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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670879
Report Date: 02/02/2023
Date Signed: 02/02/2023 10:48:32 AM

Document Has Been Signed on 02/02/2023 10:48 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-MUIR CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670879
ADMINISTRATOR:RANDY SANCHEZFACILITY TYPE:
850
ADDRESS:3105 EASY STREETTELEPHONE:
(562) 427-5515
CITY:LONG BEACHSTATE: CAZIP CODE:
90810
CAPACITY: 72TOTAL ENROLLED CHILDREN: 0CENSUS: 13DATE:
02/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cecilia Verduzco, Coordinating TeacherTIME COMPLETED:
11:15 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 02/02/2023 at 9:20 AM, Licensing Program Analysts (LPAs) Katrina Chicote and Franchesca White conducted an Unannounced - Case Management inspection to follow up on an incident that was reported to the Department on 01/18/2023. Upon arrival, LPAs announced purpose of visit and met with Cecilia Verduzco, Coordinating Teacher, who granted entry to facility. LPAs observed 13 children with two staff (S1 and S2) during inspection.

On 01/18/2023, an incident was reported to The Department by Facility Representatives, where a parent alleges their child's personal rights were violated while in care. The purpose of the inspection was to conduct interviews of children in classroom where alleged incident took place. LPAs interviewed six children (C1 - C6) and additional staff during inspection.

Based on the information collected during multiple inspections and interviews conducted of staff and children, there is not enough preponderance of evidence to substantiate the reported allegation. Therefore, there were no deficiencies cited on this date.

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, Cecilia Verduzco.
Report Ends - Page 1 of 1
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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 1