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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600444
Report Date: 02/12/2025
Date Signed: 02/12/2025 02:22:35 PM

Document Has Been Signed on 02/12/2025 02:22 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LONG BEACH CENTER-ABILITY FIRSTFACILITY NUMBER:
191600444
ADMINISTRATOR/
DIRECTOR:		APRIL STOVERFACILITY TYPE:
840
ADDRESS:3770 EAST WILLOW ST.TELEPHONE:
(562) 426-6161
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 0DATE:
02/12/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Kid's program supervisor - Jaimie BrisenoTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPa) R. Derraco conducted an unannounced case management visit to the above mentioned facility on 02/12/25. LPA arrived at the facility at 12:30 PM and was met by Jaimie Briseno who guided analyst on a tour of the facility. LPA observed no children in care. LPA observed that the school age program starts at 2:30 PM until 6:00 PM, Monday through Friday. The facility was observed to be clean and free of defects.

The purpose of this visit is to obtain additional information regarding an incident that took place on 12/30/24. LPA obtained a copy of a letter that was sent out to parents / guardians indicating what changes will be implemented immediately. The letter was dated 01/02/25. LPA also obtained a copy of LIC 500, an attendance roster from 12/30/24 to 01/05/25, and a staff roster for 12/30/24. LPA received a sign in sheet from the Director on 01/16/25. The sign in sheet is a list of staff members who have completed the required online re-training for Active Supervision and Emergency Preparedness: Missing Persons. A print out of both training modules were provided to the LPA.

A notice of site visit was given and must remain posted for 30-days.

Exit interview conducted and report reviewed with Jaimie Briseno.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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