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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016423
Report Date: 01/02/2025
Date Signed: 01/02/2025 04:13:31 PM

Document Has Been Signed on 01/02/2025 04:13 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:KIDDIE ACADEMY OF GLENDORAFACILITY NUMBER:
198016423
ADMINISTRATOR/
DIRECTOR:		BETH HOLMESFACILITY TYPE:
850
ADDRESS:1339 SOUTH GRAND AVENUETELEPHONE:
(626) 691-0242
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: DATE:
01/02/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Florence Banda- Lead TeacherTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 01/02/2025 Licensing Program Analysts (LPAs) Mariah Aguirre and Cynthia Reyes conducted an
unannounced case management inspection. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met.Inspection was conducted regarding an incident that came into the office on 12/20/2024. Report was submitted timely.

LPAs met with lead teacher Florence Banda who guided the analysts on a tour of the facility, indoors and out. A census was taken and staff names were documented. There were 64 children present with 15 staff, including lead teacher and cafeteria cook. LPAs went over incident report with Ms. Florence Banda. LPAs conducted interviews, reviewed and received records. Based on information obtained on this date follow up is necessary regarding the incident report listed above.

No citations were given on this date regarding this incident listed above. Exit interview conducted, and a copy of this report along with appeal rights and notice of site visit were provided to Florence Banda

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..
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Mariah Aguirre
LICENSING EVALUATOR SIGNATURE: DATE: 01/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/02/2025
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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