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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191601679
Report Date: 12/15/2022
Date Signed: 12/16/2022 07:10:46 AM

Document Has Been Signed on 12/16/2022 07:10 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:CALIFORNIA HEIGHTS UNITED METHODIST CHILDREN'S CTRFACILITY NUMBER:
191601679
ADMINISTRATOR:APRIL BEHRENDTFACILITY TYPE:
850
ADDRESS:1160 E BIXBY RDTELEPHONE:
(562) 595-0056
CITY:LONG BEACHSTATE: CAZIP CODE:
90807
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 60DATE:
12/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Iris Alicea, Assistant Director and April Behrendt, DirectorTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA), Dayna Chambers, conducted a Case Management Incident inspection to follow up on self-reported incident that occurred at 12:30PM on November 4, 2022. Facility hours of operation are: 7:00am to 6:00pm Monday through Friday. The Monterey Park South West Child Care Office received the incident report on 11/04/2022 by Director, April Behrendt. Report stated that on November 4, 2022 there was a medical incident. LPA met with licensee and confirmed the facility followed protocol and regulations during the incident. On December 15, 2022, LPA and Director toured the facility, at the time of the inspection all ratios were compliant according to Title 22 Regulations. There was a total of 60 preschools present during inspection. RM#1 – Frogs – Staff #1 and Staff #2 with 14 preschoolers, RM#2- Butterflies – Staff #3 and Staff #4 with 14 preschoolers, RM#3 – Ladybugs – Staff #5 and Staff #6 with 17 preschoolers, and RM#4 – Owls – Staff #7 and #8 with 14 preschoolers. Based on today’s inspection, and interviews conducted, the facility followed the appropriate Reporting Requirements, notified Parents, and contacted 911. LPA obtained documents confirming parents were notified. Parent was called manually by the Director, April Behrendt. LPA Received copy of ProCare app printout of incident that notified the parent immediately. At this time based on the available information it does not appear this incident was the result of a Title 22 violation and the facility followed the appropriate regulations to care for the children in care.

Upon receipt, Notice of Site Visit shall be posted. Notice of Site Visit shall be posted for thirty (30) days. Failure to maintain posting as required will result in a $100 civil penalty.

An exit interview was conducted, and a copy of this report was provided to Director, April Behrendt. Notice of Site visit was issued.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Dayna Chambers
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
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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