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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400558
Report Date: 07/07/2022
Date Signed: 07/07/2022 12:06:41 PM

Document Has Been Signed on 07/07/2022 12:06 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:YMCA DOWNTOWN PRESCHOOLFACILITY NUMBER:
198400558
ADMINISTRATOR:SICOLA ELLIOTTFACILITY TYPE:
850
ADDRESS:820 LONG BEACH BLVDTELEPHONE:
(562) 230-4302
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
07/07/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Associate Executive Director, Alexandra Izaguirre and Director, Sicola ElliottTIME COMPLETED:
12:25 PM
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On July 7, 2022 at 9:00 AM, Licensing Program Analysts (LPAs) Raul Navarro and Monique Ayala conducted an announced inspection at the facility noted above and met with Associate Executive Director, Alexandra Izaguirre and Director, Sicola Elliott. The purpose of the inspection was to conduct the Prelicensing inspection. The applicant is requesting to be licensed for 48 preschool children and 12 toddlers. The facility consists of 4 classrooms: Room 1 (Toddler), Room 2, Room 3, and Room 4. The operating hours for the facility would be Monday through Friday from 7:00 AM to 5:00 PM.

Per Director, the Sign-In and Sign-Out will be conducted with an iPad, which will be located in the front of the facility and a health check will be conducted prior to children signing in on a daily basis.

All areas identified on the facility sketch were inspected. LPAs were guided on a tour of the facility accompanied by the facility representatives. The following was observed during the tour of the facility:

The following documents were posted in a prominent, publicly accessible area at the facility: Menus, Child Passenger Restraint System Poster (PUB 269), Notification of Parents' Rights (PUB 394), Emergency Disaster Plan (LIC 610), and Personal Rights (LIC 613A).

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Napping equipment (cots) were observed inside each classroom. Per Associate Executive Director, sheets are washed 3 times per week by the facility or as needed. The facility will provide children with breakfast, lunch, and PM snack. First Aid supplies were observed and kept in each classroom. Per Associate Executive Director, medication is only administered to a child when accompanied with a doctor's note and medication is stored in locked cabinets located in each classroom.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2022
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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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: YMCA DOWNTOWN PRESCHOOL
FACILITY NUMBER: 198400558
VISIT DATE: 07/07/2022
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Per Associate Executive Director, the isolation area is located in the office. In the office, a cot can be placed on the floor for an ill child and the staff restroom adjacent to the office is readily available if an ill child requires it. Age appropriate sinks, toilets, and potty chairs were inspected for availability and good repair. LPAs observed an area in the Toddler classroom where potty chairs and a changing table is located. The area in the Toddler classroom is divided with a partition. General sanitation was observed. Availability of indoor drinking water was observed in each classroom (water jugs).

The facility has operating carbon monoxide detectors that were tested by the Director. Smoke detectors were not tested during this visit due to the smoke detectors being wired to the emergency pull down fire alarm. The facility was granted a fire clearance for the requested capacity on June 14, 2022. The fire extinguishers are fully charged and were last serviced on June 9, 2022.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children in all areas. Associate Executive Director stated that there are no poisons stored at the facility. The kitchen/food preparation area and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste have tight-fitting covers that are kept on and in good repair.

The facility will have a Toddler playground, Preschool playground, perimeter fence screening around the Preschool playground, and Preschool shade structure installed. The tentative shipping dates for the Toddler playground and Preschool playground is set for July 12, 2022 (Toddler) and September 15, 2022 (Preschool). The tentative delivery dates for the Preschool shade structure and Preschool perimeter fence screening is set for July 9, 2022 (shade structure) and July 16, 2022 (fence screening). The facility has other outdoor play equipment that is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. The area in the preschool yard where the playground will be installed is currently fenced to keep the area off-limits until the playground is installed. All other areas around or under high climbing equipment, and similar equipment are cushioned with material that could absorb a fall. There is adequate shade in both play yards. Availability of outdoor drinking water was observed (water jugs). There are no bodies of water on the premises.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
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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: YMCA DOWNTOWN PRESCHOOL
FACILITY NUMBER: 198400558
VISIT DATE: 07/07/2022
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All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person present with a valid Pediatric First Aid/CPR certification (EMSA-approved) during this inspection.

Facility representatives were reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

This facility plans to provide Incidental Medical Services – IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes 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: http://www.ada.gov/childqanda.htm

LPA Ayala discussed the safe sleep regulations with the facility representatives and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the facility representatives of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Items discussed during this inspection:
1. Licensing does not prohibit the following: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both.
2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
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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: YMCA DOWNTOWN PRESCHOOL
FACILITY NUMBER: 198400558
VISIT DATE: 07/07/2022
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3. Current Children’s Roster: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
4. Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR must be present.
5. Designated Staff: The name of the child care center Director or fully qualified teacher(s) designated to act in the Director's absence must be on file.
6. Qualifications: Educational background, training, and/or experience for each staff present must be available for review. Per Associate Executive Director, teacher’s will have a copy of their teacher permit available.
7. Children’s Records: must be available for review; including but not limited to, the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.
8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles.
9. LIC 311A - Records to be Maintained at the Facility: Child Care Centers.
10. AB1207: The following was discussed: As of January 1, 2018, Health & Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. New employees shall have 90 days from date of employment to complete training as required. The training may be met by using the Department’s Office of Child Abuse Prevention (OCAP) online training modules at: http://www.mandatedreporterca.com/.

LPA Ayala advised facility representatives that the children need to be within the direct care and supervision, including visual supervision of staff at all times. LPA Ayala also advised the facility representatives to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department website at: www.ccld.ca.gov.

Based on measurements taken during today's inspection, including sink (Preschool: 5 and Toddler: 1), toilet (Preschool: 4), and potty chair (Toddler: 2) availability the facility is equipped for 47 preschool children and 12 toddlers.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
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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: YMCA DOWNTOWN PRESCHOOL
FACILITY NUMBER: 198400558
VISIT DATE: 07/07/2022
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Facility representative will submit photographs to the Department as soon as the installations in the play yards are installed prior to being used by children. Facility representatives were advised that a follow-up inspection will be conducted to ensure that the installations are safe for use.

Exit interview was conducted and report was reviewed with the facility representatives.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022
LIC809 (FAS) - (06/04)
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