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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890404
Report Date: 06/05/2024
Date Signed: 06/05/2024 01:22:56 PM

Document Has Been Signed on 06/05/2024 01:22 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:PLACITA DE NINOSFACILITY NUMBER:
191890404
ADMINISTRATOR/
DIRECTOR:
ALICIA LOMELIFACILITY TYPE:
850
ADDRESS:2661 PASADENA AVETELEPHONE:
(323) 223-2420
CITY:LOS ANGELESSTATE: CAZIP CODE:
90031
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 32DATE:
06/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Darleene Monarrez , SIte SupervisorTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
NARRATIVE
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On Wednesday, June 5, 2024, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection and met with designated Site Supervisor Darlene Monarrez who guided LPA Perry on a tour of the facility. This is a preschool age program licensed for 54 children which operates Monday – Friday from 6:30 AM – 6:00 PM. Per the Site Supervisor there are 54 children enrolled. Census was taken and LPA Perry observed 32 children and 8 staff.

At approximately 8:55am. LPA entered the classroom. LPA observed the classroom to have an open concept classroom with no dividers. Per Site Supervisor Darlene it was stated that the staff do separate groups of children and they are called POD 1 and POD 2. LPA Perry observed 16 children and 5 staff present supervising the children. LPA observed age-appropriate furniture and equipment not to be in good condition, free of sharp, not loose, or pointed parts. LPA did observe sink to have broken, sharp and pointed parts on the edges as well as 2 sinks taped off. Per site supervisor it was stated that the sinks are taped off due to plumbing issues. Site Supervisor stated that she has placed a work order on May 17, 2024, and the status was that in was in the processes. LPA also observed mirror next to sink to have dust, dirt and debris accumulated on the glass and a combination of trapped moisture which is a potential health and safety risk to the children in care. LPA did observe mold like spots on the mirror. LPA did observe age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inside the top cabinet in the staff restroom making it inaccessible for children to reach. LPA Perry observed a step trash bin with lids around the classroom. LPA observed main entrance gate to be accessible to the children. LPA did hear a low sound of an alarm go off for 3 seconds and then shut off when door is pushed open. Site supervisor stated that parents enter through the back gate for morning drop offs and enter through the front entrance for pickups. Site supervisor stated that the main entrance door is not used in the morning due to children playing in that area. LPA advised site supervisor to add a gate to deter the children from opening the main door. LPA did observe cameras in the classroom. Per Site Supervisor Darlene, cameras do record. LPA Perry observed stairs in the classroom that leads to the Site Supervisor office to be barricaded by a kiddie gate.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 06/05/2024 01:22 PM - It Cannot Be Edited


Created By: Staicy Perry On 06/05/2024 at 12:32 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: PLACITA DE NINOS

FACILITY NUMBER: 191890404

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(n)
Fixtures, Furniture, Equipment and Supplies
(n) Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interview, the facility did not comply with the section cited above, LPA did observe sink to have broken, sharp and pointed parts on the edges as well as 2 sinks taped off. LPA also observed mirror next to sink to have dust, dirt and debris accumulated on the glass and a combination of trapped moisture and which is a potential health and safety risk to the children. LPA did observe mold like spots on the mirror.
POC Due Date: 07/05/2024
Plan of Correction
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Per site supervisor, sink, counter and mirror will be replaced and Site Supervisor will provide LPA photos via email by POC date.
Type B
Section Cited
CCR
101238.2(d)(2)
Outdoor Activity Space
(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations and interview, the facility did not comply with the section cited above, LPA Perry observed climbing structure to have visible spider webs, chipped paint, rust and stairs to the climbing structure have a rubber protector with tape on top that is peeling off and making the stairs to be unsafe whiches poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2024
Plan of Correction
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Site Supervisor will have custodian clean climbing structure by 6/6/2024 to remove the spider webs. Site Supervior will put in a work order 6/5/2024 for maintance to come and repair the climbing structure and Site Supervisor will provide photos to LPA via email 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.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


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Document Has Been Signed on 06/05/2024 01:22 PM - It Cannot Be Edited


Created By: Staicy Perry On 06/05/2024 at 12:32 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: PLACITA DE NINOS

FACILITY NUMBER: 191890404

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, interviews and record review, the facility did not comply with the section cited above, S#2 was missing immunization records, S#3 had no education transcripts, S#4 was missing immunizations, Mandated Reporter and education transcripts nd S#5 was missing immunization records, education transcripts and LIC9108 which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2024
Plan of Correction
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Site Supervisor will have completed files emailed to LPA by POC date.
Type B
Section Cited
CCR
101212(b)
Reporting Requirements
(b) The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record revie], the facility did not comply with the section cited above, the department was not notified of the change in site supervisor/ director, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/28/2024
Plan of Correction
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Site Supervisor will submit all required documents to LPA via email 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.
SUPERVISOR'S NAME:Claudia Guangorena
LICENSING EVALUATOR NAME:Staicy Perry
LICENSING EVALUATOR SIGNATURE:
DATE: 06/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2024


