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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191602044
Report Date: 12/03/2024
Date Signed: 12/03/2024 01:21:47 PM

Document Has Been Signed on 12/03/2024 01:21 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 DAY NURSERY - EAST BRANCHFACILITY NUMBER:
191602044
ADMINISTRATOR/
DIRECTOR:
GERALDINE UBALDEFACILITY TYPE:
850
ADDRESS:3965 BELLFLOWER BLVD.TELEPHONE:
(562) 421-1488
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY: 91TOTAL ENROLLED CHILDREN: 55CENSUS: 46DATE:
12/03/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Margaret Blevins and Site Supervisor, Daniela Moreno TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 12/03/24 at 9:30, Licensing Program Analysts (LPAs) Alicia Mooberry and Joshua Ortega conducted an unannounced Required - 1 Year Inspection. LPAs met with Program Director, Margaret Blevins and Site Supervisor, Daniela Moreno who provided a tour of the facility. This is an preschool program serving children ages two (2) until entry into the first grade. There is a physically separate infant-toddler program operating on the premises. The facility operates Monday through Friday from 7:30 AM to 5:00 PM.

Between 9:45-10:15 All areas identified on the Facility Sketch were inspected. At approximately LPAs observed the following teacher/child ratios: PS Room 1: 10 children/ 2 Staff; PS Room 2: 21 children/5 Staff; PS Room 3: 15 children/4 staff ). LPAs inspected the classrooms, restrooms, kitchen, outdoor areas including furniture and equipment for safety, cleanliness and good repair. LPA observed telephone service, heating, lighting and ventilation to be satisfactory. Children have individual cubby storage for their belongings. Napping cots are stored appropriately and labeled with children's name. The facility provides sheets and blankets that are laundered weekly. LPA observed drinking water with drinking cups readily available in the classrooms. There are 2 restrooms for children's use with total of 7 toilets and 7 sinks. Age appropriate restrooms, sinks and toilets were inspected for good repair, water temperature, toilet paper, safety and sanitation. All available toilets and sinks are in operable condition. The indoor classrooms have surfaces that appear to be clean and safe and there are age appropriate toys and educational material for children to use. There are first aid supplies in each classroom. LPAs reminded the director to ensure the first aid kits are restocked per Title 22 101226 (d)(1-8).

All materials and surfaces accessible to children are toxic free. Carbon monoxide and smoke detectors were observed in each classroom. Hazardous items including including medicine and cleaning compounds are stored in inaccessible areas such as high cabinets and inaccessible office cabinets. The Director's office is used as an isolation area for ill children and there are portable cots and chairs for rest if necessary. Parents are contacted immediately if children are ill. LPAs observed no bodies of water at the facility. - Page 1

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LONG BEACH DAY NURSERY - EAST BRANCH
FACILITY NUMBER: 191602044
VISIT DATE: 12/03/2024
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LPAs observed children and staff in the outdoor play area which consists of two separate areas surrounded by a local park and center parking lot. Outdoor play equipment was observed to be in good condition, free of sharp, loose or pointed parts. There are various surface types including wood chips, grass and sand. Areas around and/or under climbing equipment have cushioning material to absorb a fall. All materials and surfaces accessible to children appear to be toxic free. Per Site Supervisor, the outdoor area is routinely scanned by staff to ensure there are no hazards to children.

The kitchen and food storage areas were inspected for safety, cleanliness and proper equipment. Food/Snacks were reviewed for availability, quantity, expiration dates and appropriateness for children in care. The facility provides breakfast, lunch and an a PM snack. LPA observed the kitchen appear to be in safe and sanitary condition. LPA observed menus (that were visibly posted at least one week in advance) visible to the child's authorized representative. LPAs also observed drinking water available for children indoors and outdoors.


Trash receptacles that contain solid waste have tight fitting covers. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are locked and/or inaccessible.

LPA Mooberry observed all children present signed in by the authorized representative in Care Connect App.


LPA Ortego conducted a Staff and Children's Records Review of 6 (six) files for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights etc.on file. Children's roster was reviewed and is current.

Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training, LPA observed at least one staff member to have current CPR (Expiration March 2024).

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. ------------------------ Page 2 - Report Continues

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LONG BEACH DAY NURSERY - EAST BRANCH
FACILITY NUMBER: 191602044
VISIT DATE: 12/03/2024
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All medications are stored in an inaccessible lock box in classrooms. Fire extinguishers (type 2A-10BC) must be serviced at least annually (LPA observed service date 5/13/24).

During this inspection LPA Ortega reviewed new Site Supervisor's file and advised on competing all required documentation, LPA reminded Director of Programs to report and change of Director/Site Supervisor to Child Care Licensing office within 10 days of change and provided all required documentation showing director qualifications.

Most recent Fire and disaster drill was conducted in October 2024). Role and responsibilities of being a Mandated Reporter were reviewed. The Site Supervisor states they are aware of their responsibility to know the regulations as well as anyone who assists in providing care. LPA advised how to access forms and Regulations online at www.ccld.ca.gov.

The facility representative 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 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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

There were no deficiencies cited at this time.

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.

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


Exit interview conducted and report was reviewed with Program Director, Margaret Blevins and Site Supervisor, Daniela Moreno.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2024
LIC809 (FAS) - (06/04)
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