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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016423
Report Date: 08/15/2024
Date Signed: 08/15/2024 05:37:27 PM

Document Has Been Signed on 08/15/2024 05:37 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
L.A. DAY CARE-EAST, 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: 32DATE:
08/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:46 PM
MET WITH:Director-Laura PerezTIME VISIT/
INSPECTION COMPLETED:
05:44 PM
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Licensing Program Analysts (LPA) Cynthia Reyes conducted an unannounced case management inspection on this date. This inspection is to ensure the health and safety standards as required by the regulations governing child care centers are met. LPA met with Laura Perez, Director, who the inspection was gone over.

During LPAs tour with director Laura, of the facility, staff names and children census were taken. The facility was observed to be out of compliance by observation, records reviewed and received and interviews conducted. Staff #1 and #2 were observed working in the preschool program and are not fingerprint associated.

The following deficiencies listed on the attached LIC 809D (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 & safe.

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

Exit interview conducted and report was reviewed with the Director Laura Perez.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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
Document Has Been Signed on 08/15/2024 05:37 PM - It Cannot Be Edited


Created By: Cynthia Reyes On 08/15/2024 at 05:10 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: KIDDIE ACADEMY OF GLENDORA
FACILITY NUMBER: 198016423

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2024
Section Cited
CCR
101216(i)(2)

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101216 Personnel Requirements: (I) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) This requirement is not met as evidenced by;
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Director provided to the department on this date with a copy of the criminal record transfer request form, to have staff #1 and #2 associated to the preschool program.
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On the departments background Check System, it shows Staff #1 and #2 are fingerprint cleared however, they are not associated to the infant program. This poses an immediate risk to the health, safety, and personal rights of children in care. A civil penalty is being assessed.
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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:Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:
DATE: 08/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/15/2024


LIC809 (FAS) - (06/04)
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