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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019033
Report Date: 05/20/2024
Date Signed: 05/20/2024 03:51:46 PM

Document Has Been Signed on 05/20/2024 03:51 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LBUSD BEACH HEAD STARTFACILITY NUMBER:
198019033
ADMINISTRATOR/
DIRECTOR:
KIMBERLY YOUNG & TINA EASTFACILITY TYPE:
830
ADDRESS:3701 E. WILLOW ST.TELEPHONE:
(562) 989-4679
CITY:LONG BEACHSTATE: CAZIP CODE:
90755
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
05/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:21 PM
MET WITH:Head Teacher Martha TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analysts (LPAs) Jeanette Estrada and Jonnisha Culbert conducted an unannounced case management inspection to the facility. The purpose of the visit was due to a discrepancy in information received about the other licensed facility on the premises (license number 198002412).Upon arrival, LPAs met with Head Teacher, Martha Villafana. There were no children present upon LPAs' arrival.

It was reported to the Department on 5/14/24 that three children were diagnosed with Hand, Foot and Mouth Disease (HFM). The Unusual Incident report was made under license number 198002412.
During the today's visit, LPAs were informed that the children listed on the report are enrolled in the Early Head Start classroom under this license number 198019033. LPA advised Head Teacher to have the HFM diagnoses reported to the Department under the correct license number.

Per Staff, the facility has increased sanitizing and cleaning throughout the classrooms and parents have been notified. Per Staff, cases have been reported to the Long Beach Health Department.

No deficiencies cited at this time.
Exit interview was conducted with Keokuk Lagarde Early Learning Center Manager for Licensing Compliance and Quality Assurance.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 05/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2024
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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