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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005647
Report Date: 09/11/2025
Date Signed: 09/11/2025 04:16:12 PM

Document Has Been Signed on 09/11/2025 04:16 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:ST. PIUS X PRE-SCHOOLFACILITY NUMBER:
198005647
ADMINISTRATOR/
DIRECTOR:		VICTORIA DE LA CRUZFACILITY TYPE:
850
ADDRESS:10855 S. PIONEER BLVD'TELEPHONE:
(562) 864-4818
CITY:SANTA FE SPRINGSSTATE: CAZIP CODE:
90670
CAPACITY: 21TOTAL ENROLLED CHILDREN: 15CENSUS: 12DATE:
09/11/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Victoria De La CruzTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On September 11, 2025 at 2:15 p.m., Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility for the purpose of an unannounced/annual Visit. LPA Bishop announced the purpose of the visit and was granted entry into the facility by Director - Victoria De La Cruz. There are 15 children enrolled, and 12 children present, and 2 staff present at the time of inspection. This is a Preschool Program with the hours of operation Monday- Friday from 7:30a.m-2:30p.m.

LPA Bishop was taken on a guided tour of both the indoors and outdoors of the facility. Teacher-child ratios were observed, and staff names recorded. All center staff that were present during today’s inspection had fingerprint clearance and are associated to the designated license number. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. The sign-in and out sheets were reviewed. Personal Rights of children were observed by LPA.

LPA observed all posting requirements for operation on the licensing board LIC 203A-License, LIC 610, PUB 393, PUB 269, LIC 9148, LIC 613A, Menus, Activity Schedule, and completion testing and remediated lead exceedances.



Documentation of current Fire & Earthquake drill was observed with last drill conducted on 5/15/2025.
Fire extinguisher(s) observed with a service tag date of 02/26/2025.

LPA observed an operable smoke detector, and carbon monoxide detectors.
There is a total of 1 classroom for the preschool component. Preschool Classroom-the classroom was

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Karen ChambersTELEPHONE: (323) 981-3368
Peter BishopTELEPHONE: 323-981-3350
DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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. PIUS X PRE-SCHOOL
FACILITY NUMBER: 198005647
VISIT DATE: 09/11/2025
NARRATIVE
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equipped with age-appropriate furniture and learning materials. Classrooms has carpeted area, sink, soft furnishings, cubby storage for shoes, age-appropriate toys. There is a filtered water being used as water source at the time of this visit. The children utilize cots to sleep on at nap time. The First Aid supplies were inventoried in classroom backpack. All cleaning supplies and/or hazardous materials stored in cabinets and drawers with safety latches. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

There is one Male and female restroom located in the hall. Both restrooms are equipped with 4 sinks and 4 toilets the restrooms have age-appropriate toilets and sinks.

The Playground 1 the preschool playground area has a canopy for shade, small climbing structure, small slide, bikes, balls, artificial grass on play area, and age-appropriate tables and chairs. LPA observed main care area to be in good condition, free of sharp, loose, or pointed parts. The preschool playground is gated on the large playground and it is not a shared playground. There is soft cushion on the ground to assist in preventing injuries to children. Director De La Cruz indicated that the children bring there own water source to the playground.

All electrical outlets are covered. All trash cans do not have lids.

The facility does snack lunches are brought from home and the facility warms the food or keeps it cold. There is not a kitchen at this facility.
LPA Bishop observed sign in and out sheets. LPA Bishop reviewed the sign in/out sheets for accuracy. All documents reflected the number of children present at the time of the visit.

The facility was reminded that smoking is prohibited on the premises.

The isolation area is in the Directors office when any child is sick.
The Director stated they do administer medication at this time. If children were to have medications that need to be administered there are in Director De La Cruz Office in a lock box. At this time there are not any children that require medication.

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Peter BishopTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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. PIUS X PRE-SCHOOL
FACILITY NUMBER: 198005647
VISIT DATE: 09/11/2025
NARRATIVE
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The facility uses a landline.

The Director stated there are no firearms at the facility.

The Director stated that they do not provide transportation for children.

There are no large bodies of water on premises.

Staff Files

Staff #1
File has all required licensing documents and immunization record in folder.
CPR expiration date of 08/2027
Mandated Reporter expiration date of 7/29/2024. A Type B deficiency will be issued today.
Accredited courses in file.
Staff #2
File has all required licensing documents and immunization record in folder.
CPR expiration date of 7/2027
Mandated Reporter training has not been completed. A Type B deficiency will be issued today.
Accredited courses in file.

This Report will be continued on another day. The childrens files need to be reviewed as well other items on the Report however a Type B Deficiency is being cited today.

Based on the LPA P Bishops observations, record review, and interviews, there will be 1 deficiency cited today in accordance with California Title 22 Regulations.



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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Peter BishopTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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. PIUS X PRE-SCHOOL
FACILITY NUMBER: 198005647
VISIT DATE: 09/11/2025
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Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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

Appeal rights reviewed and given to the Director - Victoria De La Cruz

Exit interview conducted and report was reviewed with the Director - Victoria De La Cruz






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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Peter BishopTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/11/2025 04:16 PM - It Cannot Be Edited


Created By: Peter Bishop On 09/11/2025 at 03:53 PM
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. PIUS X PRE-SCHOOL
FACILITY NUMBER: 198005647

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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
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Based on observation the licensee did not comply with the section cited above in 0 out of 2 persons did not have a current mandated reporter certificate on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/22/2025
Plan of Correction
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Director De La Cruz stated that she and her staff will complete and email LPA a copy of their Mandated Reporter Certificates.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Karen Chambers
NAME OF LICENSING PROGRAM MANAGER:
TELEPHONE: (323) 981-3368
Peter Bishop
NAME OF LICENSING PROGRAM ANALYST:
TELEPHONE: 323-981-3350
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/11/2025


LIC809 (FAS) - (06/04)
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