<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670722
Report Date: 02/16/2024
Date Signed: 02/16/2024 01:22:47 PM

Document Has Been Signed on 02/16/2024 01:22 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LBUSD-GRANT CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670722
ADMINISTRATOR:KIMBERLY KELLYFACILITY TYPE:
850
ADDRESS:6405 WALNUT AVETELEPHONE:
(562) 422-4686
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 95TOTAL ENROLLED CHILDREN: 95CENSUS: 50DATE:
02/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:April Tucker, Coordinating TeacherTIME COMPLETED:
01:40 PM
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
Licensing Program Analysts (LPAs) Susann Sanchez and Ashley Calderon conducted an unannounced case management inspection to follow up on several incidents that was reported to the Department. Upon arrival, LPAs met with Coordinating Teacher, April Tucker who provided LPAs a tour of the facility inside and outside. Census was taken.

On 09/12/23, an unusual incident report was made to the department regarding a portion of the outdoor fence is going to be replaced. Construction took a couple of days. During this time the area was blocked off and inaccessible. Based on LPAs observation, the fence on the perimeter was replaced. There was a gate between the grass area and the pavement located on the left side of the playground was removed from the playground area so children have more outside play space. Play area has a fence to secure safety. LPA's took photos to update the file.

On 02/01/24, an unusual incident report was made to the department regarding Child #1 took a fire extinguisher off the wall and threw it on 01/31/24. During this investigation LPAs interviewed staff. During incident there was 2 staff members and one other child. LPAs took photos and measured where the fire extinguisher is. The fire extinguisher measured at 2 1/2 feet from the ground up. Administrator Cristabelle Rodriguez stated that Long Beach Fire Inspector Edward Martinez is scheduled to come out and move up fire extinguisher so it's 4 to 5 feet higher to ensure the safety of children in care.

On 02/08/24, an unusual incident report was made to the department regarding an incident that occurred on 02/07/24, April Tucker, Coordinating Teacher stated that Child #1 opened the main door of the facility and walked 3 steps out the door. At this time, Child #1 had 4 staff members assisting Child #1 so child was always supervised. Adult #1 quickly grabbed child hand and quickly guide them back into the facility. Administrative staff is currently working with Child #1 guardian and have developed a plan to better assist
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2024
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 2
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-GRANT CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670722
VISIT DATE: 02/16/2024
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
26
27
28
29
30
31
32
Child #1. Since incident Child #1 was placed at a different location within Long Beach United School District CDC program where there are smaller ratios and and more staff.

All incidents were reported to the Department within the required 24 hours. Facility corrected all issues and staff was fully supervising children during incidents.

Exitinterview was conducted with Teacher M. Ramirez. 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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/16/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2