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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016557
Report Date: 10/14/2022
Date Signed: 10/14/2022 10:57:15 AM

Document Has Been Signed on 10/14/2022 10:57 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:BURROUGHS HEAD STARTFACILITY NUMBER:
198016557
ADMINISTRATOR:SOPHIA JOHNSON & IRENE DAYFACILITY TYPE:
850
ADDRESS:1260 E. 33RD STREETTELEPHONE:
(562) 427-3424
CITY:SIGNAL HILLSTATE: CAZIP CODE:
90755
CAPACITY: 60TOTAL ENROLLED CHILDREN: 36CENSUS: 18DATE:
10/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Natasha Von Jackson, Early Learning Center Manager(ELCM) TIME COMPLETED:
11:30 AM
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An unannounced Required – 1 Year Inspection was conducted on 10/14/2022 at 9:20 AM by Licensing Program Analyst (LPA) Katrina Chicote. Facility is currently licensed for a capacity of 60. Licensing staff met with Early Learning Center Managers (ELCM) Natasha Von Jackson, Olivia Ugarte and Head Teacher Sophia Jackson. Facility is located on Burroughs Elementary School campus operating in rooms B1, B2, and B3. The program currently operates Monday thru Friday from 7:45 AM to 2:45 PM. LPA singularly toured facility both indoors and outdoors. LPA observed required postings in each classroom on bulletin boards upon entry.

At the initial start of the site visit, there is a total census of 18 children present. LPA observed 12 children playing outside with S1 and S2, three children in B3 with S3 and S4, and two children in B2 with S5 and S6. Beginning at 9:35 AM, furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. LPA observed child appropriate tables and chairs, learning stations for dramatic play, math, science, and art filled with child appropriate toys well maintained free of loose and sharp parts available in each classroom. There is a library area available for quiet play. LPA observed carpets in learning stations well maintained and floor free of hazards in each classrooms. There were cubbies observed as storage for children's belongings. Mats/cots were inspected. Per Head Teacher, linens are provided by the facility and washed by laundry service weekly. Parents also provide blankets that are taken home weekly. Availability of drinking water was reviewed. LPA observed water pitchers with paper cups available in each classroom. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathrooms available in each classroom with two toilets and two sinks each. LPA observed B2 and B3 to have diaper changing table that meets Title 22 Regulation requirements.

Per ELCM there are no poisons stored at the facility.
Report Continues - Page 1 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: BURROUGHS HEAD START
FACILITY NUMBER: 198016557
VISIT DATE: 10/14/2022
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A first aid kit is kept in each classroom, which LPA inventoried for supplies. Carbon monoxide detectors were observed operable and smoke detectors are present in the facility. Fire extinguishers have been serviced on 07/12/2022. LPA observed disaster drill log, last drill conducted on 09/19/2022. Per Head Teacher, there are no children with medications at this time.

Snack/lunch menus were reviewed. There is no kitchen at the facility. All meals and snacks are delivered from the nearby elementary school cafeteria. Trash cans used to discard food have tight fitting lids.

Beginning at 9:25 AM, outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA observed grassy areas, a play structure with climbing structure and cushioning material below to absorb fall that is well maintained. LPA Chicote advised that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to water pitchers during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. All children present were signed in with full legal signatures. Personal Rights of children were observed by LPA.

All staff and employees have obtained a criminal record clearance or criminal record exemption as a condition of employment with the Long Beach Unified School District.

Staff and Children’s Records were reviewed. Criminal Record Clearances were reviewed for adults. CPR card expires on 06/2024 for S1. Staff present have proof of the AB 1207 Mandated Reporter Training certificate on file. All staff have been given on the-job training sanitation principles, housekeeping, including universal health precautions. LPA did not review confidential forms and information due to the files being stored at the administrative office.
Report Continues - Page 2 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BURROUGHS HEAD START
FACILITY NUMBER: 198016557
VISIT DATE: 10/14/2022
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Incidental Medical Services:
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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 10/14/2022.

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 ELCM, Olivia Ugarte.
Report Ends - Page 3 of 3
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3