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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494017
Report Date: 09/17/2025
Date Signed: 09/17/2025 04:02:50 PM

Document Has Been Signed on 09/17/2025 04:02 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:MARTIN LUTHER KING JR LEARNING CENTER - INFANTFACILITY NUMBER:
197494017
ADMINISTRATOR/
DIRECTOR:		CAMARENA,E & LUNA,RFACILITY TYPE:
830
ADDRESS:12029 S WILMINGTON AVETELEPHONE:
(424) 338-1980
CITY:LOS ANGELESSTATE: CAZIP CODE:
90059
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 28DATE:
09/17/2025
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Raquel Luna, DirectorTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On September 17, 2025 at 10:00 a.m., Licensing Program Analyst (LPA)Peter Bishop arrived at the above facility for the purpose of an unannounced Annual Visit. LPA Bishop announced the purpose of the visit and was granted entry into the facility by Director Raquel Luna There are 39 children enrolled, and 29 children present, and 8 staff present at the time of inspection. This is an Infant/Toddler Option Program with the hours of operation Monday- Friday from 6:30a.m-6:00p.m.

LPA Bishop was taken on a guided tour of both the indoors and outdoors of the facility. Teacher-child ratios were observed, and staff names recorded. All center staff that were present during today’s inspection had fingerprint clearance and are associated to the designated license number. Care and supervision were evaluated to determine if the basic needs of children are met and appropriate. The sign-in and out sheets were reviewed. Personal Rights of children were observed by LPA.

LPA observed all posting requirements for operation on the licensing board LIC 203A-License, LIC 610, PUB 393, PUB 269, LIC 9148, LIC 613A, Menus, Activity Schedule, and completion testing and remediated lead exceedances.



Documentation of current Fire & Earthquake drill was observed with last drill conducted on 9/8/2025.
Fire extinguisher(s) observed with a service tag date of 05/2025.
LPA observed an operable smoke detector, and carbon monoxide detectors.
There is a total of 3 classrooms under this License. LPA inspected Classrooms 101 and 102 for the Infants. It has 2 room numbers but this one large room. The Toddler portion has Toddler Room A and Toddler Room B. The classrooms are equipped with age appropriate toys and learning materials. Classrooms have carpeted Page 1 of 6
NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2025
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 9
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: MARTIN LUTHER KING JR LEARNING CENTER - INFANT
FACILITY NUMBER: 197494017
VISIT DATE: 09/17/2025
NARRATIVE
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area, sink, soft furnishings, cubby storage for shoes, age-appropriate toys, cubbies for diapers and change of clothes with children names. There are 12 Cribs for the infants as well. The First Aid supplies were inventoried in classroom backpack. All cleaning supplies and/or hazardous materials stored in cabinets and drawers with safety latches. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

Toddler Room A and Toddler Room B -the classrooms were equipped with age-appropriate furniture and learning materials. Classrooms has carpeted area, sink, soft furnishings, cubby storage for shoes, age-appropriate toys, cubbies for diapers and change of clothes with children names. There is a water jug being used as water source at the time of this visit. Water is brought outside for children for outside activities and play time. The children utilize cots to sleep on at nap time. The First Aid supplies were inventoried in classroom backpack. All cleaning supplies and/or hazardous materials stored in cabinets and drawers with safety latches. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

LPA inspected the Infant Classroom - the classroom was equipped with age-appropriate furniture and learning materials. Classrooms have area rugs, library, manipulative play area, dramatic play area, and second story dramatic play area. All cleaning supplies and/or hazardous materials stored in cabinets and drawers with safety latches. LPA observed classroom, equipment, and materials to be in good condition, free of sharp, loose, or pointed parts.

There is one restroom in each toddler classroom and one toilet per classroom and 1 sink. The restrooms have soap for the children to wash there hands. There were no hazards observed during this visit.

