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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191504121
Report Date: 09/22/2026
Date Signed: 09/22/2026 11:07:09 AM

Document Has Been Signed on 09/22/2026 11:07 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:HACIENDA HEIGHTS CHRISTIAN PRESCHOOLFACILITY NUMBER:
191504121
ADMINISTRATOR/
DIRECTOR:		MICHELLE BREIDINGERFACILITY TYPE:
850
ADDRESS:2100 SOUTH STIMSON AVENUETELEPHONE:
(626) 961-4242
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY: 74TOTAL ENROLLED CHILDREN: 35CENSUS: 25DATE:
09/22/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Director Michelle BreidingerTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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On 09/22/2026, Licensing Program Analysts (LPA) Mariah Aguirre conducted an unannounced Annual/Random inspection at the above facility. Upon arrival, LPA met with the facility Director Michelle Breidinger. This facility is licensed to serve children ages 2-5 years old The facility’s hours of operation are Monday to Friday from 7:00AM to 5:30PM. Upon arrival to the facility, LPA observed 25 children in care with 5 staff members.

The following classrooms were inspected: Room 1 (two year olds): 4 children with 1 teacher present, Room 4 (3 year olds): 5 children with 1 teacher present, Room 5 (4-5 year olds): 8 children with 1 teacher present, and Room 6 (4-5 year olds) 8 children with 1 teacher present. Teacher-child ratios were observed to be in accordance with Title 22 Regulations. All children were observed to be under supervision, including visual observation. Licensed facility is within the conditions and limitations specified on the license. Staff names were recorded and documented. Per the Director the isolation area for children is located in the director’s office.

The classroom furniture and equipment was inspected for good repair, free of sharp, loose, or pointed parts. All indoor classrooms were inspected to ensure that the floors have a surface that is safe and clean. All toilets and washing facilities are in safe and sanitary operating conditions. LPA observed two separate bathrooms for boys and girls. All materials and surfaces accessible to children are toxic free. LPA observed cots for children in care. Per the facility Director, all bedding for children in care is sent home every Friday to be washed and is returned to the facility every Monday. At the time of inspection, LPA observed that all enrolled children have cubbies accessible as a storage space for belongings. All children have assigned labeled cubbies.

The facility does provide meals to children in care. Per the Facility Director, food is prepared by a cook in the kitchen located in the main area of the church. LPA observed the kitchen to be clean and orderly, with all foods stored properly labeled with expiration dates and stored in a refrigerator at a temperature fit for food storage. The facility provides AM and PM snacks and Lunch to children in care.

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Christina Gabelman
Mariah Aguirre
DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2026
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 5
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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Document Has Been Signed on 09/22/2026 11:07 AM - It Cannot Be Edited


Created By: Mariah Aguirre On 09/22/2026 at 10:24 AM
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: HACIENDA HEIGHTS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191504121

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

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 1 out of 5 instances, as staff #1 does not have a current Mandated Reporter training Certification which posesses a potential risk to the health, safety, and personal rights of children in care.
POC Due Date: 10/06/2026
Plan of Correction
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Staff #1 will complete mandated reporter training and submit proof of the certification to LPA MAguirre via email by POC due date above.
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.
Christina Gabelman
NAME OF LICENSING PROGRAM MANAGER:
Mariah Aguirre
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/22/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2026


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: HACIENDA HEIGHTS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191504121
VISIT DATE: 09/22/2026
NARRATIVE
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A food menu was available for viewing on the parent board of the facility and in the church kitchen. Filtered water is provided to children in care. Per Facility Director, children bring their own water bottles and refill it at the facility as needed. LPA observed that all children have their water bottles labeled with their names. LPA observed all cleaning compounds and solutions to be stored away from children in care located in cabinets of each classroom. Per the facility Director, a janitorial service comes to clean the facility every night.

LPA observed that there is a dual in line functioning smoke and carbon monoxide detectors throughout the premises. LPA observed a fully charged and serviced fire extinguisher last serviced June 4th 2026. Emergency disaster drill was last conducted on 08/11/2026. Per Title 22 regulations, Emergency Disaster drills should be conducted at the facility every six months. The current Disaster Drill Log was available for review at the time of inspection.

At the time of inspection, LPA observed the outdoor playground for all classrooms. The outdoor playground equipment is in a safe condition. The surface of the outdoor activity space is maintained in a safe condition. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. The material provided to absorb a fall is gravel. There is adequate shade in the play yard. LPA observed a sandbox in the play yard. Per the facility Director the sandbox is deep cleaned every two months.



Sign in and out sheets are completed outside of each child’s classroom. LPA observed that the person who signs the child in and out uses their full legal signature and records the time of the day. Staff and Children’s records were reviewed. Staff files were found to be complete. Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018 any person who works in a childcare facility shall complete the training and renew the training every 2 years. At this time, staff #1 does not have a current Mandated Reporter Training Certificate on file. As a result, one type B citation was issued. (See attached LIC809D). Staff #2-5 do have a current Mandated Reporter Training Certificate. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Incidental Medical Services (IMS) policy was discussed. At this time, the facility does not have any children enrolled who require IMS. 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/.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mariah Aguirre
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: HACIENDA HEIGHTS CHRISTIAN PRESCHOOL
FACILITY NUMBER: 191504121
VISIT DATE: 09/22/2026
NARRATIVE
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LPA advised the Facility Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The Facility Director 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.

The Director 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.

During the exit interview, the Facility Director Michelle Breidinger confirmed that there are no Registered Sex Offenders working in the facility and LPA completed the RSO profile in FAS.

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.

The following deficiencies cited on the attached LIC809D (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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements will result in an immediate civil penalty of $100. A copy of this report along with appeal rights were provided to the Facility Director.

Exit interview conducted and report was reviewed with the Facility Director, Michelle Breidinger.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mariah Aguirre
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2026
LIC809 (FAS) - (06/04)
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