191607980-1-18-2023-54-CC-KCHE-CN7QNP-20230118111930

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191607980
Report Date: 01/18/2023
Date Signed: 01/18/2023 11:19:38 AM

Document Has Been Signed on 01/18/2023 11:19 AM - 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-HOLMES CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191607980
ADMINISTRATOR:	CHRISTINA CORTEZ		FACILITY TYPE:	850
ADDRESS:	5020 BARLIN AVENUE		TELEPHONE:	(562) 531-8519
CITY:	LAKEWOOD	STATE: CA	ZIP CODE:	90712
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 43	CENSUS: 18	DATE:	01/18/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Fatima Barajas, Coordinating Teacher		TIME COMPLETED:	11:30 AM

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	On 01/18/2023 at 9:22 AM an Unannounced Required – 1 Year Inspection was conducted by Licensing Program Analysts (LPAs) Katrina Chicote and Franchesca White. Facility is currently licensed for a capacity of 21. Licensing staff met with Fatima Barajas, Coordinating Teacher (CT). The program currently operates two part time Collaborative Co-Teaching programs: AM Program runs from 8:00 AM to 11:00 AM and PM Program runs 12:00 PM to 3:00 PM Monday thru Friday. LPAs singularly toured facility both indoors and outdoors. Facility is located on the Holmes Elementary School campus in Bungalow B-36. LPAs observed required licensing postings on Parent Board classroom. At the initial start of the site visit, LPAs observed children and staff using outdoor space and observed a total census of 18 preschoolers and a total census of four staff (Staff 1(S1), S2, S3, and S4) present. Beginning at 9:29 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPAs observed age appropriate play structure with steps and two slides with cushioning material below to absorb fall all well maintained. LPAs observed concrete through out playground with designated bike path free of hazards at time of inspection. LPAs observed bicycles, plastic playhouse, and other toys available for children to use outside that is well maintained. Required shade and fencing were inspected. LPAs observed benches with umbrellas and building providing shaded area at time of inspection. LPAs advised CT that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. LPAs observed that children have access to their water bottles during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed. Report Continues - Page 1 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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-HOLMES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191607980
	VISIT DATE: 01/18/2023

NARRATIVE

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Beginning at 9:36 AM, furniture and equipment were inspected for age appropriateness and good repair. LPAs observed carpets and flooring in classroom to be free of hazards. LPAs observed child size tables and chairs available for children well maintained. LPAs observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Per CT, children do not nap at the facility due to part time program offering. Availability of drinking water was reviewed. LPAs observed children's personal water bottles for water which teachers refill through water fountains in classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPAs observed two bathroom available in classroom that each had one toilet and one sink, totaling two toilets and two sinks, with a third sink available outside of the bathroom.

Snack/lunch menus were reviewed. All meals and snacks are provided by the Long Beach Unified School District. Per CT, AM Program is provided a breakfast and PM Program is provided lunch which staff picks up from elementary school cafeteria. Trash cans used to discard food have tight fitting lids.

LPAs observed a first aid kit is kept in classroom near sink and was inventoried for supplies. At 9:37 AM, carbon monoxide detectors were tested and smoke detectors observed present in the facility. Fire extinguishers have been serviced on 07/18/2022. LPAs observed disaster drill log available, last drill conducted on 11/30/2022. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Per CT, those items are stored in separate storage room and shed outside of classroom. Coordinating Teacher states that there are no poisons stored at the facility and no children in care currently have medications. LPAs observed storage for medicine in classroom and no medicines were 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. Facility is currently using electronic sign in/out procedures and LPAs observed all children present signed in at time of inspection. Personal Rights of children were observed by LPA.

Report Continues - Page 2 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

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-HOLMES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191607980
	VISIT DATE: 01/18/2023

NARRATIVE

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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.

Beginning at 10:20 AM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. LPA observed Pediatric First Aid/CPR expires on 07/2023 for S3. LPA did not review confidential staff files during the inspection due to the staff confidential files being stored at the administrative office.

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 following were discussed with the Coordinating Teacher:
Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location. LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited only advisories given on 01/18/2023.

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, Fatima Barajas.

Report Ends Page 3 of 3

SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:	DATE: 01/18/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2023

LIC809 (FAS) - (06/04)

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