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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007432
Report Date: 11/15/2022
Date Signed: 11/15/2022 03:40:22 PM


Document Has Been Signed on 11/15/2022 03:40 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:BUNDLE OF JOY DAYCARE #3FACILITY NUMBER:
198007432
ADMINISTRATOR:YOLANDA STOWEFACILITY TYPE:
850
ADDRESS:4835 LONG BEACH BLVD.TELEPHONE:
(562) 728-6882
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY:45CENSUS: 1DATE:
11/15/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lead Teacher - Erika TriplettTIME COMPLETED:
03:55 PM
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Licensing Program Analyst (LPA) R. Derraco conducted a case management visit to the above mentioned facility on 11/15/22. LPA arrived at the facility at 2:00 PM and was met by Lead Teacher Erika Triplett, who guided analyst on a tour of the facility. Also present during this visit was S2. There was one child in care upon arrival. The purpose of this visit was to observe corrections to citations that were issued during an annual inspection on 10/14/22. LPA observed the facility to be clean and in good repair. Per lead teacher, classroom Miracles is currently off limits due to re-model.

During the inspection:
-LPA observed completed sign in and sign out sheets with the full signature of the authorized representative dropping off and picking up their respective children.
-LPA observed no expired items in the refrigerator or kitchen
-LPA observed the outdoor activity space to free of any hazards
-LPA observed that facility association list is up to date with clearances for each individual.
-LPA observed that disinfectants, cleaning solutions, poisons and other items were inaccessible to children in care
-LPA observed disaster drill log - last drill conducted: fire drill 06/2022

No deficiencies will be cited today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the lead teacher, Erika Triplett

SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Randy DerracoTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2022
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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