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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020201
Report Date: 03/13/2025
Date Signed: 03/13/2025 12:20:20 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 03/13/2025 12:20 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:YMCA GLB FAIRFIELD CARMELITOSFACILITY NUMBER:
198020201
ADMINISTRATOR/
DIRECTOR:		ANGELICA CORTEZFACILITY TYPE:
840
ADDRESS:851 EAST VIA CARMELITOSTELEPHONE:
(562) 423-0491
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
03/13/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:11 AM
MET WITH:Program Coordinator – Giselle BrionesTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On March 13, 2025, at 10:11a.m., Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for the purpose of an unannounced Annual Inspection. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Program Coordinator – Giselle Briones. There are 60 children enrolled, and 0 children present, and 2 staff present at the time of inspection. This is a school age program with the hours of operation Monday- Friday from 2:00p.m-6:00p.m. All adults at the facility were discussed and background and fingerprinted cleared.

LPA observed all posting requirements for operation on the licensing board LIC 203A-License, LIC 610, PUB 393, PUB 269, LIC 9148, LIC 613A, Menus, Activity Schedules.



Documentation of current Fire & Earthquake drill was observed with last drill conducted on 12/20/24.

LPA Dunlap observed an operable carbon monoxide detector.

LPA Dunlap observed the Playroom- room was equipped with age-appropriate furniture and learning materials. Classrooms has carpeted area, sink, soft furnishings, manipulative items, arts & crafts, cubby storage for children belongings, age-appropriate toys, desks, age-appropriate chairs, and tables. A cabinet with additional supplies is kept in locked cabinet. There is a wall cabinet with drawers and cabinets that have games and learning materials stored. The facility uses a water cooler and disposable cups for drinking source. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

LPA Dunlap observed the Game Office- room has soft furnishings for relaxation and an area rug. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts. Page 1 of 4
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB FAIRFIELD CARMELITOS
FACILITY NUMBER: 198020201
VISIT DATE: 03/13/2025
NARRATIVE
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LPA Dunlap observed the TV Room- room where in the middle school children are housed. The room was equipped with age-appropriate tables and chairs, desks, area rug, a water cooler with disposable cups, mounted TV, entertainment center, and a sink to rinse off arts & supplies materials. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

LPA Dunlap observed to boy and girls’ restroom. The girl’s restroom has 2 sinks, and 2 toilet stalls. The boy’s restroom has 2 sinks, 2 urinals, and 1 toilet stall. LPA Dunlap found both restrooms to be operable and in good condition.

LPA Dunlap observed the Playground to have picnic benches, and all equipment is stored inside the facility during nonoperational hours. The staff use a jug of water and disposable cups for children to have outdoors. LPA observed playground area to be in good condition, free of sharp, loose, or pointed parts.

LPA Dunlap did not review sign in and out sheets as children were not in attendance.

All electrical outlets are covered.

All trash cans have lids.

LPA Dunlap inspected First Aid to have all needed supplies.

The facility does provide snack. All food items are delivered from the agency’s main kitchen stored. A roster of children names with allergies are kept a binder.

The facility was reminded that smoking is prohibited on the premises.

The isolation area is in the Site Supervisors office when any child is sick.

The Program Coordinator stated they do not administer medication to at this time. If children were to have medications that need to be administered the lockbox in the Site Supervisors office.



The facility uses a cellphone & CAMP DOC website. Page 2 of 4
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB FAIRFIELD CARMELITOS
FACILITY NUMBER: 198020201
VISIT DATE: 03/13/2025
NARRATIVE
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The Program Coordinator stated there are no firearms at the facility.

The Program Coordinator stated that they do provide transportation for children.

There are no large bodies of water on premises.


Staff Files

Staff #1
File has all required licensing documents, transcripts, and immunization record in folder.

Preventative Health & Safety certificate

CPR expiration date of 3/25/25

Mandated Reporter expiration date of 10/30/25

Child Files

Child #1


All required licensing forms, and Immunization record

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Criminal Record Clearance - Child Care Centers- Program Coordinator – Giselle Briones was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Page 3 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: YMCA GLB FAIRFIELD CARMELITOS
FACILITY NUMBER: 198020201
VISIT DATE: 03/13/2025
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Lead Testing

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org

Program Coordinator – Giselle Briones was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies issued during today’s inspection.

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

Appeal rights reviewed and given to the Program Coordinator – Giselle Briones

Exit interview conducted and report was reviewed with the Program Coordinator – Giselle Briones

Page 4 of 4

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4