197414572-6-16-2026-58-CC-DDOG-DV55W8-20260616201842

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197414572
Report Date: 06/16/2026
Date Signed: 06/16/2026 08:19:19 PM

Document Has Been Signed on 06/16/2026 08:19 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	KIDSVILLE U.S.A.		FACILITY NUMBER:	197414572
ADMINISTRATOR/ DIRECTOR:	PERERA, MAUREEN		FACILITY TYPE:	850
ADDRESS:	8472 CORBIN AVENUE		TELEPHONE:	(818) 886-3508
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 41	CENSUS: 36	DATE:	06/16/2026
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:47 AM
MET WITH:	Maureen Perera, Licensee		TIME VISIT/ INSPECTION COMPLETED:	08:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 6/16/2026 Licensing Program Analyst (LPA) Dawn Dowling and Licensing Program Manager (LPM) Emiko Bell arrived at facility at 9:47 am to conduct an unannounced annual inspection which is required due to the Center being a military approved Center. LPA and LPM identified self and met with Maureen Perera, Director/Licensee, who guided LPA and LPM on a tour of the facility beginning at 10:12 am. LPA provided Director with a copy of the LIC 125-Entrance Checklist- Child Care Centers to help facilitate the inspection. This is a preschool program which consists of 4 classrooms. Facility operation hours are Monday to Friday from 07:00 AM to 6:00 PM. All areas identified on the Facility Sketch were inspected. In Classroom #8 there were 11 children and 1 staff, Room # 4 there were 8 children and 1 staff; Room # 5 there were 9 children and 1 staff; Room # 6 there were 8 children and 2 staff for a total of 36 children and 5 staff present. LPA and LPM also observed additional adult staff (Behavioral Therapists) who are not included as part of the teacher-child ratio. The facility was observed to be within the license capacity and limitations. CLASSROOMS: The classrooms were inspected. There are adequate play and learning materials available. There is adequate heating/air conditioning, ventilation and lighting. The floors, furniture, and equipment are age appropriate and in good repair. Drinking water is available inside and outside of the center. There is proper individual storage space for each child. The isolation area for sick children is in the Directors office. The carbon monoxide and smoke detectors were tested in all rooms and were operable. The center is equipped with a working telephone, complete first aid kits in each classroom. Fire extinguishers were observed in each classroom and serviced on 03/31/2026. All solid waste storage containers have tight fitting covers on, and appear to be in good repair. Napping equipment was discussed as 2 classrooms had bedding touching one another. Page 1

NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
	VISIT DATE: 06/16/2026

NARRATIVE

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Licensee informed that each child bedding has to be separate and can not touch for the health and safety of children in care. Licensee was issued a citation LPA did not observe any baby walkers or any items that fall into the prohibited category present in the facility. LPA observed children to have their own cubby to store their belongings into in each classroom. Napping equipment was inspected for good condition, bedding is provided by facility, with laundering done weekly.

Drinking water availability was inspected, children have their own water bottles to fill up with water provided by facility in a plastic pitcher. Children also utilize the water fountain located on the outdoor playground, the water was tested for led on 02/10/2024, none of the fixtures tested had an Action Level Exceedance (over 5.5 ppb of lead) and therefore there is no remediation necessary.

BATHROOMS AND TOILETING AREAS: There are separate bathrooms for staff and children. Toilets and faucets are in safe and sanitary operating condition. The children are able to reach the sinks and toilets. Hand soap, paper towels are available to the children.

FOOD SERVICE AREAS: The menus are posted at least one week in advance, available for review and dated. LPA observed the kitchen/food preparation and storage areas to be clean and free of evidence of rodents. All storage containers for solid waste have tight fitting covers that are in good repair. The kitchen in Room#8 the water was not hot, Director made aware due to staff washing dishes in that kitchen.

OUTDOOR PLAY AREAS: There are no bodies of water, or free-standing water accessible to children. There are age appropriate toys and materials for the children. The outdoor and indoor space for the infants is physically separate from the preschool component. There is adequate shade on the majority of the play area. The playground is fenced, and all equipment and surfaces are safe and free from hazards. LPA noted area on left side of playground next to the utility shut off's has a 2 sharp areas that may be harmful to children in care. Outside metal water fountain on the yard is not in a shaded and gets hot on hot days which can cause harm to children in care.

RECORDS: All individuals subject to criminal record review have a clearance or exemption and have been associated to the facility. Children's files and staff files were reviewed. Five staff files were reviewed. All files have required health screening, immunization and mandated reporter training.
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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
	VISIT DATE: 06/16/2026

NARRATIVE

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Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, and Mandated Reporter training. LPA observed that at At least one opening/closing staff member has a current CPR & First Aid Certificate. LPA reviewed the facility roster and obtained a copy.

There were five children files reviewed. LPA conducted a Children’s Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights, The children’s roster was available and current. There are no full legal signatures used on sign in/out sheets, as the Center uses the Brightwheel app in order to account for the children daily. However, only parents can create individual accounts and sign their own children in/out; a parent cannot sign a different child in/out who is not their own. Roster of the children must be properly maintained and fire/disaster drill every six months must be documented, the log indicates the last fire/disaster drill was conducted on 05/05/2026. Per director, there are no firearms stored on the premises. All required documents are posted in a public accessible area.

LPA observe the food storage and kitchen in sanitary condition. LPA observed trash receptacles have tight fitting covers. Menus are posted at least one week in advance and are visible to an authorized representative.

Center Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 2 must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Childcare 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 s of 30 days per person will be assessed if this regulation is violated.

HEALTH RELATED SERVICES: Incidental Medical Services (IMS) policy was discussed. Per licensee, no IMS is being provided at this time. The licensee was reminded that when any changes to the IMS plan is made, an updated Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
	VISIT DATE: 06/16/2026

NARRATIVE

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Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.” Licensee was reminded to visit our website at www.ccld.ca.gov to get quarterly updates on new laws and regulations.

California Law requires Family Child Cares/Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail.

Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

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.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Maureen Perera, Director/Licensee.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Dawn Dowling
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/16/2026 08:19 PM - It Cannot Be Edited

Created By: Dawn Dowling On 06/16/2026 at 07:16 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: KIDSVILLE U.S.A.	FACILITY NUMBER: 197414572
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/16/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239.1

CCR 101239.1 (c) (2) Napping Equipment Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child. Bedding shall be individually stored so that each child's edding is identifiable and no child's used bedding comes into contact with other bedding. This requirement is not met as evidenced by: Two rooms had cots with bedding coming into contact with other bedding.
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in 2 out of 4 rooms had cots covered with sheets and a blanket and they were touching one another, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/30/2026
	Plan of Correction
1 2 3 4	Licensee will have staff sign statements documenting that they will ensure that bedding will not come into contact with other bedding and will look into a floater setting up the cots during lunchtime.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Betty Bell
NAME OF LICENSING PROGRAM MANAGER:

	Dawn Dowling
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/16/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2026

LIC809 (FAS) - (06/04)

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