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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016871
Report Date: 02/12/2026
Date Signed: 02/12/2026 04:30:16 PM

Document Has Been Signed on 02/12/2026 04:30 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:MCKINLEY MONTESSORI ACADEMYFACILITY NUMBER:
198016871
ADMINISTRATOR/
DIRECTOR:
RACHEL CORDOVAFACILITY TYPE:
850
ADDRESS:217 E. MCKINLEY AVENUETELEPHONE:
(909) 620-8400
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 16DATE:
02/12/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:00 PM
MET WITH:Rachel CordovaTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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This report is to amend the case management unusual incident report that was submitted to the RO office on 1/28/26. To remove child personal information from the report.
Licensing Program Analyst (LPA) Kamile Martin conducted and unannounced Case Management Inspection due to an incident that occurred on 1/27/26 and was reported to the Department on 1/28/26 LPA met with Program Assistant Rachel Cordova whom the reason for the visit was explained. Program Assistant guided LPA on a tour of the facility LPA observed preschool classroom rm 4 indoors and outdoor play area. There were 11 children present and 2 teaching staff and 1 one on one therapist. In the Infant classroom there were 2 children observed an 1 teacher. The facility was observed to be operating within the license capacity limitations.

On 1/28/26 an unusual incident report was made to the Department regarding a parent who was told by authorized mid- level manager, that her child had ran away from the school. The parent and program assistant Rachel Cordova reviewed video footage and observed the therapist running behind a child , the mid-level manager climbed over the playground gate to assist the therapist, mid-level manager he was seen holding the child by the hand pulling him to pick him up, and he walked down the hall and put him down in the quiet corner inside of the classroom #4,

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MCKINLEY MONTESSORI ACADEMY
FACILITY NUMBER: 198016871
VISIT DATE: 02/12/2026
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he was observed forcefully pulling the child’s shirt from his chest which was observed on video camera footage. He removed the mat from the quite corner, and was seen sliding the child across the floor. The mid-level manager has reached out to the parent a total of three times via voicemail, while speaking with the child regarding his behavior. The mid level manager or therapist did not discuss the child’s behavior, or when the child ran down the hall, with on duty staff, teachers, or administrators. Both mid-level manager, and therapist signed out at the end of their shift only to have parent arrive upset and staff not notified of the situation that took place. The ratio for preschool was 11 children and two teaching staff in the classroom. The child’s teachers were 1 was in the doorway down the hall and can see the child interacting with the mid-level manager and therapist, and the second teacher was in the classroom with the other children. The newly hired office manager was on video walking out of the office, near the child, mid level manager and therapist.

Program Assistant states the mid level manager and therapist are hired from an outside agency and parent has arranged for services.

Per Program Assistant this is not within policy expectations on how to handle children and reporting incidents to the teachers or administrators. The agency Maximum HealthCare, the Mid level manager and therapist work for were notified and the video camera footage was reviewed by their Clinical Manager Yvonne Medrano who took immediate action and placed Mid level manager on administrative leave until further notice.

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MCKINLEY MONTESSORI ACADEMY
FACILITY NUMBER: 198016871
VISIT DATE: 02/12/2026
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Teaching staff have provided written statements regarding what they know of what happened and copies were retrieved by LPA Kamile Martin during today ‘s follow up inspection.

During todays visit, LPA reviewed child’s file, and Mid level managers file on site which has current TB and flu declination, the California ID, and work ID . Per Program Administrator mandated reporter and CPR are on file at his agency.

A copy of the staff roster was provided and reviewed and designation of facility reviewed by LPA KMartin. The log book for supervision was observed in the preschool classroom.

Based on information obtained during the investigation, deficiencies are not being cited at this time. Because two teachers and office staff observed the child near the gate exit , Mid-level manager spoke with parent but did not notify on duty staff. Teaching staff statements reveal teacher was in the hallway and observed the child near the exit .Video footage shows child did not exit the building. Child is still enrolled in care and parent has canceled mid level supervisors services. Mid Level supervisor is on Administrative leave with Maximum Healthcare. LPA will follow up with Maximum Healthcare services.

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 $100.00

Exit interview conducted and report was reviewed with Rachel Cordova.

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC809 (FAS) - (06/04)
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