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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016445
Report Date: 06/30/2023
Date Signed: 06/30/2023 02:53:27 PM


Document Has Been Signed on 06/30/2023 02:53 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:KID TOWN USA PRESCHOOL-MONTESSORI ACADEMYFACILITY NUMBER:
198016445
ADMINISTRATOR:HARSHI ANTONYFACILITY TYPE:
850
ADDRESS:13500 PARAMOUNT BLVD.TELEPHONE:
(562) 630-0400
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY:144CENSUS: 79DATE:
06/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Tina (Ernestina) Coronel, DirectorTIME COMPLETED:
02:30 PM
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On 06/30/2023 at 11:15 AM an Unannounced Required – 1 Year Inspection was conducted by Licensing Program Analyst (LPA) Katrina Chicote. LPA announced purpose of visit and met with Tina Coronel, Director, who granted entry to facility. Facility is currently licensed for a capacity of 144, per Director they currently have 119 children enrolled. The program currently operates from 6:30 AM to 6:00 PM Monday thru Friday . LPA was provided guided toured facility both indoors and outdoors, though Director would have to step in and out of tour to assist with ratio during inspection. LPA observed required licensing postings on Parent Board in lobby.

The facility is made up of four classrooms (RM 1, 2, 3, and 4). Furniture and equipment were inspected for age appropriateness and good repair. At the initial start of the site visit, LPA observed children eating lunch on tables outside of the classroom. LPA observed RM 1 to have 24 children with two staff (S1 and S2), RM 2 to have 21 children with two staff (S3 and S4), RM 3 to have 22 children with two staff (S4 and S5), and RM 4 to have 12 children with one staff (S6), total census of 79 children and a total census of seven staff present.

At 11:17 AM, Sign-in and out sheets and procedures were reviewed. LPA observed 42 of 79 children signed in at time of inspection. LPA discussed observation with Director.

Snack/lunch menus were reviewed and observed posted on Parent Board in lobby. At 11:19 AM, food preparation areas were toured for safety, cleanliness and proper equipment. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. Facility provides Breakfast, Lunch, and Snack. LPA observed children having lunch upon arrival to facility with trash bins with lid available. LPA observed Director replace food trash bins with empty bags during inspection.
Report Continues - Page 1 of 4
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023
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 9


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY
FACILITY NUMBER: 198016445
VISIT DATE: 06/30/2023
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Beginning at 11:35 AM, furniture and equipment were inspected for age appropriateness and good repair in all four classrooms. LPA observed linoleum and rugs for flooring in each classroom to be safe and clean at time of inspection. LPA observed child size tables and chairs available for children maintained in good condition, free of loose and sharp pointed parts. LPA observed cubbies with child appropriate toys for dramatic play, math, and science well maintained 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. LPA observed rooms being set up for nap time. LPA observed standard cots laid out that does not hinder walkways to entrances or exits. Per Director, linens and blankets are provided by families and taken home weekly for washing. Availability of drinking water was reviewed. LPA observed operable water fountains available in each classroom used for drinking water. Age appropriate sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, area safety and sanitation. LPA observed bathrooms available in each classroom that had three toilets and three sinks, additional sink available outside of the bathroom, totaling 12 toilets and 16 sinks available for the program.

A first aid kit is kept in top cabinet in each classroom. LPA observed smoke detectors and fire extinguishers are present in the facility. Per Director, she was informed Carbon Monoxide detectors are present in each classroom pointing to each one in classroom. LPA was unable to test Carbon Monoxide detectors in each classroom due to location. Disaster drill log was reviewed and last drill conducted was on 01/09/2023. Per Director, isolation area for sick children is in office where LPA observed a bathroom is available. Hazardous items including poisonous cleaning compounds were stored inaccessible to children. LPA observed these items stored in high cabinet in each classroom.

Beginning at 11:50 AM, outdoor play areas and equipment were inspected for safety, cushioning material, good repair and age-appropriateness. Required shade and fencing were inspected. LPA observed two outoor play areas available for children. LPA observed Play Area 1 to have age appropriate tricycles available that are well maintained with concrete bike path in the perimeter of area with a plastic play structure, swing set, circle pedal merry-go-round all with cushioning material below to absorb fall that has been well maintained. LPA observed Play Area 2 to also have age appropriate tricycles available that are well maintained with concrete bike path in the perimeter of area with various plastic play equipment (houses and
slides) with cushioning material below to absorb fall that has been well maintained. LPA observed two deflated bounce houses available in each outdoor play area. Per Director, this is available only on occasion,
Report Continues - Page 2 of 4
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC809 (FAS) - (06/04)
Page: 2 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY
FACILITY NUMBER: 198016445
VISIT DATE: 06/30/2023
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today's occasion being the facility's Summer Picnic. LPA observed schedule confirming Director's statement. LPA advised that 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 fountains during outside play. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water or hazards observed.

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. Personal Rights of children were observed by LPA.

At 12:54 PM, staff and children’s records were reviewed. Record reviews were documented on LIC 859 and LIC 857. Inspection of required forms made. Criminal Record Clearances were reviewed for adults. All staff present have criminal record clearances at time of inspection. Pediatric First Aid/CPR expires on 03/28/2024 for S2. All staff present has completed AB1207 Mandated Reporter requirement. LPA observed medications for C1, C2, and C3 which were stored in locked cabinet in Main Lobby. LPA did not observe prescription label with instructions on medicines stored for C2 and C3 at time of inspection.

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-carecenters/.


Licensee (or 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.
Report Continues - Page 3 of 4
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC809 (FAS) - (06/04)
Page: 3 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY
FACILITY NUMBER: 198016445
VISIT DATE: 06/30/2023
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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.

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 licensee 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.

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.



Exit interview was conducted and report was reviewed with the Facility Representative, Tina Coronel, Director.
Report Ends - Page 4 of 4
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:

DATE: 06/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/30/2023
LIC809 (FAS) - (06/04)
Page: 4 of 9
Document Has Been Signed on 06/30/2023 02:53 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
MONTEREY PARK S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KID TOWN USA PRESCHOOL-MONTESSORI ACADEMY

FACILITY NUMBER: 198016445

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/30/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(3)(A)
Health-Related Services
(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA record review, the Licensee did not comply with the above regulations. C2 and C3 did not have prescriptions medications with label directions at time of inspection. This poses a potential health, safety, and personal rights risk to children in care.
POC Due Date: 07/31/2023
Plan of Correction
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Facility Representative states she will write a note for Authorized Represenative to obtain doctor's prescription and will communicate with staff on procedures and provide to LPA by POC date via email/text.
Type B
Section Cited
CCR
101229.1(a)(1)
Sign In and Sign Out
(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA record review, Licensee did not meet above criteria by not having all children present signed in. LPA observed 42 of 79 children present signed in at time of inspection. Additionally, LPA observed 3 children signed out in advance. This poses a potential health, safety, and personal rights risk to children in care.
POC Due Date: 06/30/2023
Plan of Correction
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Facility Representative states she will communicate to parents about sign in and out procedures. LPA observed FR post on ClassDojo to remind parents to sign and out during review of report. Clearing this deficiency during inspection.
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 ChambersTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Katrina ChicoteTELEPHONE: (323) 629-7658
LICENSING EVALUATOR SIGNATURE:
DATE: 06/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/30/2023
LIC809 (FAS) - (06/04)
Page: 5 of 9