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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191805686
Report Date: 03/24/2025
Date Signed: 03/24/2025 05:35:44 PM

Document Has Been Signed on 03/24/2025 05:35 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PLYMOUTH SCHOOL, THEFACILITY NUMBER:
191805686
ADMINISTRATOR/
DIRECTOR:
DIANA CONFORTIFACILITY TYPE:
850
ADDRESS:315 S. OXFORD AVE.TELEPHONE:
(213) 387-7381
CITY:LOS ANGELESSTATE: CAZIP CODE:
90020
CAPACITY: 51TOTAL ENROLLED CHILDREN: 39CENSUS: 23DATE:
03/24/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Diana Conforti, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On Monday March 24, 2025, Licensing Program Analyst (LPA’s) Joanne Solorio Campos and Staicy Perry conducted an unannounced annual inspection and met with Director Diana Conforti, who guided LPA’s on a tour of the facility. This is a preschool age program that serves children ages 2 to 5 years old and consists of 2 classrooms. This program operates Monday – Friday from 08:00 a.m. – 04:00 p.m. Per the Director, there are 39 children enrolled.

All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed; 23 children with 6 staff present. Present staff are fingerprinted cleared. At time of inspection, LPA’s did observe a therapist present who was hired by C#2’s parent to provide services to their child within the facility. The therapist was present for the purpose of working directly with the child and was not employed by the center. LPA’s asked the therapist the amount of hours worked per week within the facility and the therapist stated that she is in the facility 4hrs a day 5 days per week(20hrs/week). The director stated that information was incorrect as the therapist was only to be in the facility 15 hours per week. Director stated that she was out sick for the past two weeks and upon contacting the parent directly, the mother of C#2 stated that she had an agreement with the therapist to increase the hours without director consent. Director stated she returned today, and this was just brought to her attention. LPA’s advised director of the reporting requirements whenever she is out and away from the facility. The increase of the therapist hours was confirmed by the director that the change happened within the two weeks she was out. Upon therapist file review, all required documents were available for review and fingerprint clearance from employer but not from the department due to the original agreement that therapist was not to be present more than 15hrs/week.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: PLYMOUTH SCHOOL, THE
FACILITY NUMBER: 191805686
VISIT DATE: 03/24/2025
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LPA’s entered the classrooms and observed furniture, manipulatives, toys, and books made accessible to the children to be age appropriate and free of sharp, loose, or pointed parts. LPA’s observed a cubby for children to store their personal belongings. During time of inspection LPA’s observed cleaning solutions stored in the kitchen high on a top shelf making it inaccessible for children as well as sharp knives. Drinking water was readily available indoors via water filter pitcher. LPA’s observed mats stored as napping equipment in each classroom and children’s individual sleeping sheets labeled and stored. Licensing staff observed s trash bins with lids inside the classroom.
LPA’s observed all the restrooms, located in the classrooms, to have working toilets, sinks, hand soap dispenser and paper towels.

Heating, lighting, and ventilation were evaluated by LPA’s. LPA’s observed mini split AC/heater and vents located in the classrooms. LPA’s observed the fire extinguishers in the kitchen and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 10/24/24. Per director, smoke detectors and carbon monoxide detectors are all operable. The last emergency drill was conducted on 11/24. First aid kit supplies are kept inside the classroom and LPA’s observed the kit to be fully equipped. During this visit Director stated that they currently have one child with medication or severe food allergies. LPA’s asked if there were any poisons, firearms, weapons, or bodies of water and licensee stated they had none of the above mentioned and LPA’s did not observe any. Licensee stated the ill isolation area takes place in the reading/library area.

Licensing staff entered the outdoor play area and observed the playground yard to be fully fenced. the outdoor play equipment was observed to be free of sharp, lose or pointed parts. Outdoor activity space surface is maintained in a safe condition as is free of hazards. Areas around and/or under climbing equipment have a cushioning material to absorb a fall. Drinking water is readily available outdoors. There is adequate shade in the play yard.


Per Director, the facility provides snack. The children bring snack and lunch from home. LPA’s informed licensee that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking children bring their own water bottles and licensee provides additional water. The facility was observed to be free of flies, other insects, and rodents.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
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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: PLYMOUTH SCHOOL, THE
FACILITY NUMBER: 191805686
VISIT DATE: 03/24/2025
NARRATIVE
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The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule.

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. LPA’s reviewed the children’s roster, children’s files and staff files and observed the files to be incomplete. 1 out of 4 children files was missing the LIC 701 physian’s report, which poses a potential risk to the health and safety of the children in care. LPA’s observed 1 out of 4 staff to be missing the required immunizations, which poses a potential risk to the health and safety of the children.



LPA’s observed Director’s Diana Conforti’s Pediatric First Aid/CPR certification and expires 8/24/26 and has proof of immunization against Pertussis, MMR, and Influenza declination. Director has completed the mandated reporter (AB 1207) training and expires 5/24/26. Director was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com


Licensee 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.
NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
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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: PLYMOUTH SCHOOL, THE
FACILITY NUMBER: 191805686
VISIT DATE: 03/24/2025
NARRATIVE
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LPA’s discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA’s also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 are available at: https://www.ada.gov/resources/child-carecenters/.

Licensee 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.

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.

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

At this time, the licensee is not in compliance with California Title 22 Regulations.


Based on this information, the following deficiencies on the attached LIC 809D 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 & safety.

A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with licensee Diana Conforti. Appeal Rights were provided and discussed.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/24/2025 05:35 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 03/24/2025 at 01:53 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: PLYMOUTH SCHOOL, THE

FACILITY NUMBER: 191805686

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
Plan of Correction
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Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
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.
SUPERVISOR'S NAME:Katrina Chicote
LICENSING EVALUATOR NAME:Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/24/2025 05:35 PM - It Cannot Be Edited


Created By: Joanne Solorio Campos On 03/24/2025 at 02:14 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: PLYMOUTH SCHOOL, THE

FACILITY NUMBER: 191805686

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/24/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
1596.7995(a)(1)
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:

Deficient Practice Statement
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Based on observations,interview and record review, the licensee did not comply with the section cited above in1 out of 4 staff not having immunizations on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
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Per director, S#1 will get immunizations completed and submitted to LPA by POC date.
Type B
Section Cited
CCR
101220(a)
Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interview and record review, the licensee did not comply with the section cited above in 1 out of 4 children files did not have LIC701 completed which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/24/2025
Plan of Correction
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Director stated that she will provide mother with LIC 701 form to be completed by childs docter by POC date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Katrina Chicote
NAME OF LICENSING PROGRAM MANAGER:
Joanne Solorio Campos
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2025


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