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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002412
Report Date: 05/20/2024
Date Signed: 05/20/2024 03:51:00 PM

Document Has Been Signed on 05/20/2024 03:51 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LBUSD BEACH HEAD STARTFACILITY NUMBER:
198002412
ADMINISTRATOR/
DIRECTOR:
KIMBERLY YOUNGFACILITY TYPE:
850
ADDRESS:3701 E.WILLOW ST.TELEPHONE:
(562) 989-4678
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
05/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:00 PM
MET WITH:Head Teacher Martha TIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Jeanette Estrada and Jonnisha Culbert conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 5/14/24. Upon arrival, LPAs met with Head Teacher, Martha Villafana. LPAs informed her of the reason for the visit. There were no children present upon LPAs' arrival.
It was reported to the Department on 5/14/24 that three children were diagnosed with Hand, Foot and Mouth Disease (HFM). During the today's visit, LPAs were informed that the children listed on the report are enrolled in the Early Head Start classroom under license number 198019033. The Early Head Start classroom is on the same premises as this facility. LPA advised Head Teacher to have the HFM diagnoses reported to the Department under the correct license number. Per Staff, there have been three cases diagnoses since 5/14/24 for this facility. LPA advised for these three cases to be reported to the Department.
Per Staff, the facility has increased sanitizing and cleaning throughout the classrooms and parents have been notified. Cases have been reported to Long Beach Health Department.
No deficiencies cited.

Exit interview was conducted with Keokuk Lagarde Early Learning Center Manager for Licensing Compliance and Quality Assurance.
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: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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