The Playground for the toddler area has a canopy for shade, small climbing structure, small slide, bikes, balls, artificial grass on play area, and age-appropriate tables and chairs. LPA observed the playground area to be in good condition, free of sharp, loose, or pointed parts.
All electrical outlets are covered.
All trash cans do not have lids. Technical assistance will be issued today. 2 of 2 trash cans did not have a tight-fitting lid. All trash cans are required to have tight fitting lids. On one of the trash cans flies were in the classroom as well.
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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC809 (FAS) - (06/04)
Page: 3 of 9
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: MARTIN LUTHER KING JR LEARNING CENTER - INFANT
FACILITY NUMBER: 197494017
VISIT DATE: 09/17/2025
NARRATIVE
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The facility does snacks only for the toddlers only and lunch is brought in by the parents. The infant component requires for parents to bring in all food items for the infants. All food items are stored and has current expiration dates. LPA observed the kitchen area where food is distributed to be clean and organized. A roster of children names with allergies are kept in the kitchen, and in classroom.

LPA Bishop observed sign in and out sheets for 9/17/2025.
LPA Bishop reviewed the sign in/out sheets for accuracy. All documents reflected the number of children present at the time of the visit.

The facility was reminded that smoking is prohibited on the premises.

The isolation area is in the Directors office when any child is sick.

The Director stated they do administer medication at this time. If children were to have medications that need to be administered there are in Director Barnes Office in a lock box.



The facility uses a landline.

The Director stated there are no firearms at the facility.

The Director stated that they do not provide transportation for children.

There are no large bodies of water on premises.

Staff Files


Staff #1
File has all required licensing documents and immunization record in folder.

CPR expiration date of 8/2027

Mandated Reporter expiration date of 12/10/2026

Accredited courses in file.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC809 (FAS) - (06/04)
Page: 4 of 9
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: MARTIN LUTHER KING JR LEARNING CENTER - INFANT
FACILITY NUMBER: 197494017
VISIT DATE: 09/17/2025
NARRATIVE
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Staff #2

File has all required licensing documents and immunization record in folder.

CPR expiration date of 1/2026

Mandated Reporter expiration date of 4/29/2027

Accredited courses in file.

Staff #3

File has all required licensing documents and immunization record in folder.

CPR expiration date of 01/2026

Mandated Reporter expiration date of 12/28/2025

Accredited courses in file.

Staff #4

File has all required licensing documents and immunization record in folder.

CPR expiration date of 8/2027

Mandated Reporter expiration date of 12/29/2025

Accredited courses in file.

Staff #4

File has all required licensing documents and immunization record in folder.

CPR expiration date of 8/2027

Mandated Reporter expiration date of 5/18/2026

Accredited courses in file.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC809 (FAS) - (06/04)
Page: 9 of 9
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: MARTIN LUTHER KING JR LEARNING CENTER - INFANT
FACILITY NUMBER: 197494017
VISIT DATE: 09/17/2025
NARRATIVE
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Child Files

Child #1


All required licensing forms and Immunization record

Child #2


All required licensing forms and Immunization record

Child #3


All required licensing forms and Immunization record

Child #4


All required licensing forms and Immunization record

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.

Criminal Record Clearance - Child Care Centers- Director Raquel Luna 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.

Lead Testing

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 childcare 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.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC809 (FAS) - (06/04)
Page: 5 of 9
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: MARTIN LUTHER KING JR LEARNING CENTER - INFANT
FACILITY NUMBER: 197494017
VISIT DATE: 09/17/2025
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Incidental Medical Services (IMS)

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a 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 Asked Questions about

Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

MyChildCarePlan.org

Director Raquel Luna was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on the LPA P Bishops observations, record review, and interviews, there will be no deficiencies cited today in accordance with California Title 22 Regulations. There will be one Technical Violation and One Technical Assistance.



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

Appeal rights reviewed and given to the Director Raquel Luna.

Exit interview conducted and report was reviewed with the Director Raquel Luna.




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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2025
LIC809 (FAS) - (06/04)
Page: 6 of 9