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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198011061
Report Date: 12/08/2020
Date Signed: 12/08/2020 05:35:39 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
12/03/2020 and conducted by Evaluator Alanna Gontarek
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20201203092012
FACILITY NAME:CELEBRATION KIDS, INC.FACILITY NUMBER:
198011061
ADMINISTRATOR:SARA GURLEYFACILITY TYPE:
850
ADDRESS:1101 ARROYO VERDE ROADTELEPHONE:
(323) 258-9890
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY:86CENSUS: 65DATE:
12/08/2020
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility has rodents.
Facility is in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alanna Gontarek conducted an unannounced Complaint Inspection to investigate the above complaint allegations. LPA met with owner/Director Sara Gurley. LPA toured the indoors and outdoors of the facility. Census was taken. There were 9 children present with 1 teacher in classroom #2, 6 children present with 2 teachers in the classroom #1, 9 children present with 1 teacher in the classroom #5, 10 children present with 1 teacher in the classroom #6, 9 children present with 1 teacher in the classroom #7, and 6 children present with 1 teacher in the classroom #8.

During the course of the investigation, LPA physically and visually inspected facility. At 9:38, during walk through, LPA observed a black mouse trap set on floor and mouse dropping on floor by wall near snack cubbard, and on the ground in between the shelves inside classroom #3. Director stated, "We have a little mouse." LPA observed a hole 6 1/2 centimeters wide and 5 1/2 centimeters long in ceiling of room #3, a hole 90 centimeters wide and 38 centimeters long located behind non-used air conditioning unit, a hole behind the toilet, and clutter on the back shelf in classroom #3 at 9:49 a.m. Pictures were captured.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
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-20201203092012
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: CELEBRATION KIDS, INC.
FACILITY NUMBER: 198011061
VISIT DATE: 12/08/2020
NARRATIVE
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During the walk through, at 9:37 a.m., LPA observed a leak on the outside of classroom #2. During continuation of indoor tour, at 9:53 a.m., LPA observed loose faucets, not secured to wall, with open hole in classroom #4 at 9:54 a.m. Pictures were captured. After interviews, at 2:54 p.m., LPA conducted a 2nd tour of facility, and observed mouse droppings in the art shed.

LPA interviewed Director/Owner of the Preschool Program Sara Gurley and staff. Per cooberating disclosures made by the Director/Owner and staff during interviews conducted and LPA observations, it was determined that the facility does have a rodent issue and facility is in disrepair. LPA obtained and reviewed facility roster and extermination work order dated: 10/20/2020 and leak estimate invoice text messages confirming to fix leak dated 11/12/2020, and scheduled to be fixed 12/21/2020.

This agency has investigated the complaints alleging: Facility has rodents and Facility is in disrepair. Based on the information, the preponderance of evidence standard has been met, therefore the above allegations are found to be Substantiated. California Code of Regulations, (Title 22, Division 12 & Chapter Number 1), are being cited on the attached LIC. 9099D.

This poses a potential Health & Safety risk to clients in care.
At 4:45 p.m., an exit interview was conducted with Director/Owner Sara Gurley. Appeal Rights were provided and given. A copy of the report and the Notice of Site Visit were given. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 33-CC-20201203092012
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: CELEBRATION KIDS, INC.
FACILITY NUMBER: 198011061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/31/2020
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
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Per Director, staff will come into facility on December 21st, 2020 organize, remove clutter, and deep clean the classrooms. Per Director, staff and DIrector will complete the Pest Management Course and submit completion certificates to LPA Gontarek by the POC due date 12/31/20. Per Director,
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rodents. This requirement was not met as evidenced by: LPA observed a black mouse trap set and mouse dropping in classroom #3, and mouse droppings in art shed. LPA observed holes in the walls and clutter in classroom #3. This poses a potential health and safety risk to the children in care.
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will have all holes in the building walls sealed, seal openings, and seal roof soffits and vents using a mesh screen . Per Director, a staff meeting will take place tomorrow, 12/9/20. LPA requested Agenda and notes, & correction pictures. Director states scheduled extermination 12/21/20.
Type B
12/31/2020
Section Cited
CCR
101238(a)
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101238(a) 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. This requirement is not met as evidenced by: LPA observed a leak on

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Per Director, the facility handyman will come seal faucets to the sink. Per Director, the leak is scheduled to be fixed on the 12/21/20. Per Director, will submit pictures and work order to LPA when plumbing is fixed by the POC due date.
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the outside of classroom #2, in the playground. LPA observed loose faucets, not secured to wall, with open hole in classroom #4. Pictures were captured.
This poses a potential health and safety risk to the children in care.
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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: Claudia GuangorenaTELEPHONE: (323) 981-8417
LICENSING EVALUATOR NAME: Alanna GontarekTELEPHONE: (323) 854-8644
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2020
LIC9099 (FAS) - (06/04)
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