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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016871
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:08:07 PM

Document Has Been Signed on 07/09/2026 03:08 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: 20DATE:
07/09/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Lakshi WeerasingheTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On July 9 2026 Licensing Program Analyst (LPA) Kamile Martin (KMartin) arrived at the above facility to review and observe the following stipulation an waiver orders. LPA went on a guided tour of the facility with Site Supervisor Lakshi Weerasinghe. LPA observed 20 children in room 4 with 3 staff. Per site supervisor 5 staff are on site supporting with breaks And 2 infants with 1 staff were observed. The stipulation and waiver order was observed to be posted in the hallway near the parent entrance across the hall from the site supervisors office.

LPA KMartin observed in room 5 (infants), room 4( preschool) and room 1 (vacant) the missing child policy, door chimes on each door. New safety gates in room 4 and room 1 upon entrance of the classroom. New metal molding on both parent entrance gates with code for entry. Per site supervisor the new metal coded gate was installed two weeks ago.

LPA reviewed The Plan of Action Regarding Lack of Supervision Training documents for 10 staff dated 5/20/24 and 6/3/24.
Per stipulation order respondent shall conduct quarterly training with staff .......
Documentation shall be placed in each employee file and made available to licensing upon request.
This was reviewed by an all staff development and training meeting held at Mckinley Montessori preschool on 3/31/26 with a signed copy of 27 staff in attendance.
NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2026
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: 07/09/2026
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 27 staff include all 6 sites associated with Montessori Association of Covina and Mckinely Montessori Staff . The Agenda includes training on Visual Supervision and classroom awareness also supervision act out scenarios activity included in this training.

12/3/25 All Day In-service training agenda items discussed during this training includes Visual Supervision Activity, child care center ratios, supervising child care centers children's personal rights and teacher qualifications were discussed. 29 staff have attendance recorded from all 6 sites associated with Montessori Association of Covina. Child care video activity was observed for Pomona site staff.

1/19/26 Staff Development In service for all 6 sites associated with Montessori Association of Covina. 26 staff have signed they have attended this meeting and topics discussed include Care and supervision, child abuse policies and procedures for reporting child abuse.

Transportation policy was printed and a copy was available to LPA during inspection. LPA reviewed staff files during this visit. Staff files were reviewed and a copy of the childrens roster was provided to LPA KMartin along with an updated holidays and school closures calendar.
LPA inspected classroom 1 for compliance with title 22 regulations. Fire extinguisher was last serviced on Nov 10 2025. Carbon monoxide was tested and operable. Toys and materials were in good repair and free from sharp or broken objects. Cleaning solutions were stored in bathroom above the sink inaccessible to children in care. The restroom children will use is sanitary with sinks readily available for hand washing. Napping equipment was observed in an alternate storage room.

Based on Licensing staff observations license is in compliance with California Code of Regulations Title 22.

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

Exit interview conducted, report provided and appeal rights was reviewed with Site Supervisor Lakshi Weerasinghe.

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

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
LIC809 (FAS) - (06/04)
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