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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017630
Report Date: 04/15/2025
Date Signed: 04/15/2025 03:12:37 PM

Document Has Been Signed on 04/15/2025 03:12 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:KIDDIE CREST ACADEMYFACILITY NUMBER:
198017630
ADMINISTRATOR/
DIRECTOR:		ANTONY, HARSHIFACILITY TYPE:
830
ADDRESS:13067 PARAMOUNT BOULEVARDTELEPHONE:
(562) 633-2032
CITY:SOUTH GATESTATE: CAZIP CODE:
90280
CAPACITY: 51TOTAL ENROLLED CHILDREN: 51CENSUS: DATE:
04/15/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Leza GonzalezTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On April 15, 2025, at 9:40 a.m., Licensing Program Analyst's (LPA's) Peter Bishop and Kenneisha Dunlap arrived at the above facility for the purpose of an Unannounced Annual Inspection. LPA Bishop announced the purpose of the visit and was granted entry into the facility by Director- Leza Gonzalez. There are 46 children enrolled, and 32 children present, and 10 staff present at the time of inspection. This is an infant program with a Toddler option, and the center hours of operation are Monday- Friday 6:30am-6:00pm Transportation is not being provided at the time of this Inspection.

At 10:00 a.m. LPA's 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 4/7/2025.


Fire extinguisher(s) observed with a service tag date of 11/11/2024.

LPA observed an operable smoke detector, and carbon monoxide detectors.

At 10:15 a.m. LPA's inspected Classroom 1-the classroom was equipped with age-appropriate furniture and learning materials. Classrooms has carpeted area, sink, soft furnishings, cubby storage for shoes, changing station, dramatic play, arts & craft area, library area, manipulative items, age-appropriate toys, cubbies for diapers and change of clothes with children names.
Classroom 2 - was observed to have 2 tables where the children eat and an additional area for activities in the rear of the classroom. The facility uses children sippy cups bought from home as a water source. The

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Karen ChambersTELEPHONE: (323) 981-3368
Peter BishopTELEPHONE: 323-981-3350
DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2025
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: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630
VISIT DATE: 04/15/2025
NARRATIVE
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bottles are refilled throughout the day via water filter from classroom sink. The bottles are also taken outside during outdoor play. The sippy cups are sent home daily to be cleaned by parents The children do nap in playpens and rolling cribs. 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.

At 10:30 a.m. LPA's observed an activity that had a table and additional cubbies for clothes and supplies.
There is a male and female restroom with one sink, one toilet, toilet paper, paper towels, and hand soap in each. The bathroom was in good working condition.

At 10:40 The Playground area for the toddler component was observed and it has a shaded structure area, artificial grass on play area, age-appropriate toys, tykes, balls, playhouse, climbing structure. LPA observed playground area and materials to be in good condition, free of sharp, loose, or pointed parts.

At 11:00 a.m. LPA inspected Classroom 1 of the infant component - the classroom was equipped with age-appropriate furniture and learning materials. Classrooms has carpeted area, sink, soft furnishings, cubby storage for shoes, changing station, dramatic play, arts & craft area, library area, manipulative items, age-appropriate toys, cubbies for diapers and change of clothes with children names. The facility uses children sippy cups bought from home as a water source. The bottles are refilled throughout the day via water filter from classroom sink. The bottles are also taken outside during outdoor play. The sippy cups are sent home daily to be cleaned by parents. The children do nap in playpens and rolling cribs. 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.

Classroom 2 has a table for activities and 1 Bathroom with age-appropriate sink and 1 toilet, and 1 changing station. The bathroom was in good working condition.

At 11:15 a.m. The Playground area for the toddler component was observed and it has a shaded structure Page 2 of 6

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

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
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: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630
VISIT DATE: 04/15/2025
NARRATIVE
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area, artificial grass on play area, age-appropriate toys, tykes, balls, playhouse, climbing structure. LPA's observed playground area and materials to be in good condition, free of sharp, loose, or pointed parts.

All electrical outlets are covered.

All trash cans have lids.

The facility does provide breakfast, lunch, and snack. All food items are stored and has current expiration dates. LPA observed the kitchen area where food is distributed to be clean and organized. Knives are stored in drawer with safety latch. A roster of children names with allergies are kept in the kitchen, and in classroom.

At 12:30 p.m. LPA Bishop observed sign in and out sheets for 4/15/2025 in Binder and 19 out of 32 children were signed in. LPA’s informed Director Leza Gonzalez that parents must sign children in/out daily. This poses a potential health and safety risk. A Type B violation will be issued today.

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 not administer medication at this time. If children were to have medications that need to be administered there are in classroom inaccessible to children on the top shelf.



The facility uses a landline. The facility also communicates with parents via telephone.

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.

The children do nap. The cots and rolling cribs are stored in each classroom Page 3 of 6

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

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630
VISIT DATE: 04/15/2025
NARRATIVE
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Staff Files

Staff #1
File has all required licensing documents and immunization record in in the file.

CPR expiration date of 7/6/25

Mandated Reporter expiration date of 6/4/26

Accredited courses in file.

Staff #2


File has all required licensing documents and immunization record in in the file.

CPR expiration date of 7/6/25

Mandated Reporter expiration date of 11/27/2025

Accredited courses in file.

Staff #2


File has all required licensing documents and immunization record in in the file.

CPR expiration date of 6/25/2023

Mandated Reporter expiration date of 7/6/2025

Accredited courses in file.


Child Files

Child #1


All required licensing forms, and Immunization record in the file.

Child #2


All required licensing forms, and Immunization record in the file

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

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC809 (FAS) - (06/04)
Page: 4 of 8
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: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630
VISIT DATE: 04/15/2025
NARRATIVE
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Child #3
All required licensing forms, Infant/Needs Assessment, and Immunization record in the file.

Child #4


All required licensing forms, Infant/Needs Assessment, and Immunization record in the file.

Child #5


All required licensing forms, Infant/Needs Assessment, and Immunization record in the file.

Child #6


All required licensing forms, Infant/Needs Assessment, and Immunization record in the file.

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.

Criminal Record Clearance - Child Care Centers- Director- Leza Gonzalez was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Lead Testing

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.

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

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC809 (FAS) - (06/04)
Page: 8 of 8
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: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630
VISIT DATE: 04/15/2025
NARRATIVE
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Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org

Director- Leza Gonzalez was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

Appeal rights reviewed and given to the Director- Leza Gonzalez

Exit interview conducted and report was reviewed with the Director- Leza Gonzalez

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

DATE: 04/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025
LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 04/15/2025 03:12 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: KIDDIE CREST ACADEMY
FACILITY NUMBER: 198017630

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/15/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
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 record review the licensee did not comply with the section cited above in 19 out of 32 children were signed in which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/15/2025
Plan of Correction
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The Director stated they would have all Parents saign in and out. Director will ensure that sign in and out is conducted daily.
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 ChambersTELEPHONE: (323) 981-3368
Peter BishopTELEPHONE: 323-981-3350

DATE: 04/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/15/2025

LIC809 (FAS) - (06/04)
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