198016797-3-20-2025-54-CC-JCUT-DEXW4K-20250320165741

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016797
Report Date: 03/20/2025
Date Signed: 03/20/2025 04:57:59 PM

Document Has Been Signed on 03/20/2025 04:57 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	KING'S KIDS PRESCHOOL		FACILITY NUMBER:	198016797
ADMINISTRATOR/ DIRECTOR:	HANNAH LEE		FACILITY TYPE:	850
ADDRESS:	18424 S. BLOOMFIELD AVENUE		TELEPHONE:	(562) 417-6565
CITY:	CERRITOS	STATE: CA	ZIP CODE:	90703
CAPACITY: 71	TOTAL ENROLLED CHILDREN: 18	CENSUS: 12	DATE:	03/20/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:39 AM
MET WITH:	Director, Vanessa Zylstra		TIME VISIT/ INSPECTION COMPLETED:	05:10 PM

NARRATIVE

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Licensing Program Analyst (LPA) Jonnisha Culbert conducted an unannounced annual/random inspection at the facility noted above. LPA met with Director, Vanessa Zylstra discussed the purposes of the visit and provided them with Entrance checklist for Child Care Centers (LIC 125). Director guided analyst on a tour of the facility. This is a preschool center located on the premises of Generations Family Church. The preschool consists of seven classrooms. Per Director, currently, only two classrooms are utilized. The program operates from Monday through Friday from 7:00am to 6:00pm. The program offers care to children 2 to 5 1/2 years old. Present during today's inspection were Director, 3 staff, and 12 children.

Upon arrival, LPA observed all required postings in a prominent publicly accessible area.

All areas used by children were inspected for safety. Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting, and ventilation were evaluated. The facility uses central heating and air for ventilation. Lighting was observed to be in operable condition. LPA observed age-appropriate toys. Children have their own cubby in each classroom to store their belongings. Cots are available to children for napping. Per Director, when children become ill, they are isolated and remain in the office until their authorized representative arrives to pick them up.

Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Disinfectants and cleaning solutions are kept in cabinets inside of the Teacher’s lounge. In the kitchen, medication is kept inside of a box inside. LPA observed that medication inside of the box were labeled with child’s name. LPA reminded Director that medications must be in its original packaging. Poisons were not observed during visit. Per Director, there are no poison on the premises. LPA reminded Director that if poisons are purchased, they are to remain in an area that is locked and inaccessible to children. A carbon monoxide detector was observed and is operable. Fully charged fire extinguishers are available if needed and there are fire pull stations located by every door.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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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Document Has Been Signed on 03/20/2025 04:57 PM - It Cannot Be Edited

Created By: Jonnisha Culbert On 03/20/2025 at 04:15 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: KING'S KIDS PRESCHOOL	FACILITY NUMBER: 198016797
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

(a) (1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, Director did not comply with the section cited above. LPA reviewed waterboard website and did not find record of lead test performed for facility. This is a potential health and safety risk to persons in care.
	POC Due Date: 03/20/2025
	Plan of Correction
1 2 3 4	Per Director, they can not perform lead testing because the facility is closing on April 10, 2025. Director provided LPA with signed license, an explanation for closure, and letter that was sent to parents to inform them of closure.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Karen Chambers

LICENSING EVALUATOR NAME:

Jonnisha Culbert

LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KING'S KIDS PRESCHOOL	FACILITY NUMBER: 198016797
	VISIT DATE: 03/20/2025

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The outdoor playground area was evaluated. LPA observed all areas around and under high climbing equipment and similar equipment are cushioned with mulch. There is adequate shade on the playground. Per Director, there are no pools or bodies of water at the facility. Availability of outdoor and indoor drinking water was observed in classrooms via water bottles. Per Director, teachers assist children with retrieving water from water dispenser.

LPA reviewed waterboard website for facility lead exceedance results. Per Director, they do not know if the facility was tested for lead contamination. LPA observed that a lead test was not conducted on the facilities’ water. This is a potential health and safety risk to the children in care. Per Director, the children only use facility water to wash their hands. LPA informed Director that they are required to provide the Department with a Lead Exceedance Clearance or obtain a waiver from the Department. LPA provided Director with Provider Information Notification (PIN) 21-21.1-CCP for guidance.

Children and staff records were reviewed for completeness. LPA observed that 2 out 2 children records were complete and 4 out of 4 staff records were complete. All staff met educational requirements. LPA observed that everyone had mandated reporter certificates, and immunization records. 2 out of 2 staff had cardiopulmonary and resuscitation and first aid training certifications. Children's roster was reviewed and is current. LPA reviewed sign in and sign out app and observed that parents used electronic signature to sign children in and out.

Disaster drills were logged and available. The last drill was conducted on 1/13/2025. Menus are posted a month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. LPA inspected the food preparation area. The kitchen was observed to be clean and free of litter. Food supplies were observed to be in good condition. The facility provides two snacks and parents provide lunch.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: KING'S KIDS PRESCHOOL	FACILITY NUMBER: 198016797
	VISIT DATE: 03/20/2025

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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 Child Care 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.

LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

During visit one type B citation was issued. Appeal rights were given to Director. Appeal rights and notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Vanessa Zylstra.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Jonnisha Culbert
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC809 (FAS) - (06/04)

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