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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013698
Report Date: 04/24/2024
Date Signed: 04/24/2024 12:45:59 PM

Document Has Been Signed on 04/24/2024 12:45 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CORTEZ CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198013698
ADMINISTRATOR/
DIRECTOR:		KYM ALLENFACILITY TYPE:
850
ADDRESS:1300 N. DUDLEY STREETTELEPHONE:
(909) 397-4445
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
04/24/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:05 PM
MET WITH:Facilities Planner Kym AllenTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 04/24/2024, Licensing Program Analyst (LPA) Stephanie Li conducted an annual continuation visit to Cortez Child development center at Pomona Unified Child development office. The purpose of this inspection is to review staff and children files as they were not available for review at the Cortez Child Development Center during the Annual inspection conducted on 04/18/2024. LPA met with Kym Allen, facility representative who provided LPA with the staff and children files who were present during the inspection.

All staff have received an active criminal record clearance as a condition of their employment with the Pomona Unified School District. Staff and children records were reviewed for completeness. Inspection of required forms were made. LPA issued the Review of Staff Records (LIC 859) and Children Records (LIC857) to the facility during this inspection. Lead teacher was missing mandated reporter certificate, citation being issued, see D page.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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/process.

Based on Licensing staff interview and record review, the following deficiency listed on LIC809-D 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 and safety.

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 Kym Allen.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/24/2024
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 04/24/2024 12:45 PM - It Cannot Be Edited


Created By: Stephanie Li On 04/24/2024 at 12:22 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CORTEZ CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198013698

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in one teacher did not have her mandated reporter training certificate renewed, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/08/2024
Plan of Correction
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Per lead teacher Maria Ramos, she will complete the mandated reporter training for child care and email certificate to LPA S Li by 05/08/2024.
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:Christina Gabelman
LICENSING EVALUATOR NAME:Stephanie Li
LICENSING EVALUATOR SIGNATURE:
DATE: 04/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/24/2024


LIC809 (FAS) - (06/04)
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