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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002619
Report Date: 02/22/2024
Date Signed: 02/22/2024 11:42:08 AM

Document Has Been Signed on 02/22/2024 11:42 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:YMCA GLB CREATIVE BEGINNINGS PRESCHOOLFACILITY NUMBER:
198002619
ADMINISTRATOR:NICOLAS ARAYAFACILITY TYPE:
850
ADDRESS:5600 LINDEN AVE.TELEPHONE:
(562) 422-2616
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 38DATE:
02/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Alexandra Izaguirre - Associate Executive DirectorTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA's) Randy Derraco and Anthony Padilla conducted a announced case management visit to the above mentioned facility on 2/22/24 at 9:15am. LPA's met with associate executive director Alexandera Izaguirre who guided analyst on a tour of the facility. During the visit LPA's observed 38 children in care with 8 staff members. LPA's observed the facility to be clean and in good repair. The center was observed to be in compliance with Title 22 Regulations.

The purpose of this visit is to review the guidelines for the use of a Therapy Room located on the second (2nd) floor of the facility. During the inspection LPA's obtained an updated facility sketch and discussed details regarding how the therapy room shall be used. The room is located on the 2nd floor on the south side of the building.

Per director the room will be locked while not in use. The room was observed with age appropriate toys, child sized table, child size chairs, a leather couch, four leather chairs, and air conditioning unit mounted on the window. Per director therapy sessions will be documented in the child's personnel file using a parental consent form signed by the parent/guardian. The facility will provide an associate marriage and family therapist or marriage and family therapist trainee. Family therapy sessions will be conducted after hours, however individual therapy sessions for children will be conducted once a week lasting no longer than 30 minutes per session during regular hours of operation. Director states that therapist will sign child in/out using Care Connect application. Therapist will be assigned their own code to document that the child has been sign in/ signed out. Parental consent is also documented to allow child to be signed in/signed out of the classroom to attend therapy session. Therapist will have a criminal background clearance and association to the main facility number 198000569. Types of therapy offered to children in care include, but not limited too, grief counseling, emotional support, divorce, and abuse. Per Director, and addendum to the parent handbook will be made to reflect the additional services being offered.

An exit interview was conducted and report was reviewed with Associate Executive Director, Alexandra Izaguirre and Site Director, Angie Orona
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2024
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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