

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