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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191230990
Report Date: 02/12/2026
Date Signed: 02/12/2026 01:14:30 PM

Document Has Been Signed on 02/12/2026 01:14 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:WEBSTER PRESCHOOLFACILITY NUMBER:
191230990
ADMINISTRATOR/
DIRECTOR:		PATRICIA GUZMANFACILITY TYPE:
850
ADDRESS:2101 E. WASHINGTON BL. BLG. BTELEPHONE:
(626) 798-7866
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY: 84TOTAL ENROLLED CHILDREN: 31CENSUS: 21DATE:
02/12/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Program Coordinator, Patricia GuzmanTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On February 12, 2026, at 9:00 am, Licensing Program Analyst (LPA), Priscilla Ochoa conducted an announced Case Management inspection for a room change at the above facility. LPA was then greeted by Program Coordinator (PC), Patricia Guzman, who guided LPA on a tour of the facility. The Preschool program is on the premise of Webster Elementary School and is a part of the Pasadena Unified School District (PUSD). Hours of operation are Monday – Friday from 7:00 am – 6:00 pm. There are currently 31 children enrolled in the program and LPA observed 21 children in care with 7 staff members.

The facility is licensed for a capacity of 84 preschool aged children, (2 – 5 years old). The Licensee, Pasadena Unified School District Child Development, has requested a room change which will not affect the capacity of 84 children. The program is currently occupying 2 classrooms, 101 and 109 which are located in the main elementary school building. The facility will no longer operate in classroom 109. The facility has installed 3 new bungalows (bungalows 4, 5 and 6) which are located right outside of the main school building, next to the facility’s outdoor play yard. The facility will operate in Classroom 101 and Bungalow 4, 5 and 6, which will exclusively be used by the preschool program.

At 9:30 am, LPA was guided on a tour of the facility. Parents currently utilize the front gate of the elementary school and walk their child to their designated preschool classroom. Per PC, parents will continue to use the front gate and walk across the hall to access the bungalows in the outside area. LPA inspected Classroom 101: 8 children and 4 staff members and Classroom 109: 13 children and 3 staff members. Appropriate ratios and supervision were observed. All indoor and outdoor activity space utilized for the children were inspected today. LPA P. Ochoa informed PC, Patricia Guzman that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2026
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 4
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: WEBSTER PRESCHOOL
FACILITY NUMBER: 191230990
VISIT DATE: 02/12/2026
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LPA continued to tour the facility and inspected the new bungalows. LPA measured all indoor activity spaces for children in care. The total indoor activity space measured for Bungalow 4, 5, 6 and classroom 101 was 4,358.27 square feet, which is sufficient to accommodate the current capacity the facility is licensed for. LPA observed that only bungalow 5 is fully furnished with safe, age-appropriate furniture and equipment, including tables, chairs, bookshelves, and other activity supplies for the children. Napping equipment was observed in the form of cots in bungalow 5 and classroom 101. LPA also observed a fully charged fire extinguisher and a hardwired smoke/carbon monoxide detector in each bungalow. Per PC, once the department approves the bungalows, the children’s furniture and equipment from classroom 109 will be moved to bungalow 6. The facility provided LPA a list of materials that have been ordered that include age-appropriate furniture and equipment, including tables, chairs, bookshelves, and other activity supplies for the children that will be installed in bungalow 4. Per PC the shipment will be received and installed no later than February 27,2026. The bungalow that is not furnished will remain inaccessible to children in care until all equipment and furniture is installed. PC will send pictures to LPA once furniture from classroom 109 is installed in bungalow 6 and when bungalow 4 is fully furnished.

Drinking water is available in the classrooms via each child’s personal water bottle. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 02/09/2026.

LPA observed 2 sinks and 2 toilets in each bungalow and classroom 101, with a total of 8 toilets and 8 sinks that are available for children’s use. These are sufficient to accommodate the current overall capacity of children.

LPA observed the preschool area to be separated from other programs. The facility currently obtains a waiver to allow the preschool aged children to use the play yard that is designated for TK children on a staggered play schedule. There are sufficient outdoor age-appropriate toys and play equipment available on the playground for children in care. LPA observed all hazardous items on the playground to be inaccessible to children. Per PC, the facility will be expanding their play yard and will edit their waiver in the coming months. PC will update LPA once the facility is ready to make the expansion. PC was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Criminal Record Clearance - Child Care Centers: Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff,

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: WEBSTER PRESCHOOL
FACILITY NUMBER: 191230990
VISIT DATE: 02/12/2026
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persons who provides care and supervision to children, and staff who have contact with children, 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.”

APPLICANT KNOWS PROSPECTIVE CLIENTS WILL NEED IMS: “This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.“

APPLICANT WILL WAIT UNTIL FACILITY OPENS TO DETERMINE IMS NEEDS: “Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm”

Review of records to be maintained - Child Care Centers: LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.”

MyChildCarePlan.org--Child Care Centers and Family Child Care Home: Licensee was informed of the MyChildCarePlan.org site, 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.

Upon a final file review, an updated license for 84 children will be granted.

A notice of site visit was given to Program Coordinator (PC), Patricia Guzman and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Program Coordinator (PC), Patricia Guzman.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC809 (FAS) - (06/04)
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