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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016871
Report Date: 11/05/2024
Date Signed: 11/05/2024 03:54:38 PM

Document Has Been Signed on 11/05/2024 03:54 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MCKINLEY MONTESSORI ACADEMYFACILITY NUMBER:
198016871
ADMINISTRATOR/
DIRECTOR:		RACHEL CORDOVAFACILITY TYPE:
850
ADDRESS:217 E. MCKINLEY AVENUETELEPHONE:
(909) 620-8400
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 35DATE:
11/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:10 PM
MET WITH:Director Rachel CordovaTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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Licensing Program Analysts (LPA)s Stephanie Li and Mariah Aguirre conducted a Case Management Deficiencies inspection, to address deficiencies observed during a complaint inspection on 11/05/2024. LPA's met with Director Rachel Cordova, who guided LPA's on a tour of the facility. Census was taken.

During todays visit, LPA's observed the outdoor play yard to NOT have enough age appropriate materials and toys for children to utilize. LPA's observed several children on several instances argue and fight over toys and materials. LPA's observed assorted blocks laid out through out the play yard and one coloring book with two paint brushes and 4 trucks near the sand yard. LPA's observed children pick up tricycle stops signs and threw them to the floor and at each other.

Based on LPA's observations, the following deficiencies are being cited on page LIC809D in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be corrected to protect the children's health and safety.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Rachel Cordova.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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Document Has Been Signed on 11/05/2024 03:54 PM - It Cannot Be Edited


Created By: Stephanie Li On 11/05/2024 at 03:41 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MCKINLEY MONTESSORI ACADEMY
FACILITY NUMBER: 198016871

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2024
Section Cited
CCR
101239(m)(1)

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(1) The licensee shall provide a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity to allow children present to fully participate in planned activities.

This requirement was not met evidenced by:
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Per Director, she spoke with staff effectively immediately all metarials need to be taken into the play ground and kept there Monday through Friday. LPA's observed all materials in the storage brought out and set up in the play ground during visit.
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Based on observations there were not enough toys and materials for children to utilize causing fights between children, which poses a health and safety risk to 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:Christina Gabelman
LICENSING EVALUATOR NAME:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 11/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/05/2024


LIC809 (FAS) - (06/04)
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