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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: PLACITA DE NINOS
FACILITY NUMBER: 191890404
VISIT DATE: 06/05/2024
NARRATIVE
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Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC/heater and vents located on the ceiling. LPA observed the thermostats located in classroom and temperatures to be at 74 degrees. LPA observed the fire extinguishers located throughout the classroom and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on 6/2024. Smoke detectors were observed to be operating. Carbon monoxide detectors were observed to be in classroom and were tested and are operable. The last emergency drill was conducted on 5/15/24. LPA observed napping equipment to be in the form of cots to be in good condition and stored in the classroom. First aid kit supplies are kept inside the classroom and LPA observed the kits to be fully equipped. During this visit, per site supervisor Darlene, currently stated no children with medication or severe food allergies. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water on the premises, site supervisor Darlene stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Site Supervisor, Darlene stated the ill isolation area takes place in the Site Supervisor office and children will utilize staff restroom.

LPA Perry observed the restrooms to be in good condition with working toilets and only 2 working sinks due to plumbing issues, hand soap dispenser and paper towels were made available. LPA observed 5 toilets and 3 hand washing sinks.

LPA Perry entered the outdoor play area. LPA observed 16 children playing outside with 3 staff present supervising the children. LPA Perry observed 2 sheds closed and locked with a key. LPA Perry observed the climbing structure equipment to not be in a safe condition. LPA Perry observed climbing structure to have visible spider webs, chipped paint, rust and stairs to the climbing structure have a rubber protector with tape on top that is peeling off and making the stairs to be unsafe, which is posing a potential danger to the children in care. LPA observed the play structure free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition. Outdoor play area was not free of hazards. LPA Perry observed climbing structure to not have adequate cushion for a fall and areas around or under high climbing equipment, are not cushioned with granulated rubber mat that may absorb a fall. LPA observed sand to be very low and mostly dirt. For adequate shade, LPA Perry observed a patio area with shade cover. LPA observed the playground yard to be fenced with privacy green fencing and the side gate that leads to the parking lot to be closed and locked. LPA observed trash bins with tight lids. For outdoor water drinking, staff bring out water jugs and disposable cups.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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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: PLACITA DE NINOS
FACILITY NUMBER: 191890404
VISIT DATE: 06/05/2024
NARRATIVE
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This program provides breakfast, lunch and snack. Meals and snacks are provided by facility. Facility uses CACFP food program. LPA Perry informed site supervisor Darlene 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, LPA Perry observed water container with cups. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on and in good repair. The facility was observed to be free of flies, other insects, and rodents. Lead testing was conducted on 10/12/2022 and no lead exceedance.

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. LPA Perry observed sign in/out sheets and observed 29 signatures.

LPA Perry reviewed the children’s roster, children’s files were observed to be complete.



LPA Perry spoke to Anna Gamino, Education Coordinator via phone and stated that complete staff files will be emailed to Site Supervisor for LPA inspection. Site Supervisor received staff files. Files were observed to be incomplete. S#2 was missing immunization records, S#3 had no education transcripts on file for inspection. S#4 was missing immunization's and education transcripts, and S#5 was missing immunization records, education transcripts and LIC9108 which poses a potential danger to the children in care.

LPA reviewed Site Supervisor Darlene CPR which expires on 11/18/2025. Site Supervisors Mandated Reporter training was observed and expires 1/30/26, Site Supervisor was advised that the mandated reporter training must be completed every 2 years and is available at www.mandatedreporterca.com. Site supervisor did not provide proof of certificate of preventative Health and Safety certificate. Per Site Supervisor she has been in the position for about 3 years and the department was not notified of the change in site supervisor/ director. LPA explained reporting requirements to Darlene. This poses a potential risk to the health and safety of the children in care.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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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: PLACITA DE NINOS
FACILITY NUMBER: 191890404
VISIT DATE: 06/05/2024
NARRATIVE
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Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.



4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations, and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.

6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: 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 or influenza declination
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PLACITA DE NINOS
FACILITY NUMBER: 191890404
VISIT DATE: 06/05/2024
NARRATIVE
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9.Children’s Records: must be available for review; including but not limited to, the following: Name, address, and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

10.Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination.

Criminal Record Clearance – Site Supervisor Darlene 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.


SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
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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: PLACITA DE NINOS
FACILITY NUMBER: 191890404
VISIT DATE: 06/05/2024
NARRATIVE
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MyChildCarePlan.org – Site Supervisor Darlene 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.

Currently the facility is not in complaince with Title 22 regulations at this time. The deficiency listed on the following page was observed by LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Type B deficiencies is being issued today. Please see attached LIC 809-D for citations.

Notice of Site Visit - A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted and report was reviewed with Site Supervisor Darlene. Appeal Rights were discussed and provided to SIte Supervisor.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024
LIC809 (FAS) - (06/04)
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