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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018189
Report Date: 11/17/2023
Date Signed: 11/17/2023 02:31:49 PM

Document Has Been Signed on 11/17/2023 02:31 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- WEBSTER CDCFACILITY NUMBER:
198018189
ADMINISTRATOR:RANDY SANCHEZFACILITY TYPE:
850
ADDRESS:1740 WEST 34TH WAYTELEPHONE:
(562) 989-1378
CITY:LONG BEACHSTATE: CAZIP CODE:
90810
CAPACITY: 48TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
11/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:46 PM
MET WITH:Facility RepresentativeTIME COMPLETED:
02:56 PM
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An unannounced Case Management Inspection was conducted on 11/17/23 by Licensing Program Analyst (LPA) Raul Navarro to address an Unusual Incident Report that was received in the licensing office on 11/01/23. LPA arrived at the facility at 1:46pm and met with Coordinating Teacher Randy Sanchez who guided LPA on a tour of facility. There were nine children present during today's inspection.

On 11/01/23 ,during a transition time from outdoor play to indoor at about 9:30am, Child #1 ran out the gate as Staff #1 was coming in to work. Staff #2 caught up with the child and brought him back to CDC.

LPA interviewed Staff #1. Per Staff #1, they were coming in from the parking lot through the gate with some cupcakes. Staff #1 hands were occupied and could not lock the gate right away. Staff #1 greeted the child. Child ran behind her and into the parking lot. Per Staff #1, Staff #2 immediately ran behind the child and brought him back to the classroom. Per Staff #1, child was never out of their site and maintained visual supervision of the child at all time. Staff #2 was not present during today's inspection. Parent was informed and a meeting was scheduled. Staff meeting was scheduled and student safety strategies were discussed with staff. Staff was reminded to lock the gate immediately after closing it.

Based on all information obtained on this date, and interview conducted with Staff, no follow-up is necessary regarding the incident. There were no deficiencies observed in regards to today's visit.

Exit interview was conducted with Facility Representative Randy Sanchez . A notice of sit visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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