198002668-2-2-2023-54-CC-KCHE-CNNVQA-20230202153711

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198002668
Report Date: 02/02/2023
Date Signed: 02/02/2023 03:37:20 PM

Document Has Been Signed on 02/02/2023 03:37 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-WILLARD CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198002668
ADMINISTRATOR:	RESHON MOUTRA		FACILITY TYPE:	850
ADDRESS:	1055 FREEMAN AVENUE		TELEPHONE:	(562) 987-1926
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90804
CAPACITY: 47	TOTAL ENROLLED CHILDREN: 0	CENSUS: 13	DATE:	02/02/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	TIffany Sanchez, Coordinating Teacher		TIME COMPLETED:	04:15 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	On 02/02/2023 at 1:30 PM an unannounced Required – 1 Year Inspection was conducted by Licensing Program Analysts (LPAs) Katrina Chicote and Franchesca White. Licensing staff announced purpose of visit and initially met with Staff 1(S1), who granted entry to facility. Tiffany Sanchez, Coordinating Teacher (CT), joined facility inspection soon after arrival. Facility is located on Willard Elementary School campus. Facility is currently licensed for a capacity of 47, per CT facility currently has 58 enrolled. The program currently operates Part-Time Programs AM1 from 8:00 AM to 11:00 AM, PM1 from 12:00 PM to 3:00 PM, AM2 from 9:00 AM to 12:00 PM and PM2 Program from 1:00 PM to 4:00 PM. LPAs singularly toured the facility of both indoors and outdoors. LPAs observed required licensing postings on Parent Board which includes Outdoor Waiver, Sign In/Out Procedures, and use of Kindergarten Bathroom. At the initial start of the site visit, there is a total census of 13 children and a total census of four teachers present. The facility is made up of two classrooms RM-1 and RM-4. LPAs observed RM-4 with seven kids and two staff (S1 and S2) and RM-1 with six kids and three staff (S3, S4, and S5). Beginning at 1:37 PM, furniture and equipment were inspected for age appropriateness and good repair in each classroom. LPAs observed child size tables and chairs available for children well maintained. LPAs observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library area available for quiet play. LPAs observed floors and carpets to be free of hazards at time of inspection. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Per CT, children do not nap at facility due to part time programs. Availability of drinking water was reviewed. LPAs observed children's personal water bottles in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPAs observed two bathrooms available in RM-1 that had one toilet and one sink, totaling two toilets and two sinks. Per CT, children use school restroom which is next to RM-4, LPAs observed these restrooms at time of inspection that had six additional toilets and four sinks. Report Continues - Page 1 of 3

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 3

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-WILLARD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198002668
	VISIT DATE: 02/02/2023

NARRATIVE

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Snack/lunch menus were reviewed and observed posted at time of inspection. All meals and snacks are provided by the Long Beach Unified School District which is picked up by facility staff. AM/PM programs are each provided with a full lunch. Per CT, staff picks up lunch from cafeteria. Trash cans used to discard food have tight fitting lids.

A first aid kit is kept in each classroom on a mobile cart and LPAs inventoried for supplies. Carbon monoxide detectors were tested and observed operable in each classroom. LPAs observed smoke detectors observed present in the facility and fire extinguishers have been serviced. LPAs observed disaster drill log available, last drill conducted on 12/18/2022. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Coordinating Teacher states that there are no poisons stored at the facility. Per multiple staff statements, no children in care at time of inspection require medications. CT states that isolation area for sick children is in school's Nurse's Office.

Beginning at 1:49 PM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. LPAs observed play structure to the right of outdoor play area that has cushioning material to absorb fall that is well maintained. LPA observed bicycles, plastic playhouse, and other toys available for children to use outside that is well maintained. Required shade and fencing were inspected. LPA Chicote advised CT that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to their water bottles and a water cooler during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed and all children present were observed signed in at time of inspection. Personal Rights of children were observed by LPA.

Beginning at 2:45 PM, staff and children’s records were reviewed. Children’s Records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857. The review of Staff records was documented on the LIC 859.
Report Continues - Page 2 of 3

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

LIC809 (FAS) - (06/04)

Page: 2 of 3

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-WILLARD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198002668
	VISIT DATE: 02/02/2023

NARRATIVE

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Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. LPA observed Pediatric First Aid/CPR expires on 07/2023for S1. LPA did not review confidential staff files during the inspection due to the staff confidential files being stored at the administrative office. All staff and employees have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Long Beach Unified School District.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 02/02/2023.

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, Tiffany Sanchez.

Report Ends Page 3 of 3

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

LIC809 (FAS) - (06/04)

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