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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670550
Report Date: 11/04/2024
Date Signed: 11/04/2024 03:42:29 PM

Document Has Been Signed on 11/04/2024 03:42 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:LBUSD-BURBANK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670550
ADMINISTRATOR/
DIRECTOR:
TIFFANY SANCHEZFACILITY TYPE:
850
ADDRESS:535 JUNIPERO AVETELEPHONE:
(562) 438-4108
CITY:LONG BEACHSTATE: CAZIP CODE:
90814
CAPACITY: 74TOTAL ENROLLED CHILDREN: 74CENSUS: 20DATE:
11/04/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Coordinating Teacher TIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced annual inspection. LPA met with Coordinating Teacher (CT) Tiffany Sanchez who guided analyst on a tour of the facility.
This is a preschool program which consists of two classrooms. This facility is located on the premises of Burbank Elementary. There is a full day classroom which operates Monday through Friday from 6:30 AM to 5:30PM. There is also one half day classroom which operates Monday through Friday 8AM to 11AM and 12PM to 3PM. The program offers care to children 2 to 5 years old. There were 15 children and two staff present in the full day classroom and 5 children with 3 staff in the half day classroom during the inspection.
All areas identified on the facility sketch were inspected. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated and are operable. The facility has central air and heating. Lighting was observed to be in operable condition. LPA observed the required posted documents in the full day classroom and in the half day classroom.
Children have access to cubbies in the classrooms to store their belongings. In the full day classroom, children are provided with a napping mat and bedding by the program. Per Facility Representative, the bedding is sent home to be laundered with the families at the end of each week or as needed. The half day classroom does not offer a nap time.
Per CT the isolation area is located in the CDC office. LPA observed one restroom in the full day classroom which had three toilets and two sinks. There is also an additional restroom which children have access to that is located on the outside of the building. This restroom has three toilets and two sinks. The half day classroom shares a restroom with the elementary school (waiver on file). This restroom has five toilets and 4 sinks. Per CT, children are supervised when they use the restroom. General sanitation was observed in all restrooms inspected.
Availability of indoor drinking water was observed in the classrooms via a water container and personal water bottles. The facility tested for lead contamination in the water sources used for children on 6/23/23. Per results there were no action level exceedances at the facility. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE: DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LBUSD-BURBANK CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670550
VISIT DATE: 11/04/2024
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Disinfectants and cleaning solutions are stored in locked cabinets in the classrooms. Medication is stored in a locked box in the classrooms. Per CT, there are no poisons stored at the facility. LPA reviewed medication in the half day classroom. Medication was in original packaging and each contained medical information and authorization forms.
LPA observed an operable carbon monoxide detector in the classroom. The facility is equipped with a centralized fire alarm system throughout the school.
The outdoor playground areas were evaluated. The full day classroom has a separate play area from the half day classroom. The half day classroom's outdoor area is shared with the elementary school's special education classroom and there is a schedule to ensure staggered use (waiver on file). Both outdoor areas are fully enclosed. Outdoor equipment is in a safe condition, free of sharp, loose or pointed parts. All areas around or under high climbing equipment and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water is provided via the water container and water bottles in the classroom which are taken out when children play outside and water fountains
Per facility representative there are no firearms stored on the premises. There are no pools or bodies of water at the facility.
Children’s Records were reviewed for completeness. Children's records contained all required documents and information.
Staff records were reviewed. LPA was advised complete staff files are maintained at the LBUSD CDC office. LPA will conduct a full review at a later time. During the review, at least one staff's pediatric first aid/cpr was current ( expires 5/3/25). Facility Representative was reminded Mandated Reporter training and pediatric first aid/cpr shall be completed every two years.
Children's roster was discussed. The program uses a QR code for sign in/ sign out procedures. A paper copy sign in/out sheet is available as a back up.
Disaster drills are conducted every month and are documented. The last documented drill was conducted on 10/24/24 (earthquake drill). The program provides breakfast, lunch and an afternoon snack for the full day classroom and for the half day program, they provide breakfast for the AM and lunch for the PM session. Menus are posted once a month in the classroom where it is visible by the child's authorized representative. Menus are also provided to parents. Menus for the past 30 days are available upon request. Per CT, food is provided by the elementary school cafeteria and is delivered to the classrooms. Per CT, children with allergies are provided alternatives and allergy lists are maintained in the classroom.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: LBUSD-BURBANK CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670550
VISIT DATE: 11/04/2024
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Facility Representative 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.
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.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
No citations were issued during today's inspection. A notice of site visit was given to Facility Representative and must remain posted for 30 days.
Exit interview conducted and report was reviewed with CT Tiffany Sanchez.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Jeanette Estrada
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
LIC809 (FAS) - (06/04)
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