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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009114
Report Date: 10/08/2024
Date Signed: 10/08/2024 04:41:40 PM

Document Has Been Signed on 10/08/2024 04:41 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CPC PRESCHOOLFACILITY NUMBER:
198009114
ADMINISTRATOR/
DIRECTOR:		KIM SUNG MEEFACILITY TYPE:
850
ADDRESS:11840 E. 178TH ST.TELEPHONE:
(562) 246-0360
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 81DATE:
10/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Licensee, Kim Sung MeeTIME VISIT/
INSPECTION COMPLETED:
03:37 PM
NARRATIVE
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On October 8, 2024, Licensing Program Analysts (LPAs) Jonnisha Culbert and Alicia Mooberry conducted an unannounced inspection at the facility noted above and met with Director, Kim Sung Mee. The purpose of the inspection was to conduct the annual/random at the facility. Entrance Checklist – Childcare Centers (LIC 125) was provided to the Director. The facility is located on the premises of Cerritos Presbyterian Church. Per Director, the program operates Monday through Friday from 7:00 am to 6:00 pm.

The Director guided LPAs on a tour of the inside and outside of the facility. All areas on the facility sketch were inspected. The facility currently utilizes 9 classrooms: 101, 102, 103, 105, 106, 107, 108, 109, and 110. Upon arrival, 81 children and 9 teachers were present.

The following documents are posted in a prominent, publicly accessible area: Facility License, Menu, Child Passenger Restraint System Poster (PUB 269), Notification of Parents' Rights (LIC 393), Emergency Disaster Plan (LIC 610), Personal Rights (LIC 613A), Earthquake Preparedness (LIC 9148), Waiver and Daily Activity Schedule. LPA observed that Emergency Disaster Plan is missing relocation areas. LPA advise Director to update form.

Sign-in and sign-out sheets were reviewed; all children present were signed in. Per Director, transportation is not provided by the program. Per Director, bedding is taken home on a weekly basis to be washed. According to the Director, medication is only administered to a child when accompanied with a doctor's note and medication is stored in a cabinet located in the office.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. LPA observed napping equipment (cots) and cubbies on the inside and outside of classrooms. Per Director, the isolation area is in the office. In the office, a cot can be placed on the floor for an ill child and the staff restroom is readily available if an ill child requires it.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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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Document Has Been Signed on 10/08/2024 04:41 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 10/08/2024 at 03:09 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101238(g)(1)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. (1) Storage areas for poisons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 2 out of 9 classrooms had bug spray left on counter and not locked in storage area. This poses an immediate health and safety risk to persons in care.
POC Due Date: 10/08/2024
Plan of Correction
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Director immediately removed bug spray. During visit, Director ordered cabinet. Per Direcetor, they will keep poisons in the cabinet and lock it.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
Page: 2 of 8
Document Has Been Signed on 10/08/2024 04:41 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 10/08/2024 at 03:09 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above in in the last drill was performed in January 2024. Per Director, they have not had time to perform drills. This poses a potential safety risk to persons in care.
POC Due Date: 10/29/2024
Plan of Correction
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Per Director, they will perform drill within two weeks and email drill log to LPA J. Culbert by plan of correction date (POC).
Section Cited
Buildings and Grounds
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 10/08/2024 04:41 PM - It Cannot Be Edited


Created By: Alicia Mooberry On 10/08/2024 at 03:09 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 10 out of 10 persons did not have the required pediatric first aid training. Per Director, all staff completed the course on the same day. Director contacted trainer to schedule the appropriate training. This poses a potential safety to persons in care.
POC Due Date: 11/08/2024
Plan of Correction
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Per Director, at least one person will be registered by POC date. Confirmation of registration will be emailed to LPA J. Culbert by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Valarie Cook
LICENSING EVALUATOR NAME:Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114
VISIT DATE: 10/08/2024
NARRATIVE
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sinks and toilets were inspected for availability and good repair. General sanitation was observed. Availability of indoor and outdoor drinking water was observed (water jugs and disposable cups).

Carbon monoxide detector and smoke detector were not tested during today's inspection, but fire inspection was observed. The fire extinguishers are fully charged. LPAs observed electrical outlet covers installed in all childcare areas. LPAs did not observed a complete first aid kit. LPA discussed maintaining a completed first aid kit at all times. Per Director, the facility has not conducted any fire and/or disaster drills in the last six months. The last documented drill was conducted in January 2024. This poses a potential safety risk to persons in care.

LPAs checked for disinfectants, cleaning solutions, and other items that are hazardous to children. In room 107, LPAs observed Hot Shot bug spray on a counter. LPA reminded Director of regulation and advised them to place the spray in an area that is locked. Director immediately removed bug spray from counter. This poses an immediate health and safety risk to children in care. At 10:48am, LPAs observed cleaning solutions and bug spray on the counter near sink in room 109. LPA made Director aware of bottles on the counter and they immediately removed the bug spray. LPA advised Director to relocate all bug sprays and cleaning solutions. Poisons and cleaning compounds were not in an area where food is stored or prepared. All kitchen, food preparation and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. Food and snacks were reviewed for availability, quantity, and appropriateness to children in care.

Outdoor playground equipment is in a safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that could absorb a fall. LPAs observed adequate shade in the outdoor play yard. The facility has an indoor gymnasium used for play when the weather does not permit for outdoor play. LPA inspected the gymnasium for hazards. No bodies of water were observed on the premises.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114
VISIT DATE: 10/08/2024
NARRATIVE
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LPAs reviewed children and staff files. LPAs observed that all children files are complete. During staff file review, LPA observed that 9 out of 9 staff files were missing Pediatric first aid training. Director contacted trainer and expressed to them the missing component on everyone’s certificate. They agreed to assist Director with obtaining the appropriate training. LPAs reminded Director that at least one staff is required to have the required Pediatric First Aid/ CPR AED. This poses a potential safety risk to persons in care.
LPA discussed lead directive in will follow-up in a later visit.

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.

Director 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 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 of 30 days per person will be assessed if this regulation is violated.

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 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-care-centers/.

Director 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.

A notice of site visit was given and must remain posted for 30 days. During today’s visit one type A citation was issued and two type Bs citations were issued. Appeal rights were given to Director. Exit interview was conducted with Director, Kim Sun Mee.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CPC PRESCHOOL
FACILITY NUMBER: 198009114
VISIT DATE: 10/08/2024
NARRATIVE
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Director 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.

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

During today’s visit one type A citation was issued and two type Bs citations were issued

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
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