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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400631
Report Date: 12/08/2022
Date Signed: 12/08/2022 11:17:48 AM

Document Has Been Signed on 12/08/2022 11:17 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:LBUSD BARTON HEAD STARTFACILITY NUMBER:
198400631
ADMINISTRATOR:MORIAH GATSONFACILITY TYPE:
850
ADDRESS:1100 E. DEL AMO BLVDTELEPHONE:
(562) 426-8144
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 16DATE:
12/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Keokuk Legarde, ELCMTIME COMPLETED:
11:30 AM
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On 12/08/2022 at 9:30 AM, Licensing Program Analyst (LPA) Katrina Chicote conducted an unannounced case management inspection to follow up on an incident that was reported to the Department on 09/22/2022. Upon arrival, LPA initially met with Flora Zarate, Head Start Teacher. LPA was granted entrance to facility and announced purpose of visit to Head Start Teacher. LPA observed 16 children with four staff, classroom is a TK collaboration classroom. Keokuk Legarde, Early Learning Center Manager (ELCM), arrived at 10:20 AM to continue visit.

On 09/22/2022, an incident was reported to The Department where staff stated a parent notified them of an incident involving their child in the restroom. The facility reported this incident to the Department within the required 24 hours and provided a written report within seven days of incident meeting Title 22 regulation reporting requirements.

During this inspection LPA interviewed staff who were present the day incident was reported and one child who was named in the report. Staff informed LPA of supervision procedures in the bathroom. Per ELCM, after incident was reported staff was provided re-training on Safety and Supervision requirements which include bathroom supervision training. LPA was provided copies of training information and sign-in sheets for training that was conducted on 10/28/2022. LPA was provided a tour of the bathroom where the alleged incident took place by ELCM and discussed bathroom policy and supervision procedures. All staff say they did not observe alleged incident take place and do not believe the incident occurred. Based on interviews, information obtained and LPA observation of the area, LPA determined there was adequate supervision provided the day the incident reported.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 12/08/2022.
Interview Continues - Page 1 of 2
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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: LBUSD BARTON HEAD START
FACILITY NUMBER: 198400631
VISIT DATE: 12/08/2022
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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 Licensee (or facility representative), Keokuk Legarde.



Interview Ends - Page 2 of 2
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022
LIC809 (FAS) - (06/04)
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