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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191597492
Report Date: 01/13/2026
Date Signed: 01/13/2026 03:53:32 PM

Document Has Been Signed on 01/13/2026 03:53 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:WASHINGTON/CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191597492
ADMINISTRATOR/
DIRECTOR:		KYM ALLENFACILITY TYPE:
850
ADDRESS:975 E. NINTH AVETELEPHONE:
(909) 620-4266
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 35DATE:
01/13/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Brenda Aparicia- Sub Teacher TIME VISIT/
INSPECTION COMPLETED:
03:55 PM
NARRATIVE
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Licensing Program Analysts (LPA) Cynthia Reyes conducted a case management inspection due to an incident that occurred on 01/07/2026. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with Brenda Aparicia- Sub Teacher. The education supervisor Adriana Aguilar was called and spoke with LPA over the phone and stated she was not a wear of any incident that was reported to the department. LPA informed her of the incident and who called it in. Adriana stated she will contact the nurse who called it in and will have her reach out to the LPA. LPA was then contacted by phone and spoke with Alma Gaitan who is the nurse specialist for this site and the person who called the incident in on 01/09/2026. Interview was conducted with Alma and Alma then had the LPA speak with her supervisor Veronica Bravo.

The facility states there was an incident with a 4 year 2 month old child that was not given her G-tube due to the nurse arriving late to the facility. Per interviews and documents reviewed and received the child is suppose to have her G-tube given at 10 AM and 1 PM and the nurse didn't arrive until about 1 30 PM, Chryanthia Vargas, LVN stated she was running late and when she arrived the child was already eating regular food with the other children and made the decision to let her continue eating The father of the child arrived shortly after and Ms. Vargas asked dad if he wanted her to still give the G-tube as the child was eating regular food and he stated no he would feed his child at home later as she was already eating cereal that he was happy with her eating the regular food, as that is art of their plan to start her slowly eating regular food.
NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Cynthia Reyes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2026
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: WASHINGTON/CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191597492
VISIT DATE: 01/13/2026
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The facility did not follow proper procedures per the individual health care plan of the child that states, the chid is required to be given a G-tube at 10 AM and 1 PM. However it was stated that there is a 15-30 minute grace period, but while reviewing the documents nothing is documented regarding the grace period or the change of eating regular food. The incident report was not called in timely a the school had just called the department for consultation if the incident needed to be called in or not. The parent was notified as he had arrived at the time the incident happened.
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Based on information obtained for this Incident on this date, no follow up is necessary. Consultation was conducted and citation was given on this date. LPA obtained copies of all documents for the child

Exit interview and consultation was conducted with Brenda Aparicia- Sub Teacher and a notice of site visit and appeal rights explained & provided.
NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Cynthia Reyes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/13/2026 03:53 PM - It Cannot Be Edited


Created By: Cynthia Reyes On 01/13/2026 at 03:28 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: WASHINGTON/CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191597492

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/23/2026
Section Cited
CCR
101223(a)(2)

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Personal Rights: The licensee shall ensure that each child is accorded the following personal rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement is not met as evidenced by:
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Supervisor states she will have a plan written up of the steps she will take to ensure any medical documents for any child is updated and available and the steps for a back up plan when a staff member is late or out sick who is in charge of administering medication timely.
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A child was not given a G-tube at the time documented per her doctors request due to her LVN arriving late to the facility. This poses a potential health and safety 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.
Christina Gabelman
NAME OF LICENSING PROGRAM MANAGER:
Cynthia Reyes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/13/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2026


LIC809 (FAS) - (06/04)
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