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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806072
Report Date: 04/17/2026
Date Signed: 04/17/2026 01:59:19 PM

Document Has Been Signed on 04/17/2026 01:59 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:KAISER PERMANENTE WATTS COUNSELING & LEARNING CTR.FACILITY NUMBER:
191806072
ADMINISTRATOR/
DIRECTOR:		FRANKLIN, VIKKIFACILITY TYPE:
850
ADDRESS:1465 EAST 103RD ST.TELEPHONE:
(323) 564-7911
CITY:LOS ANGELESSTATE: CAZIP CODE:
90002
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 19DATE:
04/17/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Vikki Franklin, Program ManagerTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an unannounced Annual Random inspection. LPA White announced the purpose of the visit and was granted entry to the facility by Facility Representative, Vikki Franklin. There are 22 children enrolled, and 19 present at the time of inspection. There are 8 staff in the facility and 8 out 8 have current criminal background clearance. The ages of the children served in this facility are 3 to 5 years of age. The hours of operation are 7:30 a.m. to 5:30 p.m..

The following documents were observed on the Parents Board and/or available at the time of inspection:

the License, Parents Rights, Emergency Disaster Plan, Earthquake Preparedness, Disaster Drill Log with more recent drill conducted 4/9/2026, and the facility Roster was current at the time of inspection.

All life saving devices were inspected and found to be operable at the time of inspection. The 2A 10BC full charged Fire extinguisher located in each classroom with a service tag dated for 4/2026. The smoke detectors located in each classroom. The carbon monoxide detectors located in both rooms. The isolation area for a sick child waiting to be picked up by a parent/guardian is near the program office completely separated from the classrooms. There is a working phone in the facility. For the safety of the children, key cards are used to enter/exit every door within the facility.

All main care areas of the facility sketch were inspected for health, safety, heating and ventilation for the children. This facility has two classrooms, a kitchen, and office spaces, and a fully fenced play yard.


LPa White conducted tour of the facility.
(Report Continues 1 of 4 Pages)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2026
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KAISER PERMANENTE WATTS COUNSELING & LEARNING CTR.
FACILITY NUMBER: 191806072
VISIT DATE: 04/17/2026
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LPA White observed Classroom #1 to have cubbies for the children's belongings to the right of the entrance of the classroom. LPA Whit observed the classroom to have activity tables for group seating, as well as a well stocked dramatic play area completed with age appropriate furniture, and items for imaginative play. There are 10 children assigned to this classroom, and two staff. LPA White observed double doors that exit to the outdoor play area. Classroom #1 shares a bathroom space with Classroom #2. LPA White observed both classroom to have water containers and cups for each class.

Bathroom is observed to have five toilets and four sinks. There was hand washing items, paper towels, and toilet paper. Bathroom floors were observed to be free of debris, clean, with cleaning items stored out of reach of children in care.

LPA White observed Classroom #2 to have the same set up as Classroom #1 with ample space for floor activities, and tables and chairs for group activities. Both classrooms have observation rooms with two way privacy windows that allow for observations to be conducted of the classrooms without disturbing the normal function of the classroom atmosphere. Classroom furniture and napping cots were in good repair at the time of inspection. Sign in Sheets for both classrooms were observed to be current at the time of inspection.

LPA White observed the outdoor play area to have a fully fenced perimeter with ample shading over multiple areas of the yard for the comfort of the children. At the time of inspection, LPA White observed the outdoor play area to have a garden of fruits and vegetables. There is a sandbox, water activity space, and shaded outdoor water fountains for the children. There is a large slide and play gym with shading. There are tables and benches with umbrella shades for the comfort of the children. The entire play area has complete camera surveillance for the protection of the children. LPA White observed nine children playing with three staff members outdoors providing complete supervision of the children at the time of inspection. All outdoor furniture was in good repair, no tripping hazards were observed at the time of inspection.

The kitchen was inspected and found to be clean and free of debris at the time of inspection. Refrigerator was inspected and found to have items properly sealed and labeled with dates of expiration visible at the time of inspection. The freezer was inspected and found to be orderly, and clean at the time of inspection. Director states that meals are cooked and prepared for the children. LPA White observed menus to be posted outside the doors of each classroom. (Report Continues 2 of 4 Pages)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KAISER PERMANENTE WATTS COUNSELING & LEARNING CTR.
FACILITY NUMBER: 191806072
VISIT DATE: 04/17/2026
NARRATIVE
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LPA White observed the kitchen to be free of rubbish, and sanitary for the preparation of food. LPA observed the following equipment to be in good repair at the time of inspection: dishwasher, refrigerators (2), two sinks, mixers, blenders, cutting boards, and mixing bowls. Children's plates and cups were cleaned and stored on shelves.

LPA White reviewed 10 children's files. 10 out of 10 children's files contained all required department documentation, as well as admission agreement and immunization records of the children. (documentation reviewed recorded on LIC 857).

LPA White reviewed 7 staff files. 7 out of 7 staff files contained all the required department documentation, as well as immunization records, and required educational documents.

The following was discussed:
All areas used by children were inspected for safety, comfort, cleanliness, telephone service (cell phone), ventilation and heating (central air and heat).
Facility Representative Vikki Franklin 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 21-21.1- CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22. (Report Continues 3 of 4 Pages)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: KAISER PERMANENTE WATTS COUNSELING & LEARNING CTR.
FACILITY NUMBER: 191806072
VISIT DATE: 04/17/2026
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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-care-centers/. PIN 22-05-CCP Page Five

Facility Representative Vikki Franklin 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.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a civil penalty of $100.

Based on today's observations, record review, and interviews there will be no deficiencies cited in accordance with California Title 22 regulations.

Report reviewed with Facility Representative Vikki Franklin. A copy of the report and appeal rights was given to Facility Representative, Vikki Franklin.

(Report ends here 4 out of 4 Pages)

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC809 (FAS) - (06/04)
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