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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601818
Report Date: 01/16/2025
Date Signed: 01/16/2025 02:19:30 PM

Document Has Been Signed on 01/16/2025 02:19 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:DOROTHY AHRENS NURSERY SCHOOLFACILITY NUMBER:
191601818
ADMINISTRATOR/
DIRECTOR:		AHRENS-SALLEY,NANCYFACILITY TYPE:
850
ADDRESS:4960 LONG BEACH BLVDTELEPHONE:
(562) 423-3880
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 37DATE:
01/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Assistant Director- Marlene ColleyTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
NARRATIVE
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On January 16, 2025, at 9:00a.m., Licensing Program Analysts (LPAs) Keneisha Dunlap and Tyler Reyes arrived at the above facility for the purpose of a unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Assistant Director- Marlene Colley. There were 49 children enrolled, and 37 children present, and 5 staff present at the time of inspection. This is a preschool program with the hours of operation Monday- Friday from 6:30a.m-5:30p.m. All adults at the facility were discussed and background and fingerprinted cleared. Licensee-Nancy Ahrens arrived at the facility at 1:10p.m.

LPA's observed all posting requirements for operation on the licensing board LIC 203A-License, LIC 610A, PUB 393 LIC 9040, PUB 269, LIC 9148, LIC 500, LIC 613A, Menus, Activity Schedule, and completion testing and remediated lead exceedances.


Documentation of current Fire & Earthquake drill was observed with last drill on 11/22/24.
Fire extinguisher(s) observed with a tag date of 11/27/24.

LPA's observed a operable smoke detectors, and carbon monoxide detectors.

LPA's inspected the classrooms to be equipped with age appropriateness furniture and learning materials. Classrooms have library, manipulative play area, dramatic play areas, and arts & crafts area. Telephone service, heating, lighting, and ventilation were evaluated. Children do nap, and mats are placed in the staff lounge and classrooms. LPA's observed classrooms to be in good condition, free of sharp, loose or pointed parts.

Bathroom 1 & 2 has age appropriate sink and 2 toilets in each. Bathroom 3 & 4 has has age appropriate sink and 1 toilet in each. All bathrooms were in good working condition.
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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOL
FACILITY NUMBER: 191601818
VISIT DATE: 01/16/2025
NARRATIVE
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The isolation area is located in the Directors office.

Facility uses water bottles with children names and water is dispensed via water jug. Cups are cleaned daily. All electrical outlets are covered. All trash cans had lids. First Aid supplies were inventoried. Facility does not administer medication to any children at this time. All cleaning supplies and/or hazardous materials stored in cabinets and drawers with safety latches.

All food items are stored and with current expiration dates. The facility does provide breakfast, lunch, and snack. LPA'ss observed the kitchen area where food is distributed to be clean and organized. Knives are stored in drawer with safety latch. A roster of children names with allergies are kept in the kitchen.

The outdoor play are has climbing structure, swings, bikes, artificial grass on play area, and age appropriate tables and chairs. LPA's observed main care area to be in good condition, free of sharp, loose or pointed parts.

At 11:35a.m., LPA's observed a broken closet door on playground behind a trash bin. LPA Dunlap notified the Assistant Director that the broken door was a potential hazard to fall on someone. The Assistant Director stated that they would remove and place in storage area. The Assistant Director took the door and placed in storage area during visit. This poses a potential health and safety risk to children in care. Technical Violation will be issued.

Facility is reminded that smoking is prohibited on the premises.

Staff Files

Staff #1
File has all licensing required licensing documents(except LIC501) and immunization record in folder.

CPR expiration date of 1/25/25

Expired- Mandated Reporter- 1/1/26


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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 2 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOL
FACILITY NUMBER: 191601818
VISIT DATE: 01/16/2025
NARRATIVE
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Accreditation courses in file.

Staff #2

File has all licensing required licensing documents(except LIC501) and immunization record in folder.

CPR expiration date of 1/26/25

Expired- Mandated Reporter- 12/30/25

Accreditation courses in file.

2 out 2 staff files missing LIC501. LPA Dunlap provided LIC501 to the Licensee to have staff fill out. This poses a potential health and safety risk to children in care. Technical Assistant will be issued.



1 out of 2 staff files did not have TB test. This poses a potential health and safety risk to children in care. Technical Violation will be issued.

Child Files

Child #1


All required licensing forms and Immunization record

Child #2


All required licensing forms and Immunization record

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Criminal Record Clearance - Child Care Centers- Licensee - Nancy Ahrens was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 3 of 8
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: DOROTHY AHRENS NURSERY SCHOOL
FACILITY NUMBER: 191601818
VISIT DATE: 01/16/2025
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maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org

Licensee - Nancy Ahrens was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

3 Technical Violations issued during todays inspection.

1 Technical Assistance issued during todays inspection.

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

Appeal rights reviewed and given to the Licensee - Nancy Ahrens

Exit interview conducted and report was reviewed with the Licensee - Nancy Ahrens

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SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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