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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018749
Report Date: 04/30/2025
Date Signed: 04/30/2025 10:48:39 AM

Document Has Been Signed on 04/30/2025 10:48 AM - 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:KIDAZZLES LEARNING CENTERFACILITY NUMBER:
198018749
ADMINISTRATOR/
DIRECTOR:
CARMEN VELAZQUEZFACILITY TYPE:
850
ADDRESS:6424 LONG BEACH BLVDTELEPHONE:
(562) 612-4868
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 11DATE:
04/30/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Facility Representative- Jasmine ThomasTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
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On April 30, 2025, at 9:05am, Licensing Program Analysts (LPA’s) LPA's Keneisha Dunlap and Tyler Reyes arrived facility for an unannounced case management visit. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Facility Representative- Jasmine Thomas. There are 21 children enrolled, and 11 children present, and 1 staff present at the time of inspection. This is a preschool program, and the center hours of operation are Monday- Friday 6:00am-6:00pm.

On April 11, 2025, the facility was cited for the following deficiencies:

The Licensee was cited for 1596.7995(a)(1) - 1 out of 2 staff files missing immunization record. On April 30, 2025, LPA Dunlap reviewed immunization record in staff file.



The Licensee was cited for 101217(a)(7) - 1 out of 2 staff files missing LIC501. On April 30, 2025, LPA Dunlap reviewed LIC501 in staff file.


The Licensee was cited for 101229.1(a) - Sign in and out binder do not have current sign in and out sheets for the month of April 2025. On April 30, 2025, LPA Dunlap reviewed the sign in and out binder with current sign in and out sheets.


The Licensee was cited for 101227(a)(14) - Multiple food items had expired dates and open items were not labeled with a date after opening for consumption. On April 30, 2025, LPA Dunlap observed cabinets with all foods items with current expiration dates.


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Karen ChambersTELEPHONE: (323) 981-3368
Keneisha DunlapTELEPHONE: 323-629-7782
DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2025
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: KIDAZZLES LEARNING CENTER
FACILITY NUMBER: 198018749
VISIT DATE: 04/30/2025
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The Licensee was cited for 101215.1(m) - 1 out of 2 staff files missing Health & Safety certificate. As of April 30, 2025, this deficiency has not been corrected. This poses a potential health and safety risks to children in care. Type B violation will be issued.


The Licensee was cited for 101216(g)(1) - 1 out of 2 staff files missing LIC503 Health Screening & TB Test. As of April 30, 2025, this deficiency has not been corrected. This poses a potential health and safety risks to children in care. Type B violation will be issued.

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



Appeal rights reviewed and given to the Facility Representative- Jasmine Thomas.


2 Type B violations issued during today's visit.

Exit interview conducted and report was reviewed with the Facility Representative- Jasmine Thomas.

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SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Keneisha DunlapTELEPHONE: 323-629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 04/30/2025 10:48 AM - 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: KIDAZZLES LEARNING CENTER

FACILITY NUMBER: 198018749

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 04/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/09/2025
Section Cited
CCR
101215.1(m)

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(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

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The staff will attend the Health & Safety Training to obtain certificate before POC date.
The staff will have a copy placed in their file by POC date.
Type B
05/09/2025
Section Cited
CCR
101216(g)(1)

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(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.
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The staff will obtain a copy of LIC503 by POC date.
The staff will have a copy placed in their file by POC date.
The Director will ensure that all staff files LIC503 in files

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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
Keneisha DunlapTELEPHONE: 323-629-7782

DATE: 04/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/30/2025

LIC809 (FAS) - (06/04)
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