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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191605376
Report Date: 07/03/2024
Date Signed: 07/03/2024 04:00:15 PM

Document Has Been Signed on 07/03/2024 04:00 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:UNITED FAITH COMMUNITY DAY CARE CENTERFACILITY NUMBER:
191605376
ADMINISTRATOR/
DIRECTOR:
CAROL SANDERSFACILITY TYPE:
850
ADDRESS:6934 LONG BEACH BLVD.TELEPHONE:
(310) 639-0434
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 3DATE:
07/03/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Carol Sanders, TIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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Licensing Program Analysts (LPAs) F. White and K. Dunlap arrived at the above facility for the purpose of an unannounced Case Management - Other inspection. LPA White announced the purpose for the visit and was granted entry into the facility by Administrator, Carol Sanders. There are seven children enrolled and three children present at the time of inspection.

The purpose of this visit is to follow up on a visit conducted on June 25, 2024. There were 17 children present and no proof of a current private school affidavit on file with the department at the time of the inspection. LPAs returned to the facility today to ensure that there are no infants or preschool children commingled with children covered under the Private School Affidavit (PSA). On June 26, 2024, LPA Dunlap communicated with a representative from the Private School Data Administration of the California Department of Education (CDE) who responded with an email and a link providing proof that The school age (4.9 through 18 years or K-12) is covered by a current (2023-24) on file private school affidavit (PSA). The PSA is an annual filing requirement. They will need to file beginning August 1, 2024 for a 2024-25 PSA.
Greater United Faith Apostolic Church/United Faith Community School
· County-District-School (CDS) Code: 19647257081375
· Reported grade range: Kinder through 6th grade
· PSA filed on 10/10/2023, valid for the entire school year, by Carol Sanders.
· Link to filed PSA: https://www3.cde.ca.gov/PSA/Summary?cfn=231010121428226-SJBJ

LPA White informed Director, Carol Sanders that this information is the responsibility of the facility representative to provide Child Care Licensing with current affidavits (annually), and remain knowledgeable and informed of changes in regulations and reporting requirements. LPA White agreed to email Child Care Licensing Provider website information to Director, Carol Sanders.
.......................................................Report Continues 1 of 2 Pages............................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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: UNITED FAITH COMMUNITY DAY CARE CENTER
FACILITY NUMBER: 191605376
VISIT DATE: 07/03/2024
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LPA White and LPM Karen Chambers informed Director that infants are not covered under the private school affidavit and can not be included in the preschool component because there is no infant / toddler component connected to the school. Therefore, the infant can not be on the premises. Director confirmed her understanding of the regulations.

Based on today's observations, and record review there will be no deficiencies cited today according to California Title 22.

A Notice of Site visit will be given and it must be posted for 30 days. Failure to post will result in a civil penalty of $100.

The report was reviewed with Director, Carol Sanders. A copy of the report and appeal rights was given to Carol Sanders, Director.


...............................................Report Ends 2 out 2 Pages.............................................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2024
LIC809 (FAS) - (06/04)
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