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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009398
Report Date: 01/16/2025
Date Signed: 01/16/2025 09:34:58 AM

Document Has Been Signed on 01/16/2025 09:34 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:ST. BARNABAS PRESCHOOLFACILITY NUMBER:
198009398
ADMINISTRATOR/
DIRECTOR:		PATRICIA JOHNSONFACILITY TYPE:
850
ADDRESS:1130 MARSHALL PLTELEPHONE:
(562) 988-8481
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 15TOTAL ENROLLED CHILDREN: 15CENSUS: 14DATE:
01/16/2025
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Acting Director- Suzanne WrenTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
NARRATIVE
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On January 16, 2025, at 9:00a.m., Licensing Program Analysts (LPAs) Keneisha Dunlap and Tyler Reyes arrived at the above facility for the purpose of a Case Management visit. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Acting Director- Suzanne Wren. There were 15 children enrolled, and 14 children present, and 2 staff present at the time of inspection. The hours of operation are Monday- Thursday from 7:50a.m-2:50p.m.,Friday from 7:50a.m.-12:50p.m. All adults at the facility were discussed and background and fingerprinted cleared.

The purpose of today's inspection was to discuss the water lead test results. Acting Director provided LPA Dunlap with a copy of lead testing report that included LIC 9275 and LIC 9276. The lead testing report showed no exceedances of lead at the facility. All fountains, and sinks are cleared for usage.

The facility was reminded that lead results must be posted.

A notice of site visit was given and must remain posted for 30 days.

There are no deficiencies issued during inspection.

Appeal rights reviewed and given to the Acting Director- Suzanne Wren.

Exit interview conducted and report was reviewed with the Acting Director- Suzanne Wren.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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