198001351-6-24-2025-54-CC-FWHE-DHXW5V-20250624165947

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198001351
Report Date: 06/24/2025
Date Signed: 06/24/2025 05:00:08 PM

Document Has Been Signed on 06/24/2025 05:00 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:	92ND & MAIE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	198001351
ADMINISTRATOR/ DIRECTOR:	ALICIA GARCIA		FACILITY TYPE:	850
ADDRESS:	9200 MAIE AVE.		TELEPHONE:	(323) 249-0621
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90002
CAPACITY: 54	TOTAL ENROLLED CHILDREN: 54	CENSUS: 40	DATE:	06/24/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:45 PM
MET WITH:	LaTonya Patterson, Site Supervisor		TIME VISIT/ INSPECTION COMPLETED:	05:15 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	Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an unannounced Annual - Random inspection. LPA White announced the purpose of the visit and was granted entry into the facility by the Site Supervisor, LaTonya Patterson. The hours of operation are Monday - Friday 6:00 a.m. - 6:00 p.m. There are 53 children enrolled and 40 children present during today's inspection. There are 12 staff present at the time of inspection. All staff have current criminal background clearance. The parent board was observed to have the following documents: The License, Parent's Rights, Emergency Disaster Plan, California Car Seat Law, Earthquake Preparedness Checklist, Daily Schedule, and Weekly Menu. LPA White toured the facility and observe four classrooms that were all clean and orderly with ample supplies for age-appropriate activities for the children. At 1:00 p.m. LPA White observed Room 92M - 1A to have cubbies for all the children's belongings, a sign in station for the parents, a dramatic play area and a child size doll house. child size tables and chairs for the children to do activities and take there meals. There is an area rug section off by the use of a toy storage of three shelves for the children's comfort during circle time activities. LPA White observed a diaper changing table with a diaper changing schedule listed on the wall. LPA White observed a Filtered Water station with small cups for the children. At 1:10 p.m., LPA White observed the bathroom inside Room 1A to have two sinks, two toilets with hand-washing posters on the walls. LPA White observed Room 1A to have a quiet area filled with shelves of books, and soft seating for the comfort of the children. There were 13 children, two teachers, and two assistants. LPA White observed a baby gate in front of the door to prevent children from wandering into the hallway of the facility. The carbon monoxide detector was operable at the time of inspection. ......................................................Report Continues 1 of 4 Pages...............................................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

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: 92ND & MAIE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198001351
	VISIT DATE: 06/24/2025

NARRATIVE

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At 1:25 p.m., LPA White observed 92M - 1B to have a brown leather child size love seat with matching chair in the dramatic play area to the right of the entrance of the room. LPA White observed cubbies for the children inclusive of pictures of each child on each storage box filled with their blankets and/or cot sheets. On the left of the entrance of the classroom, LPA White observed the staff storage closet to have a child safety lock on it making the contents inaccessible to children in care. At 1:30 p.m., LPA White observed an area rug in front of the windows of the room. There is an activity table in the center of the room. LPA White observed enough seating for nine children to be seated at the table. LPA White observed the diaper changing table to be located near the back door of the class room that leads the children to the outdoor play area. There were nine children and three staff. LPA White observed a baby gate in front of the door to prevent children from wandering into the hallway of the facility. Carbon Monoxide detector located right outside the door of the classroom was operable at the time of inspection.

At 2:00 p.m., LPA White observed the 92M - Preschool classroom to have cubbies for the children's belongings, cots stacked near the side entrance of the classroom. LPA White observe a reading area situated in the corner of the classroom with a blue love seat and matching chairs with a sectional rug for the children's comfort. LPA White observed the staff serving snack to children who were awake from nap time. LPA White observed children bringing their blankets to the staff to put their belongings back in their cubbies, and then transitioning with another staff member for toileting and hand washing, then they are sent to the table for snack time. LPA White observed a child safety gate for the safety of the children.

At 2:15 p.m., playground outdoor equipment was inspected for safety, cushioning material, good repair and age appropriateness. Required shade and fencing were inspected. LPA observed outside play area to be fully fenced with shade available for children. LPA observe the preschool playground separated by a gate from the 92M - 1A play area. Play area was inspected for hazards and inaccessibility to bodies of water; no bodies of water observed at time of inspection.

Snack/lunch menus were reviewed and observed posted. Food and snacks were reviewed for availability, quantity and appropriateness to children in care. At 2:30 p.m., food preparation areas were toured for safety, cleanliness and proper equipment. LPA observed Kitchen area to be free of clutter and well maintained at time of inspection. Per Site Supervisor, food is not prepared on site.
..................................................................Report Continues 2 of 4 Pages............................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

LIC809 (FAS) - (06/04)

Page: 3 of 5

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: 92ND & MAIE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198001351
	VISIT DATE: 06/24/2025

NARRATIVE

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At 2:45, LPA White reviewed the children's files to have all department required documents. Site Supervisor states that they no longer administer children's medication.

At 3:15 p.m., LPA White reviewed staff files, and all staff have current CPR/1st Aid certification, Mandated Reporter training, and all immunization records were available at the time of inspection.

The following were discussed:

All areas used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central air and heat).

Site Supervisor LaTonya Patterson 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.

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
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 21-21.1- CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. PIN 22-05-CCP Page Four

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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
.....................................Report Continues 3 of 4 Pages...............................................................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

LIC809 (FAS) - (06/04)

Page: 4 of 5

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: 92ND & MAIE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 198001351
	VISIT DATE: 06/24/2025

NARRATIVE

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Site Supervisor LaTonya Patterson 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.

Based on today's observations, interviews, and record review, there will be no deficiencies cited in accordance with California Title 22 Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in civil penalty of $100.

Exit interview conducted and report was reviewed with the facility representative LaTonya Patterson. PIN 22-05-CCP Page Six

A copy of the report and appeal rights was given to Site Supervisor LaTonya Patterson.

...............................................................Report Ends Here 4 of 4 Pages......................................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025

LIC809 (FAS) - (06/04)

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