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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016244
Report Date: 04/09/2024
Date Signed: 04/09/2024 03:36:08 PM

Document Has Been Signed on 04/09/2024 03:36 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:PLAZA CS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198016244
ADMINISTRATOR/
DIRECTOR:
MARIA PEREZFACILITY TYPE:
850
ADDRESS:4198 UNION PACIFIC AVENUETELEPHONE:
(323) 780-4882
CITY:LOS ANGELESSTATE: CAZIP CODE:
90023
CAPACITY: 98TOTAL ENROLLED CHILDREN: 70CENSUS: 46DATE:
04/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Site Supervisor Maria Villegas TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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An unannounced Required – 1 Year Inspection was conducted on 04/09/24 at 1:45 PM by Licensing Program Analysts (LPA) A. Padilla and T. Tran. LPA announced purpose of visit and initially met with Site Supervisor Maria Villegas. The program currently operates Monday thru Friday from 6:30AM to 6:00PM. LPA was taken on a guided tour of the facility of both indoors and outdoors. Proper care and supervision was observed during time of inspection.

At the initial start of the site visit, there is a total census of 46 children and a total census of 12 teachers present. The facility is made up of 1 Building on right side of the playground with 2 classrooms (Blue and Purple) 2 bathrooms with a total of 4 sinks, 4 toilets, and 2 urinals 1 building on the left side of the playground with 2 classrooms (Red and Yellow) 1 shared bathroom with 4 sinks, 3 toilets, and one urinal. Playground that is separated by a barrier one side for smaller children and one side for older children, staff lounge, and kitchen area.

Beginning at 2:00 PM, furniture and equipment were inspected for age appropriateness and good repair. LPA observed surface of classrooms to be safe and clean, and child size tables and chairs available for children well maintained. LPA observed learning stations for dramatic play, math, and science with toys well maintained free of loose and sharp parts and a library area available for quiet play. Telephone service, heating, lighting and ventilation were evaluated. There were cubbies observed as storage for children's belongings. Mats/cots were inspected. Per FR, linens are provided by the facility and washed weekly by staff or on a needed basis. Blankets are provided by parents and taken home weekly. Availability of drinking water was observed. LPA observed water coolers available for children and disposable drinking cups. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed 3 bathroom available that had a total of seven toilets and eight sinks, and 3 urinals.
Karen Chambers
Anthony Padilla
DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/09/2024
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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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: PLAZA CS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016244
VISIT DATE: 04/09/2024
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A first aid kit is kept in each classroom in a plastic box. Carbon monoxide detectors and smoke detectors are present in the facility but due to children napping were not tested during inspection. Fire extinguishers have been serviced in 07/2023 Disaster drill log was observed and Fire drill was conducted April 3 2024..

Sick/isolation area are located in a small area of each classroom with a chair and table separate from the other children. Hazardous items including poisonous cleaning compounds were stored inaccessible to children in a lock box mounted on the wall.

Snack/lunch menus were reviewed and observed posted. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Food preparation areas were toured for safety, cleanliness and proper equipment. Breakfast, Lunch, and Snack are provided to the children. Milk, fruit, and snack items were inspected and observed to be labeled accurately and not expired. Children with allergies are provided substitutions by facility.

Outdoor equipment was inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA advised site supervisor that the children need to be within the direct care and supervision, including visual supervision of the teacher(s) at all times. The children have access to drinking water with portable water jugs and disposable drinking cups available. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed during inspection. Per FR there are no weapons or fire arms located on site.

Teacher-child ratios were observed and staff names recorded. Care and supervision was evaluated to determine if the basic needs of children are met and appropriate. Sign-in and out sheets and procedures were reviewed. Personal Rights of children were observed by LPA.

Beginning at 2:30PM, staff and children’s records were reviewed for completeness. Inspection of required forms was made and documented on the LIC 857 for children and the LIC 859 for staff. Criminal Record Clearances were reviewed for adults. CPR card expires on 5/19/25 . Inspection of required forms made. Staff present did have proof of the AB 1207 Mandated Reporter Training certificate on file.

LPA observed IMS medicine to be stored in red backpack in each classroom labeled individually for each child.
SUPERVISOR'S NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
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: PLAZA CS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016244
VISIT DATE: 04/09/2024
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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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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.
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 in the facility, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed facility. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The fire extinguisher type 2A-10BC must be serviced annually or as often as necessary. Smoke and Carbon Monoxide detectors should be checked and batteries replaced as needed.

SUPERVISOR'S NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
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: PLAZA CS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198016244
VISIT DATE: 04/09/2024
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Changes should be reported to the Department as soon as they occur such as construction, remodeling, telephone number changes and/or if you move from your location.

LPA advised the FR to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

LPA advised of the requirement to report Unusual Incidents and/or injuries to the parent/guardian and to CCL within the time frame specified by the regulation.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 04/09/24

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



Exit interview was conducted and report was reviewed with site supervisor Maria Villegas.
SUPERVISOR'S NAME: Karen Chambers
LICENSING EVALUATOR NAME: Anthony Padilla
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
LIC809 (FAS) - (06/04)
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