198400558-6-16-2023-54-CC-RNAO-CSUPPP-20230616112953

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400558
Report Date: 06/16/2023
Date Signed: 06/16/2023 11:30:00 AM

Document Has Been Signed on 06/16/2023 11:30 AM - 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 PRESCHOOL		FACILITY NUMBER:	198400558
ADMINISTRATOR:	WILLIAM AWAD		FACILITY TYPE:	850
ADDRESS:	820 LONG BEACH BLVD		TELEPHONE:	(562) 230-4302
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90813
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 39	CENSUS: 13	DATE:	06/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	William Awad		TIME COMPLETED:	11:50 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analysts (LPA) Raul Navarro conducted an unannounced annual required inspection at the above facility on 6/16/23 at 8:40 AM. LPA met with William Awad, Director who guided analysts on a tour of the facility. There were 14 children and five staff present when LPA arrived. Facility is in compliance with License capacity and Title 22 ratio guidelines. All individuals present have obtained a criminal record clearance. This is a preschool program with a toddler component. The toddler component is physically separate from the other classrooms. The toddler component also has their own separate outdoor play area. Facility currently has four classrooms. Hours of operation are Monday through Friday from 7:00 AM to 5:00 PM. LPA toured all classrooms. All classrooms had furniture in good condition, free of loose, sharp and/or pointed parts. The floors and surfaces in the classrooms were clean and safe. LPA did not observe any tripping hazards. Water is made readily available by via water bottles provided by parents, water to refill bottles is readily available via a purified water dispenser. The water used for food preparation and drinking has been tested for lead. Per Director, there are currently no children taking medication and there is no medication stored at the facility. Children have cubbies to store personal belongings separate from each other. LPA observed napping cots stored in separate storage area. Bedding (sheets) is provided by the facility and washed weekly. Children bring blankets from home and are sent home every Friday. LPA toured the children’s restroom. Restroom was observed to be safe and sanitary with operable sinks and toilets. LPA observed outdoor spaces. Outdoor area was observed to have age appropriate toys and material for children, free of loose, sharp, and/or pointed parts. Shade was observed throughout the outdoor area. Water jugs are taken outside during play time.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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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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: 06/16/2023

NARRATIVE

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LPA observed required posted documentation which included, Facility License, Publication (PUB) 393- Notification of Parent Rights, Licensing Form (LIC) 610- Facility Disaster Plan, PUB 269- Child Passenger Restraint System, LIC 613A- Notification of Personal Rights and Lunch/Snack Menu. All documents were observed in the facility's hallway.

Facility records were reviewed for LIC 9148- Earthquake Preparedness form, Daily schedule and Disaster drill log, last drill conducted on April 2023. All documents were observed.

Facility uses an digital application called M signed to sign in and sign out the children.

LPA toured the kitchen located adjacent to the classrooms. Facility provides Breakfast, Lunch, and PM snack. Food is prepared at the facility. Kitchen was observed to be clean, free of litter, insects and rodents. All storage for solid waste have tight fitting covers. Cleaning supplies are stored separate from the food.

Carbon monoxide detector was observed in the hallway and is in operable condition. Per Director, smoking is prohibited on the the facility premises and there are no firearms or weapons stored at the facility. LPA did not observe smoking or firearms/weapons.

Children’s records were reviewed for Licensing Form (LIC) 700 Emergency Card, Immunization Records, LIC 627- Consent for Medical Treatment, LIC 995 Notification of Parents’ Rights, LIC 701- Physician’s Report, LIC 613A- Personal Rights, and signed Admissions Agreement.

Staff records were reviewed for approved Pediatric First Aid and CPR certification for at least one staff member on site, LIC 9052- Employee Rights, LIC 501- Personnel Record, LIC 503- Health Screening Report, LIC 508- Criminal Record Statement, Proof of immunization against measles, pertussis and influenza or influenza declination, TB clearance or risk assessment, LIC 9108- Statement Acknowledging Requirement to Report Child Abuse, Transcripts and current Mandated Reporter Training Certificate.

During inspection all children were observed to be treated with dignity and respect, they were observed to be receiving safe, healthful and comfortable accommodations, furnishings and equipment, and free from corporal and/or unusual punishment.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

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: 06/16/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 Center and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the safe sleep regulations with facility representative 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 facility representative 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.

Based on the LPA’s observations no deficiencies will be cited today 6/16/23. Exit interview conducted and report was reviewed with the Director William Awad. A notice of site visit was given and must remain posted for 30 days.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2023

LIC809 (FAS) - (06/04)

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