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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004537
Report Date: 04/24/2025
Date Signed: 04/24/2025 02:53:52 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/24/2025 02:53 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:BELLFLOWER USD-WILLIAMS CHILD CARE CENTERFACILITY NUMBER:
198004537
ADMINISTRATOR/
DIRECTOR:		BETTIE GUERREROFACILITY TYPE:
850
ADDRESS:6144 CLARKTELEPHONE:
(562) 461-2227
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 15DATE:
04/24/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Facility Representative, Raquel OsunaTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 04/24/2025 at 9:35am, Licensing Program Analyst (LPA) Jonnisha Culbert performed an unannounced case management annual continuation Inspection at the facility noted above. LPA met with Facility Representative, Raquel Osuna, stated the purpose of today’s visit, and provided them with an Entrance Checklist-Child Care Centers (LIC 125) form. Representative guided LPA on a tour of the facility. This is State Preschool that is located on the premises of Craig Williams Elementary School. The facility provides care in room 14. Per Facility Representative, the operating hours are Monday through Friday from 8:30am to 11:30am for the morning session and 12:30pm to 3:30pm for the pm session. Present at the time of inspection, during PM session, were Facility Representative, 1 Teacher, 2 Assistants 15 children.

This inspection was conducted over a period of three days (03/18/2025, 03/27/2025, and 04/24/2025). The following information summarizes findings from all visits.

Upon arrival, LPA observed that the Facility Representative’s name was not on the facility profile. Per Facility Representative, the Director on file was no longer the Director and they have been in The Director position since 07/01/2024. LPA reminded Facility Representative that they are required to inform The Department of Director change. This is a potential safety risk to persons in care.

LPA observed all required postings in a prominent publicly accessible area. Disaster drills were logged and posted. The last drill was conducted on 03/25/2025.



All areas used by children were inspected for safety. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. The .
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2025
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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Document Has Been Signed on 04/24/2025 02:53 PM - It Cannot Be Edited


Created By: Jonnisha Culbert On 04/24/2025 at 11:12 AM
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER
FACILITY NUMBER: 198004537

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/23/2025
Section Cited
CCR
101212

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101212 Reporting Requirements
(b) The name of the child care center director,... shall be reported to the Department within 10 days of a change...
This requirement is not met by evidence by:
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Per Facility Representative, they will email LPA J. Culbert all required forms for change of Director by plan of correction (POC).
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Based on record review and interview, the licensee did not comply with section cited above and the name of the child care center Director was not reported to The Department. Per facility Representative, they have been the active Director since 2024.
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Type B
05/23/2025
Section Cited
HSC1597.16

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(a) (1) A licensed child day care center, as defined in Section 1596.76.., shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidence by:
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Per Facility Representative, they will complete the water lead testing in accordance with the established writeen regulation and send LPA J. Culbert lead levels by plan of correction date.
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Based on record review and interview, the licensee did not comply with the section cited above and the water lead testing was not conducted in compliance with required regulation.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Jonnisha Culbert
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/24/2025 02:53 PM - It Cannot Be Edited


Created By: Jonnisha Culbert On 04/24/2025 at 11:27 AM
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER
FACILITY NUMBER: 198004537

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/23/2025
Section Cited
CCR
101238

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101238 Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
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Per Facility Representative, they will secure the cover over ther water pump in a way that ensures children cannot access it. LPA J. Culbert will conduct a follow up visit to verify that the cover was properly installed.
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Based on observation, the licensee did not comply with the section cited above and LPA observed that cover over waterpump was loose allowing enough room for children to access it. This poses a potential safety risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Jonnisha Culbert
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/24/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2025


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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER
FACILITY NUMBER: 198004537
VISIT DATE: 04/24/2025
NARRATIVE
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facility uses central heating and air for ventilation. Lighting was observed to be in operable condition. LPA observed age-appropriate toys. There are hooks located just outside the classroom for children to hang their personal belongings. Per Facility representative, am and pm sessions are only three hours long and children usually do not nap. LPA advised Facility Representative to have a mat or cot available for children who wants to nap. Per Facility Representative, children who become ill are isolated until an authorized representative pick them up. When children become ill and need to use the restroom, they utilize restroom next door to room. LPA observed a facility waiver for children to use elementary school restroom. An appropriate number of toilets and sinks are available for children in care.

Availability of indoor and outdoor drinking water was observed via classroom faucet and outside bottle filling station. Per Facility Representative, staff assist children with filling their water bottles. LPA verified that the lead testing for water was not completed in accordance with written directive outlined in Provider Information Notification (PIN) 21-21.1-CCP. This is a potential health and safety risk to persons in care.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible. Disinfectants and cleaning solutions were made inaccessible to children. Per Facility Representative, two children require medication. LPA observed that medication was packaged in its original packing and labeled with children names. LPA reminded Facility Representative to keep medication in an area that is inaccessible to children. Per Facility Representative, there are no poisons on the premises. LPA reminded Facility Representative if poisons are purchased, they must remain in an area that is locked and inaccessible to children. A carbon monoxide detector was observed and is operable. Per Facility Representative, an interconnected fire alarm system is setup and connected to The Fire Department.



The outdoor playground area was evaluated. LPA observed all areas around and under high climbing equipment were cushioned. Trees provide adequate shade on the playground. LPA observed a water pump with a caution label. The water pumped was covered by a mesh cover that was lifted at the bottom enough for LPA’s hand to go through. This is a potential safety risk for person in care. LPA advised Facility Representative to cover pump in way that children cannot reach it. LPA observed trash bin without lids. LPA reminded Facility Representative of regulation to have fitted lids. Availability of outdoor drinking water was observed. Per Facility Representative, there are no pools or bodies of water on the premises.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER
FACILITY NUMBER: 198004537
VISIT DATE: 04/24/2025
NARRATIVE
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the facility provides one snack per session. Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. LPA evaluated the food preparation area and observed that it is free of litter.

Children’s Records were reviewed for completeness. LPA observed 2 children records. During record review, LPA observed that 2 out of 2 records were complete. Children's roster was reviewed and is current. Parents electronically sign children in and sign out via Learning Genie. LPA reviewed sign in and sign out app and observed that parents used electronic signature to sign children in and out.

Staff records were reviewed. LPA observed 5 staff records. During staff review LPA observed that 1 out 5 staff did not have a valid mandated reporter certificate. LPA reminded Facility Representative that mandated reporter training must be completed every 2 years. Mandated reporter training is available at www.mandatedreprterca.com. 1 out 5 staff was missing immunization against measles, mumps, and rubella. Per Facility Representative, the information is available at the main office. All staff had cardiopulmonary and resuscitation and first aid training certifications.

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.

Facility Representative 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.

LPA referred Facility Representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: BELLFLOWER USD-WILLIAMS CHILD CARE CENTER
FACILITY NUMBER: 198004537
VISIT DATE: 04/24/2025
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-carecenters/.

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

Three type B citations were issued today. LPA provided Facility Representative with appeal rights.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility Representative, Raquel Osuna

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
LIC809 (FAS) - (06/04)
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