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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670563
Report Date: 12/22/2022
Date Signed: 12/22/2022 11:48:18 AM

Document Has Been Signed on 12/22/2022 11:48 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-CENTRAL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670563
ADMINISTRATOR:AMY PAYNEFACILITY TYPE:
850
ADDRESS:1133 RHEATELEPHONE:
(562) 591-7717
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 88TOTAL ENROLLED CHILDREN: 42CENSUS: 35DATE:
12/22/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amy Payne, Coordinating Teacher TIME COMPLETED:
10:30 AM
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On 12/22/2022 at 9:15 AM, Licensing Program Analyst (LPA) Katrina Chicote conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 12/16/2022. Upon arrival, LPA announced purpose of visit and met with Amy Payne, Coordinating Teacher, who granted entrance to facility and provided LPA a tour of the facility inside and outside. Census was taken.

On 12/16/2022, an incident was reported to the department in regards to upcoming construction to facility floors which will result in closing the facility from 12/26/2022 - 01/06/2023. The facility reported this incident to the Department within the required 24 hours and submitted a written report within seven days, complying with Title 22 Regulation reporting requirements.

During this inspection LPA interviewed Coordinating Teacher in regards to facility's plans for construction and accommodations made for families and staff. Coordinating Teacher states floors in hallways of facility will be replaced but classrooms will not be affected at this time. LPA observed area where planned flooring will be replaced at time of inspection. Per Coordinating Teacher, Full Day program is consolidating to another CDC site while AM Program will be off for Winter Break. Coordinating Teacher states parents were informed verbally during pick up/drop off as well as written notices sent out. LPA obtained copies of written notices at time of inspection.

Based on the information obtained and LPA observations, the facility provided notices to parents in a timely manner and have provided reasonable accommodations for children and staff. No deficiencies will be cited today.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit 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 Licensee (or facility representative), Amy Payne.
Report Ends - Page 1 of 1
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/22/2022
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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