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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191223032
Report Date: 12/18/2025
Date Signed: 12/18/2025 03:58:04 PM

Document Has Been Signed on 12/18/2025 03:58 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:LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDRENFACILITY NUMBER:
191223032
ADMINISTRATOR/
DIRECTOR:		ARPY JAHJAHFACILITY TYPE:
840
ADDRESS:2902 MONTROSE AVENUETELEPHONE:
(818) 249-8124
CITY:LA CRESCENTASTATE: CAZIP CODE:
91214
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 29DATE:
12/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Shannon MacallTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 12/18/2025, at 1:00pm, Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced case management inspection to follow up on the incident reported to the Department by the facility. Upon arrival, LPA was greeted by Assistant Director, Shannon Macall. Tour was provided. No children were present upon arrival. Children start arriving an hour later.

On 12/01/2025, Child #1(C1) was left in the bathroom without supervision while her class went downstairs for outdoor play time.

During the tour, LPA observed bathrooms located outside of the classrooms in the balcony area and shared between three classrooms. Bathrooms were separated by gender , with each bathroom containing two stalls. LPA observed C1`s classroom furthest from the bathrooms.

Additionally, LPA observed from both sides of the balcony there is an access to the stairs leading to the gate with push bar exiting to the parking lot and gate to the side of the property leading to the driveway and street. (Pictures were taken). LPA observed gate on the side of the property was wide open during this inspection.

During the interviews, Staff member #2 (S2) and Staff member #4 (S4) stated C1 was found on the balcony area next to her class without any supervision. C#1 told S2 that was left behind by her class while C1 was using bathroom. S4 took the C1 to join her class. Per S4, S3 and S5 were not aware that C1 was missing.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Shushanik Safaryan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2025
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN
FACILITY NUMBER: 191223032
VISIT DATE: 12/18/2025
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Based on the information obtained during the interviews, C1 was left without supervision for approximately 5 minutes. S3 stated that C1 asked to use the bathroom when children were getting in line to go outside and forgot to mention to S5. Per S3, visual supervision was not provided to C1. S5 stated she was occupied with the rest of the children and could not leave the classroom. Per S5 head count was conducted and matched number of children on iPod, which was not confirmed by S3 , who stated they did not observe S5 headcount children. During the interview, S5 was unable to recall number of children present during the headcount. Additionally, S5 could not recall seeing C1 in line.

LPA conducted additional interviews with the children. C1 stated they were told to go wash their hands by S3 . Per C1 they went to the bathroom and when they went back, classroom door was locked and C1 could not locate their class until they met S2 and S4. C1 also disclosed to LPA that they felt scared when they saw their classroom door was locked..

Additionally, children disclose when they need to use the bathroom, they can take the pass or ask the teacher to use the bathroom. Per children statements, staff stands next to the classroom door. During this visit, LPA observed 2 children using bathroom ,while staff member was at the classroom door assisting another child and was facing towards to the classroom.

Per Assistant Director and Director incident was not reported to them until next day around 5:30pm and Department and parents were notified following business day. Per Facility Representatives, interviews were conducted with staff members and child involved and it was disclosed by C1 that they felt scared, which was confirmed by the parent of C1.

Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) 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 and safety.

LPA Safaryan informed facility representative Shannon Macall and Arpy Jahjah this report dated 12/18/2025 document(s) one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Shushanik Safaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN
FACILITY NUMBER: 191223032
VISIT DATE: 12/18/2025
NARRATIVE
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Also, LPA Safaryan informed the facility representative to provide a copy of this licensing report dated 12/18/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days during facility’s hours of operation.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and a copy of this report, deficiency page and appeal rights were provided to Assistant Director Shannon Macall and Director Arpi Jahjah on 12/18/2025.

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NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Shushanik Safaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/18/2025 03:58 PM - It Cannot Be Edited


Created By: Shushanik Safaryan On 12/18/2025 at 02:07 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: LA CRESCENTA PRESBYTERIAN CTR. FOR CHILDREN
FACILITY NUMBER: 191223032

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1)No child(ren) shall be left without the supervision of a teacher at any time,..Supervision shall include visual observation.This requirement not met evidenced by:
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 Facility Representatives stated staff #5 was send to the administrative leave,new staff member assigned to the class.Facility will conduct meeting regarding supervision, supervision when children use bathroom , reporting requirements, headcounts. Meeting agenda signed by staff members will be submitted to LPA by POC date.
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C1 was left without any supervision in the bathroom, when C`1 class went downstairs to outdoor play area, which poses an immediate risk to the health, safety, and personal rights of 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.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Shushanik Safaryan
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 12/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2025


LIC809 (FAS) - (06/04)
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