191802184-5-28-2026-33-CC-MJAA-DUHU5A-20260528151624

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191802184
Report Date: 05/28/2026
Date Signed: 05/28/2026 03:16:37 PM

Document Has Been Signed on 05/28/2026 03:16 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	WESTMINSTER CHILD CENTER		FACILITY NUMBER:	191802184
ADMINISTRATOR/ DIRECTOR:	KANISHIA LONG		FACILITY TYPE:	850
ADDRESS:	4848 EAGLE ROCK BLVD		TELEPHONE:	(323) 256-8086
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90041
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 33	CENSUS: 26	DATE:	05/28/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:03 AM
MET WITH:	Kay Long, Director		TIME VISIT/ INSPECTION COMPLETED:	03:30 PM

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	On May 28, 2026, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Case Management- Incident inspection at the above facility. LPA met with director, Kay Long who guided LPA on a tour of the facility. LPA observed 26 children in care. The purpose is to follow up on an incident that occurred on 05/15/2026 and 05/20/2026; the incident was reported to the department on 05/20/2026. The incident was reported timely. During the inspection, LPA interviewed Staff #1 (S1) to Staff #4 (S4 LPA obtained a current facility roster and observed relevant documents. LPA was unable to interview Child #1 (C1) and Child #2 (C2) as they were not present at the facility. Child #3 was not interviewed as they were napping. Disclosed in interviewed S1-S3 stated that C1 and C2 were left unsupervised on separate occasions by S4. Per S1, they observed C1 in the classroom while S4 was at the play structure with the rest of the class. Per S1, they opened the classroom door, told C1 they were okay and walked C1 to S4. Per S1, they informed S4 that C1 was in the classroom alone. Per S4, they thought C1 had followed the rest of the class as they were walking to the play structure area. S2 stated they observed C2 outside of S4's classroom knocking on the door and calling for S4. Per S2, their class walking towards their classroom from the multipurpose room (nap room) and observed C2 to be outside of the classroom. Per S2, S4 had opened the classroom door and S2 stated they informed S4 that C2 was outside alone. Per S2, they knew C2 was alone outside of the classroom. Per S4, as the children were entering the classroom another child was standing on chair and while S4 went to assist the other child the door closed. Per S4, C2 was walking slowly and the door closed prior to C2 entering the classroom.

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WESTMINSTER CHILD CENTER	FACILITY NUMBER: 191802184
	VISIT DATE: 05/28/2026

NARRATIVE

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Per S4, they knew C2 was outside but needed to assist the other child from standing on the chair before opening the door for C2. Per S4, there were no staff that informed them that C2 was outside alone. Per S4, they did received disciplinary action/write up from S3. Per S3, they have talked and provided all staff with supervision policy. Per S3, S4 was given a formal disciplinary action/write up.

Disclosed in interviews, C3 was left soiled in their clothing during nap time. Per S2, C3 informed S2 that they had an accident. Per S2, they asked C3 how long they were wet for. Per S2, C3 stated they had informed S4 that they had an accident. Per S2, C3 stated they had informed S4 they have an accident and S4 told C3 to lay back down. Per S1, they had walked in to the nap room and observed the incident occurring. Per S1, C3 had an accident but S4 did not change C3's clothing. Per S1-S2, it was mentioned by S4 that C3 had no clothing and S4 had contacted C3 parent. Per S4, C3 was not extremely wet but got a little wet when they finished using the restroom. Per S4, they sent a text message to C3 parent asking for extra clothing. LPA observed the text message where the parent is asked S4 if the clothing was needed now. Per the text message, S4 stated "no". Per S4, they asked C3 if they wanted to change and C3 stated no and S4 stated they do not force the children to change if they don't want to. Per S3, when the incident was brought to their attention they provided C3 with emergency clothing the facility has stored. Per S3, S2 assisted C3 in changing their clothing. LPA informed facility that if a child is soiled in their bodily fluids the child should be changed to prevent a rash/infection/discomfort.

Per S3, all three parents/guardians were notified of the incidents that occurred.

Based on interviews the facility is being cited a Type A deficiency in accordance with Title 22, see LIC809D. The facility is also being cited civil penalties for a repeat violation.

LPA Monique Ayala informed Director, Kay Long that this report dated 05/28/2026 document(s) 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Monique Ayala informed the assistant director to provide a copy of this licensing report dated 05/28/2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: WESTMINSTER CHILD CENTER	FACILITY NUMBER: 191802184
	VISIT DATE: 05/28/2026

NARRATIVE

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12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification

The facility will be brought into the Regional Office at a later date for an Informal meeting.

An exit interview was conducted and a copy of this report along with Notice of Site Visit was provided to Director, Kay Long.

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/28/2026 03:16 PM - It Cannot Be Edited

Created By: Monique Jessica Ayala On 05/28/2026 at 02:31 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: WESTMINSTER CHILD CENTER	FACILITY NUMBER: 191802184
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/28/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 06/01/2026 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, except as specified... Supervision shall include visual observation. This requirement	1 2 3 4 5 6 7	Director has already proivded S3 with a formal write up and has provided staff with the facilities supervision policy.
	8 9 10 11 12 13 14	was not met as evidence by: Based on interviews it was disclosed S4 left C1 and C2 unattened on seperate occassions	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Ana Chico
NAME OF LICENSING PROGRAM MANAGER:

	Monique Jessica Ayala
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026

LIC809 (FAS) - (06/04)

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