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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570991
Report Date: 06/20/2023
Date Signed: 06/20/2023 04:52:00 PM


Document Has Been Signed on 06/20/2023 04:52 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:MAOF CHILD CARE CENTER/PICO RIVERAFACILITY NUMBER:
191570991
ADMINISTRATOR:ELIZABETH RAMIREZFACILITY TYPE:
850
ADDRESS:9125 BURKE ST.TELEPHONE:
(562) 949-3189
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:101CENSUS: 53DATE:
06/20/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:17 PM
MET WITH:Yolanda Parvol, Teacher
& Esther Quintero Blake, Educational Area Supervisor		TIME COMPLETED:
05:00 PM
NARRATIVE
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A case management inspection was made on this date by Licensing Program Analyst (LPA) Mireya García, to ensure the health and safety of children in care. At the time of LPA's arrival LPA was not able to access entry into the center. LPA made several attempts to contact the facility via telephone however, call was not answered; LPA was unable to leave a message due to voicemail has not been activated. At 1:30 p.m., LPA was able to obtain entry into the facility when a parent was exiting the facility. LPA was immediately greeted by Patricia Terreros, Family Service Associate, who reported that the facility phone line is not connected due to ongoing construction of the office. LPA observed adult male maintenance worker conducting repairs in the office. Ms. Terreros then walked LPA over to meet with Yolanda Parbol, Teacher who provided LPA with a tour of the facility. Census was taken.

During the walkthrough of the facility, it was disclosed by Yolanda that the facility had construction work (replacement of classroom doors in Rooms #1, #2, #3, #5,) classroom staff providing care and supervision confirmed while construction children from classrooms #1-3 were combined in classroom #1. Facility did not report this unusual incident as required to the Department of Social Services, Community Care Licensing. The facility is therefore being cited for failure to report this incident to the Department within the required 24 hours.

Report continues on next page 1 of 2.

SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MAOF CHILD CARE CENTER/PICO RIVERA
FACILITY NUMBER: 191570991
VISIT DATE: 06/20/2023
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During the walk-through of the facility, LPA observed classroom Staff #1 Teacher, Yolanda Parvol, Staff #2 Teacher Assistant, Dalia Garcia, Staff #3 Teacher Ana Tapia, Staff# 4 Teacher Cecilia Martinez and Staff #5 Teacher Deborah Gomez were not associated to the facility. LPA called the Regional Office and obtained assistance from Support Staff who determined through Department of Social Services (DSS) Guardian Background Check System and Licensing Information System (LIS) that Staff #1-5 are all fingerprint cleared; however, they are not associated to the facility.

At 3:19 p.m., Esther Quintero Blake, Educational Area Supervisor arrived at the facility. During LPAs inspection Ms. Esther requested facilities Manager to reconnect the facility land line. LPA Garcia verified the line was functional and provided Esther with technical assistance regarding the importance of facility maintaining a working telephone on the premises during the hours of operation.

The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and Health & Safety codes. Please refer to LIC809D for documentation of deficiencies cited.



A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Esther Quintero Blake.

Report ends here page 2 of 2.
SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 06/20/2023 04:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: MAOF CHILD CARE CENTER/PICO RIVERA
FACILITY NUMBER: 191570991

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2023
Section Cited
CCR
101216(i)(2)

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Personnel Requirements-Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement is not met as evidenced by:
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Per Esther Quintero Blake, Educational Area Supervisor the LIC9182 will be submitted to the Department via fax for Staff #1-5 by POC due date 06/21/23.
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During LPA's inspection LPA called the Regional Office and determined through DSS Guardian Background Check System and Licensing Information System (LIS) that Staff #1-5 are fingerprint cleared; however, they are not associated to the facility. This poses a potential health and safety risk to children in care.
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Type B
06/21/2023
Section Cited
CCR101212(d)

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Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by:
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Based on staff disclosures of facility failing to report to the Department the construction of remodeling indoor offices, painting, fixing of walls and floors, replacement of doors at the facility since May 29. This poses a potential health and safety risk to children in caer.
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Per Esther Quintero Blake, Educational Area Supervisor the LIC 624 Unusual Incident Report will be completed and will be submitted to the Department via fax by POC due date 06/21/23.
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: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Mireya GarciaTELEPHONE: (323) 981-3390
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023
LIC809 (FAS) - (06/04)
Page: 3 of 3