<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500280
Report Date: 05/14/2026
Date Signed: 05/14/2026 11:38:23 AM

Document Has Been Signed on 05/14/2026 11:38 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:RICE HEAD STARTFACILITY NUMBER:
191500280
ADMINISTRATOR/
DIRECTOR:		CAROLYN WONGFACILITY TYPE:
850
ADDRESS:2150 ANGELUS AVE.TELEPHONE:
(626) 307-3352
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY: 60TOTAL ENROLLED CHILDREN: 36CENSUS: 32DATE:
05/14/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Erica VegaTIME VISIT/
INSPECTION COMPLETED:
11:53 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 05/14/26 at 09:05 a.m. The purpose of this inspection is to follow up on an incident that was not reported to the Department within 24 hours. LPA attempted to enter the premises of Rice Elementary School to access the Head Start program; however, LPA had to wait 7 minutes before checking in at the main office. At 09:22 a.m., LPA met with the facility representative Sandra Lozano and census was taken of classroom HS. Per facility representative Sandra Lozano, a manager, would be contacted to further assist LPA with the inspection. At 09:39 a.m. facility representative Erica Vega arrived and assisted analyst with the rest of the inspection including census of classroom K1.

During this inspection, LPA interviewed Staff 1 (S1) thru 2, and Child 1 (C1). Per facility representative, copies of C1 doctor's note and ouch report will be sent to LPA.

On 04/27/26 at approximately 09:30 a.m., during choice time Child 1 (C1) was sitting in a couch located in the library area and placed their hand between the couch crevices and cut their finger. On 04/28/26, the parent of C1 called Staff 1 (S1) and stated that C1 was taken to the doctor and received stitches. The parent also notified S1 that C1 would be kept home for the rest of the week.

According to S1 they were not present the day the incident occurred; however, they were made aware on 04/28/26. Interview conducted with S2 revealed that C1 was playing in the library area while sitting on a couch. C1 was then observed in the sink crying with blood on their hand. C1 was asked what happened and child revealed that they placed their finger on the side of the couch and when they pulled their finger, they sustained a cut. S2 stated that S3 immediately provided first aid by cleaning the area, applied ointment, and applied pressure with a napkin as an attempt to stop the blood, but the cut was deep.

Page 1 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/14/2026
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 3
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)
Page: 2 of 3
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: RICE HEAD START
FACILITY NUMBER: 191500280
VISIT DATE: 05/14/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Soon after both staff checked the couch and S3 placed their finger inside the couch and stated they felt something sharp but couldn’t see what it was. Per S2, S3 also sustained a small cut after they pulled their finger out of the couch. Staff then contacted a manager and parent of C1. According to S2, S3 was near the library area and witnessed the incident; however, S3 is a substitute and is not present for an interview. Per interviews, C1 returned to the facility on 05/05/26 with no restrictions. Interviews revealed that the parent of C1 was given an ouch report.

LPA interviewed C1 who stated that they hurt their finger while trying to grab their toy that fell under the couch. Per C1, they pulled their finger, saw blood, and told their teachers S1 and S2. According to C1, their teachers contacted the doctor and recalled that the doctor told them not to take off their band aid. C1 also revealed they feel safe at the facility.

LPA toured the classroom where the incident occurred and observed age appropriate toys, materials, equipment, and furniture for children. Staff revealed that the couch was immediately removed and the vendor has been notified of the incident. The unusual incident report also indicates that the facility is inspecting other sites to ensure that the couch is removed to prevent future incidents. LPA inquired about the couches brand and color to check for any possible recalls on the Consumer Product Safety Commission (CPSC) website; however, there are no recalls. According to staff, the couch is from Lakeshore and provided LPA with a description. LPA found the couch on the Lakeshore website “Just Like Home Comfy Chair” and corroborated with staff that the couch found on the website was the couch the facility previously had. Upon review of the couch description, LPA observed that the couch is recommended for ages 3-6 years old grades preschool-1st grade which is age-appropriate.

LPA discussed with the facility representative that unusual incident reports must be reported to the department within 24 hours. The incident occurred on 04/27/26 and was reported to the department on 04/29/26. LPA provided a technical violation.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

The Notice of Site Visit (LIC 9213) must remain posted for 30 days during the hours of operation after each site visit by a licensing representative, a civil penalty of $100 can be assessed.

An exit interview was conducted, and a copy of this report was provided to the facility representative Erica Vega. Page 2 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC809 (FAS) - (06/04)
Page: 3 of 3