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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191503832
Report Date: 07/10/2019
Date Signed: 07/10/2019 05:05:35 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2019 and conducted by Evaluator Mireya Garcia
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20190701151409
FACILITY NAME:MONTEREY PARK CHRISTIAN SCHOOLFACILITY NUMBER:
191503832
ADMINISTRATOR:VERONICA TOLOSAFACILITY TYPE:
850
ADDRESS:1951 SOUTH GARFIELD AVETELEPHONE:
(323) 890-4545
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91754
CAPACITY:70CENSUS: 42DATE:
07/10/2019
UNANNOUNCEDTIME BEGAN:
12:36 PM
MET WITH:Sandy Wong, DirectorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff failed to keep the facility free from pest.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mireya GarcĂ­a conducted an unannounced complaint inspection to the above facility. LPA met with Sandy Wong, Director, who provided a tour of the facility. There were 42 children present upon arrival.

During the investigation LPA interviewed staff, obtained a copy of receipt of exterminating services, LPA took pictures of mice droppings inside of one of the kitchen cabinets and picture of pigeon nest in the outside patio area, and inspected the entire facility both indoors and outdoors.

Information provided by the complainant indicates that the staff failed to keep the facility free from pest.

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Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 33-CC-20190701151409
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONTEREY PARK CHRISTIAN SCHOOL
FACILITY NUMBER: 191503832
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/19/2019
Section Cited
CCR
101238(a)(1)
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101238 Buildings and Grounds:
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
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During LPA's inspection LPA observed inside kitchen cabinet to be clean from droppings. Per Director Ms. Wong, daily checks will be conducted at the facility by staff to monitor droppings specifically, inside the kitchen cabinets and in the gym classroom closet a log will be created to record staff's observations.
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This requirement is not met as evidenced by LPA's observation and interview of disclosures made by Director and staff that there are mice droppings observed in the closet in the gym room and inside the kitchen cabinets of the facility. In addition. pigeon nests were observed in the patio area of the facility. This poses a potential health and safety risk to children in care.
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Director has provided proof of pest services completed on 07/05/2019 and will monitor mice dropping areas and will continue to seek pest services as needed. Per Director, pigeon nest will be removed by no later than 07/19/2019, picture of correction will be sent via text to LPA on or before 07/19/2019.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 33-CC-20190701151409
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MONTEREY PARK CHRISTIAN SCHOOL
FACILITY NUMBER: 191503832
VISIT DATE: 07/10/2019
NARRATIVE
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Director Sandy Wong & Assistant Director Amber Cervantes both disclosed that they have had mice droppings in the gym closet and inside the kitchen cabinets since a couple of months ago. In addition, Director disclosed that an exterminating company came out to service the facility on 07/05/2019 to address the bird (pigeons) and mice infestation.

Information provided by the staff indicated that there is mice droppings observed in the gym closet and inside the kitchen cabinets and that pigeon nests were observed in the patio area of the facility.


Based on LPA's observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 Chapter 1 Buildings and Grounds 101238(a)(1), is being cited on the attached deficiencies page.

Page 2 of 2.

SUPERVISOR'S NAME: Adriana HernandezTELEPHONE: (323) 981-3362
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 3