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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019203
Report Date: 02/02/2023
Date Signed: 04/07/2023 05:49:34 PM


Document Has Been Signed on 04/07/2023 05:49 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:ROOSEVELT HEAD STARTFACILITY NUMBER:
198019203
ADMINISTRATOR:LA TUNYA FISHERFACILITY TYPE:
850
ADDRESS:1574 LINDEN AVETELEPHONE:
(562) 218-1164
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY:48CENSUS: 19DATE:
02/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Patsy LeBlanc, Early Learning Center ManagerTIME COMPLETED:
01:30 PM
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On 02/02/2023 at 11:15 AM 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 Patricia Lopez-Castro, Head Teacher (S1), who granted entry to facility. Facility is currently licensed for a capacity of 48 and per S1 they have 48 enrolled. Facility is located on Theodore Roosevelt Elementary school campus. The program currently operates a Part Day Collaborative Co-Teachering (CCT) AM/PM Program and a Full Day program. LPAs were taken on a guided tour of the facility of both indoors and outdoors. LPAs observed required licensing postings including waiver for shared Outdoor Play Yard. Patsy LeBlanc, Early Learning Center Manager (ELCM) and Jenny Acosta, Program Coordinator, joined inspection at a later time.

At the initial start of the site visit, there is a total census of 19 children and a total census of eight teachers present. Facility is made up of two classrooms RM 105 (CCT AM/PM Program) and RM 107 (Full Day TK Program). LPAs arrived at facility as RM 105 AM Program was being dismissed for the day and RM 107 was transitioning out of lunch to nap time. LPAs observed 19 children in RM 107 with three staff (S6, S7, and S8).

Beginning at 11:20 AM, furniture and equipment were inspected for age appropriateness and good repair. LPAs 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 in each classroom at time of inspection. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats/cots were inspected. LPAs observed cots laid out in RM 107 that does not hinder walkways or exits. Per S1, linens are provided by the facility and washed weekly by laundry service. Availability of drinking water was reviewed. LPAs observed water pitchers with plastic cups available for classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water
Report Continues - Page 1 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
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: ROOSEVELT HEAD START
FACILITY NUMBER: 198019203
VISIT DATE: 02/02/2023
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temperature, toilet paper, area safety and sanitation. LPAs observed two bathrooms available in each classroom that each have one toilet and one sink, totaling two toilets and two sinks, with a third sink available outside of the bathroom.

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. Per S1, staff picks up lunch from cafeteria. AM Program is provided Breakfast, PM Program is provided Lunch, and Full Day Program is provided Breakfast, Lunch, and Snack. Trash cans used to discard food have tight fitting lids.

A first aid kit is kept in each classroom and was inventoried for necessary supplies. At 11:38 AM Carbon monoxide detectors were tested and observed operable. 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 01/25/2023. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. S1 states that there are no poisons stored at the facility. At 11:29 AM, LPAs observed medicine that is stored in RM 105 for C1 to have required documents and to be stored per Title 22 Regulation requirements. S1 states that sick/isolation area is in school's Nurse's Office.

Beginning at 11:33 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPAs observed shaded area available for children under walkway and a multi-level play structure with slide that has cushioning material to absorb fall that is well maintained. LPAs observed bicycles, plastic kitchen, and other toys available for children to use outside that is well maintained. LPAs advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. Per S1, the children have access to 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. LPAs observed all children present signed in and all children from AM Program signed in and out at time of inspection. Personal Rights of children were observed by LPA.

Report Continues - Page 2 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
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: ROOSEVELT HEAD START
FACILITY NUMBER: 198019203
VISIT DATE: 02/02/2023
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Beginning at 12:16 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.

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 07/10/2023 for S5. 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, Patsy LeBlanc.
Report Ends Page 3 of 3
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
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: 3 of 3