198004408-2-26-2025-54-CC-PBON-DE9QQ2-20250226112137

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198004408
Report Date: 02/26/2025
Date Signed: 02/26/2025 11:21:46 AM

Document Has Been Signed on 02/26/2025 11:21 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	ST. MATTHIAS PRE-K		FACILITY NUMBER:	198004408
ADMINISTRATOR/ DIRECTOR:	RODRIGUEZ, ALEJANDRA		FACILITY TYPE:	850
ADDRESS:	7130 CEDAR STREET		TELEPHONE:	(323) 588-7253
CITY:	HUNTINGTON PARK	STATE: CA	ZIP CODE:	90255
CAPACITY: 19	TOTAL ENROLLED CHILDREN: 19	CENSUS: 16	DATE:	02/26/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:15 AM
MET WITH:	Alejandra Rodrigueez, Director		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On February 26, 2025 Licensing Program Analyst (LPA) Portia Bowden conducted an unannounced Annual Required Inspection at the above facility. LPA met with Alejandra Rodriguez Director, explained the reason for visit, provided LIC 125 (Entrance Checklist) and was guided on a tour. Per Director, the facility operating hours are Monday through Thursday from 7:45 AM – 3:00PM and 7:45AM-12PM on Fridays. LPA observed all required documents on the facility licensing board (PUB 269, PUB 393, LIC 610, LIC 9224, LIC 613A). LPA Observed an Emergency Drill log dated 1/25. This is a preschool program serving ages 2.5 to 4 years old, consisting of 1 classroom and an enclosed shared outdoor play area. Per Director classes use outdoor play area on a staggered schedule and never co mingle. Also housed on the premises is a K-8^th Grade Private Elementary/middle School. At 9:20AM, LPA observed 16 children supervised by Director and 1 Teacher. Per Director there are 18 children enrolled. Capacity and limitations as specified on the license are being maintained. Per facility rep there are No children in care who require Incidental Medical Services. Per Director there are no children in care with food allergies. LPA reviewed electronic sign in and out sheets located on Director’s computer and observed 16 children signed in. The following was observed during the tour of the facility: furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. At 9:35AM LPA observed an operable Combination Smoke detector/ Carbon monoxide detector on the PS Classroom wall. At 9:40AM LPA observed cots for sleeping stored in the bathroom, Per Director, Linens are sent home on Thursdays to be washed by parents and returned to facility. LPA observed 2 age appropriate toilets and 2 age appropriate sinks in good repair in the bathroom located in the PS classroom A. Per Director facility provided potty training.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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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Document Has Been Signed on 02/26/2025 11:21 AM - It Cannot Be Edited

Created By: Portia Bowden On 02/26/2025 at 11:00 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ST. MATTHIAS PRE-K	FACILITY NUMBER: 198004408
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/26/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the facility did not comply with the section cited above in that school has not had water Lead testing completed which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/12/2025
	Plan of Correction
1 2 3 4	Principal will provide proof of water lead testing appointment to LPA via email.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the facility did not comply with ensuring staff files were complete in 2 out of 2 staff were missing current Mandated Reporter Certificates which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/12/2025
	Plan of Correction
1 2 3 4	Staff will obtain current Mandated Reporrter certificates and submit photo too LPA via email.

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Portia Bowden

LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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: ST. MATTHIAS PRE-K	FACILITY NUMBER: 198004408
	VISIT DATE: 02/26/2025

NARRATIVE

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Per PIN 21-21-CCP lead testing to be conducted for all equipment used for drinking consumption. Per School principal Alvarez school was scheduled to have lead testing done two weeks ago, however the technician cancelled and she is awaiting a new date. Per Director they do not use building water fountains for drinking or cooking. Facility has an ongoing Sparkletts subscription and only uses bottled water.at 9:41 AM LPA observed a water dispenser, children’s water bottles as well as dixie paper cups. A type B deficiency will be issued for lead testing.

At 9:42AM LPA observed disinfectants stored in a locked cabinet in the classroom secured by a child safety latch, inaccessible to children in care. Per Director there are no poisons on the premises.

Facility provides breakfast and lunch which is brought in from a private vendor, while children are required to bring 1 PM snack. Per Director outside food is permitted and is brought into facility labeled and placed in child’s individual cubbie. LPA observed kitchen area to be clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. LPA observed no kitchen knives on the premises.

Outdoor play is conducted in an enclosed playground within the main school. At 9:45AM LPA observed a two story play apparatus in a safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is adequate shade in the play yard. LPAs advised that no children shall be left without the supervision of a teacher at any time. All floors were observed to be clean and safe. All materials accessible to children were observed to be toxic free. There are no firearms stored on the premises. There are no pools or bodies of water at the facility.

LPA Reviewed 2 staff files, and observed them to be incomplete. 2/2 staff had expired Mandated reporter Certificates, A Type B deficiency will be issued. LPA observed Director’s Current Pediatric CPR/First Aid with EMSA with an expiration date of 3/26.

LPA Reviewed 5 children’s files and observed them to be complete.

The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

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: ST. MATTHIAS PRE-K	FACILITY NUMBER: 198004408
	VISIT DATE: 02/26/2025

NARRATIVE

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To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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/

2 Type B deficiencies for Expired Mandated Reporter Certificates, and missing required Lead testing were observed during today’s inspection.

Exit interview conducted and report was reviewed with Director Alejandra Rodriguez, Appeal rights and A notice of site visit were given and must remain posted for 30 days.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Portia Bowden
LICENSING EVALUATOR SIGNATURE:	DATE: 02/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025

LIC809 (FAS) - (06/04)

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