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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670974
Report Date: 07/01/2026
Date Signed: 07/01/2026 11:52:30 AM

Document Has Been Signed on 07/01/2026 11:52 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:LBUSD-MANN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670974
ADMINISTRATOR/
DIRECTOR:		ROBBIE WADELLFACILITY TYPE:
850
ADDRESS:3215 E VISTA AVETELEPHONE:
(562) 439-7896
CITY:LONG BEACHSTATE: CAZIP CODE:
90803
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 25DATE:
07/01/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Coordinating Teacher Nancy Perez-VillegasTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Jeanette Estrada conducted an unannounced case management inspection at the facility for the purpose of following up on an Unusual Incident Report (UIR) submitted to the Department. LPA met with Coordinating Teacher Nancy Perez-Villegas and informed her of the reason for the visit. There were 25 children and 4 staff present.

On 5/11/26 a UIR was submitted by the facility regarding an incident that occurred on 5/7/26. Per the UIR, Child 1's parent visited the facility on 5/7/26 and was upset that Staff 1 had not reported an allegation of suspected child abuse that had occurred in the home that the parent had disclosed to them on 4/21/26. Per interviews and record review, Staff 1 did confirm that the parent did inform them of the suspected abuse on 4/21/26. Per Staff interviewed they did not observe any bruising or signs of abuse within Child 1. Per Staff 1, they thought that the parent had already reported the abuse. On 5/7/26, Coordinating Teacher Nancy Perez filed the report with Department of Children and Family Services (DCFS).
LPA reviewed staff files. All staff at the facility working at that time have completed mandated reporter training. LPA discussed with Coordinating Teacher the requirement of reporting suspected child abuse. LPA advised facility to call the Regional Office or DCFS to determine if a report should be made, if they are unsure.
Besides Staff 1 not reporting the alleged suspected child abuse at the time of disclosure, the facility did not report this incident during the required time frame from the Department.
A type B citation is being issued today for regulation Reporting Requirements 101212 (d). The California Code of Regulations, (Title 22, Division 12, Chapter 1), is being cited on the attached LIC 809D.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Coordinating Teacher Nancy Perez-Villegas. .
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jeanette Estrada
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2026
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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Document Has Been Signed on 07/01/2026 11:52 AM - It Cannot Be Edited


Created By: Jeanette Estrada On 07/01/2026 at 11:27 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: LBUSD-MANN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191670974

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/17/2026
Section Cited
CCR
101212(d)

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101212(d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department within the Department's next working day and during its normal business hours. This requirement was not met as evidenced by
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Per Coordinating Teacher a staff meeting will be held regarding reporting requirements and a sign in sheet will be submitted to the Department by 7/17/26.
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Based on interview and record review, the facility did not report an allegation of suspected child abuse at the time of disclosure and the facility did not report the incident to the RO within the required timeframe. This poses a potential risk to the safety of 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.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Jeanette Estrada
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2026


LIC809 (FAS) - (06/04)
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