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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870577
Report Date: 08/18/2026
Date Signed: 08/18/2026 04:07:53 PM

Document Has Been Signed on 08/18/2026 04:07 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:WILLOWBROOK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191870577
ADMINISTRATOR/
DIRECTOR:		LUCY BRYANTFACILITY TYPE:
850
ADDRESS:12829 SO. JARVIS AVE.TELEPHONE:
(310) 352-4486
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 73TOTAL ENROLLED CHILDREN: 50CENSUS: 39DATE:
08/18/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:27 PM
MET WITH:ADMINISTRATOR- LUCY BRYANTTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Ashley Calderon conducted a visit to follow up on physical plant changes and Unusual Incident Reports previously submitted. LPA Calderon was allowed entry by Secretary Kartherine Castillo. Shortly after LPA Calderon met Administrator Lucy Bryant who LPA disclosed purpose of visit.

Alongside Administrator Lucy Bryant LPA Calderon conducted a tour of the facility, LPA observed rooms inside and play yard space outside. During the tour, LPA Calderon observed 9 teachers with 39 children during napping / rest time. All adult individuals per Guardian Roster review are fingerprinted cleared.

During this visit LPA Calderon went over facility sketch review from facility file review with Administrator Lucy Bryant and to follow up on physical plant changes based on observation of yard space on visit date 3/18/26 and on 8/18/2026 . On 8/18/26 LPA Calderon was informed of room name changes: Three rooms previously named room Toddler 1A, Toddler 1B and Room 2 had name changes.

Per Admin. L.Bryant on 8/18/26 informed LPA Calderon Effective 2/3/2026 name changes of rooms that were made. Room change names are the following :

(cont. -809-C)
Warren Birks
Ashley Calderon
DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2026
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: WILLOWBROOK CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191870577
VISIT DATE: 08/18/2026
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-Toddler 1A is Preschool 2A
-Toddler 1B changed to Preschool 2B
(Per L.Bryant room names above is 1 room with partition wall to divide the classrooms)
-Room 2 changed to Toddler Room which are the 2 years old classroom (called Toddlers / Facility does not have a toddler component)

The only classrooms with no changes are Room 1B and 1A. Facility has a total of 5 classrooms per facility sketch review. Per Admin. L.Bryant currently all rooms are operating. LPA Calderon observed Preschool 2A and Preschool Room 2B; According to Admin. L.Bryant only classroom on occasion based on census and staffing room share room for napping.

In addition, based on observation physical plant of yard space, LPA observed Admin. L.Bryant the 2 year olds (Toddlers Room) have their own play yard section, construction of the black gate was added on Jan 17-18, 2026 completed over the weekend when no care was provided and changes were effective for children to use on: Jan 19,2026 . Per Admin. L.Bryant Toddler Room has their own yard space and per the 2's (Toddler Room) do not use the other yard spaces and only use the new gated yard space (located closes to the building ) that was added; changes of the physical plant (gate installation of yard changes and room name changes and LPA did not receive sketch changes) were not reported to Licensing therefore deficiency cited on LIC809-D page. LPA Calderon took photos of back yard / 2's playground section (with new black gate). In addition, LPA Calderon informed Admin. L.Bryant that Application (to add Single License w/ Toddler Component) was withdrawn by the department on 1/06/2026 due to no response from Erin Laurent.

Furthermore, During this visit LPA Calderon interviewed Admin. L.Bryant and collected incidents reported on 4/15/26 (internal investigation was done/ child no longer at the facility), 5/6/26 ( document of intervention agreement for child involved provided), and uir for incident alleged to take place 8/17/26 was collected. LPA Calderon will return at a later time due to physical plant changes that need to be followed up on at the above facility. One deficiency cited for Reporting Requirements per California Code of Regulation Title 22, a notice of site visit was given, appeal rights and an exit interview conducted with Administrator Lucy Bryant.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 08/18/2026 04:07 PM - It Cannot Be Edited


Created By: Ashley Calderon On 08/18/2026 at 03:36 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WILLOWBROOK CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 191870577

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/18/2026
Section Cited
CCR
101212(e)(4)

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(4) Any changes in the plan of operation that affect services to children. The requirement was not met as evidenced by:LPA Calderon's observation on 3/18/26 and 8/18/26...
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Facility will submit a LIC624 Incident report, and will update facility sketch physical and yard sketch LIC999A. Submit documents to LPA Calderon via email by poc due date.
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 of added black gate in back yard area.Per Admin. L.Bryant toddlers use the gated area only, construction occurred on 1/17-18/26 & room name changes were made, effective 2/3/26.
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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:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/18/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2026


LIC809 (FAS) - (06/04)
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