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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191671133
Report Date: 02/12/2025
Date Signed: 02/12/2025 10:13:34 AM

Document Has Been Signed on 02/12/2025 10:13 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LBUSD-TWAIN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191671133
ADMINISTRATOR/
DIRECTOR:		KELLIE HAUSERFACILITY TYPE:
850
ADDRESS:4666 SUNFIELD AVE.TELEPHONE:
(562) 425-2735
CITY:LONG BEACHSTATE: CAZIP CODE:
90808
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 50DATE:
02/12/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Coordinating Teacher - Nicole Vasallo TIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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Licensing Program Analysts Jeanette Estrada and Tyler Reyes conducted an unannounced case management inspection at the facility due to an incident that was reported to the Department. LPA met with Coordinating Teacher Nicole Vasallo and explained the reason of the visit. LPA observed 50 children and 6 staff present during the inspection.

The unusual incident was reported on 10/8/24. The incident reported was regarding a possible violation of a child’s personal rights. LPA conducted an initial visit on 10/10/24 and collected pertinent documents to review. Child 1 was interviewed on 11/12/24 regarding the incident and did not corroborate the information reported. LPA conducted staff interviews on 1/10/25 and 1/14/25. Staff interviews did not corroborate the information reported. Interviews did not reveal a violation of a child's personal rights therefore no deficiencies are being issued today.

Exit interview conducted with Facility Representative Nicole Vasallo. A copy of this report and a Notice of Site Visit were provided. Facility Representative were advised Notice of Site Visit must remain posted for 30 days.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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