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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191593078
Report Date: 01/30/2025
Date Signed: 01/30/2025 04:10:14 PM

Document Has Been Signed on 01/30/2025 04:10 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BELAIRE LITTLE PEOPLE SCHOOLFACILITY NUMBER:
191593078
ADMINISTRATOR/
DIRECTOR:		DEYANIRA BARRAZAFACILITY TYPE:
850
ADDRESS:816 W SERVICETELEPHONE:
(626) 960-2522
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 2DATE:
01/30/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:New Director, Viviana AlvarezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Cynthia Reyes and Kamile Martin conducted an unannounced case management deficiencies inspection. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with New Director, Viviana Alvarez. A tour of the facility was conducted and only 2 preschool children were present. Staff names were documented.

During the tour of the facility and records review, LPAs observed the following citations:

Health Related Services: When medication is no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or dispose of after an attempt to reach the authorized representative. This requirement is not met as evidenced by LPA and Director observed several medications belonging to 3 children whom are no longer in care and no longer enrolled in the facility.

Per LPA review of children's medication. LPA observed the facility does administer Incidental Medical Services, (IMS). However the facility does not have an IMS plan in place. Incidental Medical Services (IMS) policy was discussed with the Director. Per children file review, the 3 children with IMS do not have the required documents.

Per LPA walk through the Infant changing tables was observed to have foam exposed and is not maintained in good repair and safe condition.

Based on LPAs observations the following deficiencies listed on the LIC 809D(s) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be corrected to protect the children's health and safety.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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
Document Has Been Signed on 01/30/2025 04:10 PM - It Cannot Be Edited


Created By: Cynthia Reyes On 01/30/2025 at 01:44 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: BELAIRE LITTLE PEOPLE SCHOOL
FACILITY NUMBER: 191593078

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
HSC
101439(h)(3)

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Infant Care Center Fixtures, Furniture, Equipment and Supplies. Infant changing tables shall: Be maintained in good repair and safe condition. The requirement is not met as evidence by: LPA observed the changing pad in the 2-3 year old classroom
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Per director she will replace the changing pad on the changing table and provide photos of the new pad by the POC date of 02/14/2025.
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having exposed foam showing. This poses a potential health and safety risk to the children in care.
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Type B
02/14/2025
Section Cited
CCR101226(6)

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Health-Related Services: When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative. This requirement is not met
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Director states will have medication thrown out if child is no longer in care and other medication will be return to the child's parent and a declaration will be submitted to the department stating how they will ensure the regulation is met at all times.
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as evidenced by LPA and Director observed several medications belonging to 3 children whom are no longer in care and no longer enrolled in the facility. This poses a potential health and safety risk to the 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.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: BELAIRE LITTLE PEOPLE SCHOOL
FACILITY NUMBER: 191593078
VISIT DATE: 01/30/2025
NARRATIVE
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A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and reported was reviewed with the facility New Director, Viviana Alvarez.


For IMS information see PIN 22-02- CCP. 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/resources/child-care-centers/.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 01/30/2025 04:10 PM - It Cannot Be Edited


Created By: Cynthia Reyes On 01/30/2025 at 02:27 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: BELAIRE LITTLE PEOPLE SCHOOL
FACILITY NUMBER: 191593078

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/14/2025
Section Cited
HSC
1012226(3)(b)

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Health-Related Services
For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. This documentation shall be kept in the child's record.
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Per Director Completed IMS Plan completed by director submitted to LPA by 2/14/25. for the site and for children who individually are perscribed medication need the form in therir file.
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The requirement is not met by LPA observed the facility does administer Incidental Medical Services, (IMS). However the facility does not have an IMS plan in place. 3 children do not have IMS documents in their file. This poses an immediate health risk to 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.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
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