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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019526
Report Date: 02/20/2025
Date Signed: 03/28/2025 04:06:09 PM

Document Has Been Signed on 03/28/2025 04:06 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:FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOLFACILITY NUMBER:
198019526
ADMINISTRATOR/
DIRECTOR:		CHRISTIAN SEYMOURFACILITY TYPE:
850
ADDRESS:10700 S. SAN PEDRO STTELEPHONE:
(323) 756-1975
CITY:LOS ANGELESSTATE: CAZIP CODE:
90061
CAPACITY: 15TOTAL ENROLLED CHILDREN: 20CENSUS: 14DATE:
02/20/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:35 AM
MET WITH: Administrator/ Teacher Christian Seymour and Licensee Angela HuffmanTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
NARRATIVE
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On February 20, 2025, at 10:35 AM, Licensing Program Analyst (LPA) Ashley Calderon, conducted an unannounced case management -annual continuation visit. LPA disclosed the purpose of the inspection and was granted entry into the facility by Facility Representative Jose Sanchez.

Lpa observed 14 children, Administrator/ Teacher Christian Seymour and three additional staff at the facility. Lpa did tour of the facility alongside C.Seymour. At approximately 10:50am Licensee arrived at the facility. LPA reviewed non compliance plan dated 5/4/23 with C.Seymour and A.Huffman. Administrator provided LPA Calderon with an updated LIC200A application, updated children roster and updated LIC500 Personnel Report.

On 5/5/23: Facility Toddler Component ages 18 months- 36 months was removed from facility license. Facility is licensed to have children ages 2 years old until entry into 1st grade (Children enrolled in elementary school/ kindergarten cannot be enrolled at the facility ). LPA consulted in regards to facility License.

On initial annual inspection date 1/6/25, LPA Calderon and Tyler Reyes observed at 12:28pm, LPAs observed smoke alarm/ carbon monoxide device without a battery in device. Per C.Seymour stated Smoke Alarm has the Carbon monoxide detectors interconnected and due to no battery C.Seymour was unable to test device. As of 2/10/25 device is having issues and facility needs to figure out how to fix it, deficiency cited. On 1/6/25, at 12:26pm LPAs observed mats folded up with children linen, sheets and blankets coming to contact with other children's linen, deficiency cited.

LPAs on 1/06/25 and on 2/20/25 observed 2 trash bin inside and outside of the facility. Trash bin inside the facility had no tightfitted lid/cover and observed to have food in trash can. Outdoor trashcan has a lid with an opening, exposing solid waste, per C.Seymour puts diapers in the outdoor trash lid to avoid odor, pictures taken and deficiency cited. (cont...)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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 6
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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526
VISIT DATE: 02/20/2025
NARRATIVE
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On 2/20/25, LPA observed in the outdoor children play area the fence by the driveway/alley a (3) scaffolding materials hanging off the fence, which can pose a danger to the children in care if they wrap themselves around with it or can trip themselves, deficiency cited.

On 01/06/25, Outdoor play yard at 10:00am, LPA Calderon and Reyes observed two sheds, LPAs observed on the right hand side of the small shed pile of chairs either broken, rusted, and metal chair cap/ swivel glide was broken off .There was a metal pole sticking out measuring at approximately 8 inches. Pictures taken, this area was observed to be an area of hazard, not in a safe condition with pointed and sharps parts accessible to children in care and in addition LPA observed broken window near behind the cabinet located on the right hand side of the wall heater, picture taken. Per regulation facility shall be clean and safe, deficiency cited. During today's visit LPA consulted on off limit area.

On 1/06/25, LPA Calderon and Reyes reviewed sign in and out sheets, 6 children parents were signed in by paper and 6 additional children were signed in via electronically on the Brightwheel App, 2 children were not signed in for today's visit. 12 out of 14 children present today were signed in, Per C.Seymour stated 1 person signs in/out 2 children that is what is missing, deficiency will be cited.

On 1/06/25, LPA Calderon observed fire extinguisher no service date tag, C.Seymour stated does not have any documentation for extinguisher. LPA consulted to ensure they are following State Fire Marshall Regulations. On 1/06/25, C.Seymour was unable to provide Disaster and Fire Drill log to LPA Calderon, deficiency cited.

LPA cleared deficiency from 1/06/25, plan of correction cleared at the facility on today's visit date.

