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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870577
Report Date: 11/21/2024
Date Signed: 11/21/2024 12:56:15 PM

Document Has Been Signed on 11/21/2024 12:56 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:		SONIA LOVEFACILITY TYPE:
850
ADDRESS:12829 SO. JARVIS AVE.TELEPHONE:
(310) 352-4486
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 73TOTAL ENROLLED CHILDREN: 54CENSUS: 32DATE:
11/21/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:09 AM
MET WITH:Administrator-Lucy BryantTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On November 21, 2024, at 10:09AM, Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced case management inspection visit and was met with Secretary Catherine Castillo, who informed Administrator Lucy Bryant. Shortly after LPA met with Lucy Bryant and disclosed purpose of the visit.

LPA toured the facility and a census was taken. LPA observed today's census was 10 staff and 32 children.
LPA gathered names of individuals present at the facility.

Administrator L.Bryant stated individuals Staff #1, Staff #2, Staff #3 and Staff #4 are not working at the facility. LPA requested update on Staff #1-Staff #4 (S1-S4) status on the Facility Roster. Administrator L.Bryant stated will contact Program Manager who is handling the task.

At 10:44am Via telephonically LPA Calderon received assistance from LPA Alicia Mooberry, LPA Mooberry did a Guardian Roster search and stated Staff #1 and Staff #2 are not associated to the facility.

Administrator L.Bryant informed LPA Calderon that Staff who are on Leave will get fingerprinted upon return. LPA Calderon informed Administrator individuals are on Rapback list and ensure they get re-fingerprinted. During visit LPA Calderon observed Staff #1, Staff #2 and Staff #3 and Staff #4 were not present at the facility during time of visit. At 11:15am LPA Calderon was given supportive documentation of updated Facility Roster. Roster was reviewed and Staff #1-Staff #4 are not listed on the Roster List. LPA reviewed individuals present at the facility, Admin. provided LPA with updated Facility Roster. Administrator L.Bryant 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. (cont...)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: 11/21/2024
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At 11:23am LPA Calderon spoke with Program Manager Erynn Laurent who stated Staff #2, Staff #3 and Staff #4 are on Leave, due to Leave being extended no return date, and will have individuals re- fingerprinted upon return.

All staff present were fingerprinted cleared and associated.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Administrator Lucy Bryant.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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