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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007425
Report Date: 02/20/2025
Date Signed: 02/20/2025 11:20:43 AM

Document Has Been Signed on 02/20/2025 11:20 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CERRITOS CHILD DEV. CENTERFACILITY NUMBER:
198007425
ADMINISTRATOR/
DIRECTOR:
VANESSA GUZMANFACILITY TYPE:
850
ADDRESS:120 E. CERRITOS AVE.TELEPHONE:
(818) 243-3212
CITY:GLENDALESTATE: CAZIP CODE:
91205
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 50DATE:
02/20/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Perla Leyvas, Program Supervisor TIME VISIT/
INSPECTION COMPLETED:
11:40 AM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 02/20/25 at 8:50 am. LPA met with Site Director, Juny Gray who guided LPA on a tour of the facility. At 10:20 AM Perla Leyvas, Program Supervisor arrived to the facility. During this inspection there were total of 50 children present in the facility with 12 staff.

Based on interviews that were conducted with four staff on 02/07/25 and video footages that were watched by LPA Eivazian and staff#3 on 02/07/25 at the school office area, child#1 was observed to be unsupervised and wondered away alone at school age enclosed yard from 4:18:34 PM till 4:22:25 PM on 01/31/25 and this incident was not reported to licensing in a timely manner.

Alleged Incident took place on 01/31/25. Incident was reported to the Department via email on 02/10/25. The facility did not report the incident within the required 24 hour time frame.

The following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.



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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Program Supervisor, Perla Leyvas.


SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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 2
Document Has Been Signed on 02/20/2025 11:20 AM - It Cannot Be Edited


Created By: Anomeh Eivazian On 02/20/2025 at 10:03 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CERRITOS CHILD DEV. CENTER

FACILITY NUMBER: 198007425

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/20/2025
Section Cited
CCR
101212(d)

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Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department...
This requirement was not met as evidenced by...
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Program Supervisor reported this incident to Licensing on 02/10/25 via email.
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Based on LPA’s observations and interviews which were conducted with four staff, child#1 was unsupervised and wondered away at school age enclosed yard alone on 01/31/25 from 4:18:34 PM to 4:22:25 PM and this incident was not reported to Licensing.
This poses a potential health, safety and personal right risk to the children 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.
SUPERVISOR'S NAME:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
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