Due to insufficient time, LPA will return at a later time to continue staff and children record review and interview staff. Based on today’s visit and what was observed on a visit date 1/6/25, Per California Code of Regulation Title 22 deficiencies were provided on LIC 809-D.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with facility representative Christian Seymour.
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 03/28/2025 04:06 PM - It Cannot Be Edited


Created By: Ashley Calderon On 02/20/2025 at 02:20 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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.954
Licensure Requirements
Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observation on 1/6/25, LPA Calderon and Tyler Reyes observed at 12:28pm carbon monoxide device without a battery not in device. The licensee did not comply with the section cited above in [1] out of [1] carbon monoxide device which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/10/2025
Plan of Correction
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Adminsitrator informed Licensee Angela Huffman about the smoke/carbon monoxide device and once issue is resolved due to random device going off, facility representative will send LPA Calderon a photo of device working properly and if fixed by a compant will sedn invoice. POC will be cleared by poc due date.
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview with staff Christian Saeymour unable to provide disaster and fire drill on visit date 1/6/25, the licensee did not comply with the section cited above in [1] out of [1] disaster and fire drill documentation which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025
Plan of Correction
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During visit date 2/20/25 LPA Calderon observed disaster and fire drill log 1/28/25. Poc cleared during visit date 2/20/25.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 03/28/2025 04:06 PM - It Cannot Be Edited


Created By: Ashley Calderon On 02/20/2025 at 02:20 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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239.1(c)(2)
Napping Equipment
(c) Each cot or mat shall be equipped with a sheet to cover the cot or mat and, depending on the weather, a sheet and/or blanket to cover the child. (2) Bedding shall be individually stored so that each child's bedding is identifiable and no child's used bedding comes into contact with other bedding.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation by LPA Calderon and Reyes on 1/6/25, the licensee did not comply with the section cited above in [15] out of [15] foldable mats for napping equipment, linen was observed touching each other, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
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Licensee or Administrator will provide picture of a new method on how each mat will be individually stored / identifiable and send picture to LPA Calderon by POC due date.
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation on 01/06/25, Outdoor play yard at 10:00am, LPA Calderon and Reyes observed on the right hand side of the shed pile of chairs either broken, rusted, and metal chair cap/ swivel glide was broken off . There was a metal pole sticking out measuring at approximately 8 inches. Outdoor fence on 2/20/25 had 3 hanging scaffolding and in addition LPA observed broken window near behind the cabinet located on the right hand side of the wall heater in the classroom. The licensee did not comply with the section cited above in [4] out of [4] broken chairs, metal pole, hanging scaffolding and broken window which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
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On visit date 2/20/25 LPA observed wooden board placed in the area where broken chairs and metal stick was observed to provide inaccessibility. By poc due date window that is broken will be repaired and scaffolding materials will be replaced, fixed or removed, administrator or licensee will provide LPA Calderon with picture via email.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
Page: 4 of 6
Document Has Been Signed on 03/28/2025 04:06 PM - It Cannot Be Edited


Created By: Ashley Calderon On 02/20/2025 at 02:20 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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(f)(1)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation from visit 1/6/25 and 2/20/25 two trash bins were observed not having tight fitted lids. The indoor trash was observed having food waste in bin and per interview with Administrator Chrisitan Seymour outdoor trash used to place solid waste, the licensee did not comply with the section cited above in [2] out of [2] trash pins without tight fitted covers which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
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Licensee or Administrator will provide pictures via email to LPA Calderon of (2) trash cans with tightfitted lid by POC due date.
Type B
Section Cited
CCR
101227(a)(6)
Food Service
(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation LPA did not see a posted food menu and interview with Administrator Chrisitan Seymour on 1/6/25 stated is unable to provide LPA with food menu has not created one yet, the licensee did not comply with the section cited above in [1] out of [1] food menu which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/07/2025
Plan of Correction
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LPA Calderon via email will provide food menu training and facility will update menu with proper food quanity / measurments of servings. Administrator or Licensee will send via email to LPA Calderon by poc due date food menu.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
Page: 5 of 6
Document Has Been Signed on 03/28/2025 04:06 PM - It Cannot Be Edited


Created By: Ashley Calderon On 02/20/2025 at 02:23 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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(b)
(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and observation, the licensee did not comply with the section cited above in [2] out of [14] [children] present on 1/6/25 visit date, were not signed in on the roster, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/03/2025
Plan of Correction
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Administrator and/or Licensee will provide LPA Calderon with a plan to ensure all children are sign in/out. Plan will be submitted on a Declaration Letter LIC855 and submitted to LPA Calderon via email but poc due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
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