198012912-12-13-2024-33-CC-SLII-DBWQKR-20241213111447

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012912
Report Date: 12/13/2024
Date Signed: 12/13/2024 11:14:52 AM

Document Has Been Signed on 12/13/2024 11:14 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	LIVING WAY DAY CARE CENTER		FACILITY NUMBER:	198012912
ADMINISTRATOR/ DIRECTOR:	R		FACILITY TYPE:	830
ADDRESS:	835 HASTINGS RANCH DR.		TELEPHONE:	(626) 351-6253
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY: 27	TOTAL ENROLLED CHILDREN: 27	CENSUS: 20	DATE:	12/13/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:25 AM
MET WITH:	Director Darlene Simone		TIME VISIT/ INSPECTION COMPLETED:	11:30 AM

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) Stephanie Li conducted an unannounced Case Management inspection due to an incident that occurred on 11/5/24 and was reported to the Department on 12/9/24. Front entrance to center is locked and requires a pin code. LPA rung the door bell and waited several minutes before someone came to the door. Center was in the middle of holding their Christmas program performance. Infants and toddlers were not participating in the winter program. A COVID risk assessment was conducted. LPA met with Director Darlene Simone to whom the reason for the visit was explained. Director guided LPA on a tour of the facility. There were 20 children present and 8 staff. Program has a infant/toddler license and a preschool license. The facility was observed to be operating within the license capacity limitations. On 12/9/2024, an unusual incident report was made to the Department regarding an injury that occurred during a diaper changing transition on 11/5/24. A walking infant 11, months old, followed a teacher to the door where she disposes of dirty bowel diapers outside and he placed his hand between the door and door frame wedge gap. The door swung close smashing the child's hand. Teaching staff observed the child's hand to be bruised and applied ice. Staff text the mother to inform her of the incident. Child stayed at facility and went to sleep after the incident and stayed asleep until mother arrived to pick up at 5:00pm. An ouch report was made and given to parents at arrival. Parents took child to urgent care and notified the center that he sustained a broken thumb. He returned to school for 3 days with a soft cast on. A hard cast was needed for child's whole arm. Parents informed center that they would keep him home until cast was removed, but has since withdrew him and pursuing legal action. Page 1 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LIVING WAY DAY CARE CENTER	FACILITY NUMBER: 198012912
	VISIT DATE: 12/13/2024

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During todays visit, LPA met with Director, interviewed infant classroom lead teacher, and inspected the classroom, diaper changing area, hand washing sink, and diaper disposal routine. Copies of urgent care medical note, teacher statements, and photo of previous classroom set up was obtained. The door that staff use to throw dirty bowel diapers away had a small white wedge at the top. LPA tested the door and pushed it open with the wedge on and observed that the door still swings shut closing the gap between the door and door frame. LPA observed that there was no diaper Genie in the room available for staff to use. Per teacher, the director had ordered it. Teaching staff is still using the swing door to throw dirty bowel diapers away. Teacher removed the wedge to make sure the door remains closed. LPA did observe that furniture was moved around and play areas where switched so children are not playing by the door. Photos were captured of classroom set up. LPA observed cleaning chemicals, bleach, disinfectant stored at and near the toddler hand washing sink and advised for teacher to remove hazardous cleaning chemicals from children's sink. Teaching staff was observed to remove all chemicals and placed them under the teacher sink in a locked cabinet.

LPA reviewed ideas with staff and Director on how to remediate safest way to throw dirty bowel diapers away. LPA observed Director send Assistant director Priscilla Maddox to Target to purchase a Diaper Genie today. Teachers will use the diaper Genie when it arrives to the classroom. LPA suggested removing one of the screens from the window in classroom so teachers don't have to open the door to throw diapers away.

LPA reminded Director that incidents requiring medical care need to be reported to the Licensing Department within 24 hours either by phone or email. If call has been made within 24 hours, the written report needs to be submitted within 7 days of the date of the incident. LPA advised that teachers could fill out the report and give to Director to review, sign, and submit. Written reports can be emailed to MPROincidentreports@dss.ca.gov

Based on information obtained during this investigation, no follow up is necessary regarding the incident reported. No deficiencies are being cited at this time.

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 Director Darlene Simone. Page 2 of 2

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2024

LIC809 (FAS) - (06/04)

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