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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019526
Report Date: 01/06/2025
Date Signed: 01/06/2025 04:35:03 PM

Document Has Been Signed on 01/06/2025 04:35 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: 17CENSUS: 13DATE:
01/06/2025
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH: Administrator/ Teacher Christian SeymourTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On January 6, 2025, at 12:10 PM, Licensing Program Analysts (LPAs) Ashley Calderon and Tyler Reyes, conducted an unannounced Annual/ Required Inspection. LPAs disclosed the purpose of the inspection and was granted entry into the facility by Facility Representative Christian Seymour.

Facility operation hours are 7am to 6pm, Monday to Friday. This facility consists of 1 classroom and outdoor play area. This facility is licensed to have Preschool Program with a Toddler Component with a capacity of only 10 preschool children and 5 toddlers ages 18 months- 36 months. Based on observation and record review roster by LPA's there were 11 preschools and 3 toddlers present at the facility. Facility was found to be out of their Capacity Limitation, Type A, deficiency cited.

The Center Facility Visit Checklist LIC125 was provided during inspection. LPA Calderon and LPA Reyes conducted a self guided tour of the facility with permission from Facility Representative C.Seymour
The following was observed during the tour of the facility: furniture and equipment were inspected for age appropriateness and good repair. During inspection, LPAs observed a barricade made of PCP pipe, zip ties and mesh around wall heater to prevent accessibility. Telephone service, heating, lighting, and ventilation were evaluated. Per C.Seymour at 12:28pm, stated Smoke Alarm has the Carbon monoxide detectors. LPA observed device and covering of battery was not in device. Therefore, C.Seymour was unable to test device, deficiency cited. LPAs fire alarm, Per C.Seymour, alarm is interconnected to the Los Angeles Fire Department.

LPA's observed children having their own cubby to store their personal belongings. LPAs observed napping mats used in classroom. Napping mats are stored in cabinets, LPAs at 12:26pm observed mats folded up with children linen, sheets and blankets coming to contact with other children's linen. Per C.Seymour, stated staff wash linen weekly and children mats are labeled by number and there is a log with identifiers. Toddlers present are able to climb out of crib and use floor mats. LPA did not observe any cribs at the facility. (Page 1/4, cont...)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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 5
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: 01/06/2025
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LPAs observed bathrooms. Staff has 1 bathroom and children have 1 bathroom. Age appropriate sinks and toilets were inspected and found operable. There is a changing table in the children's bathroom for children in diapers. LPA's observed drinking water provided via dispenser located in staff room. LPAs observed outdoor drinking water located outside in portable drinking dispenser. Children use their own water bottles and/or facility provides cups. LPA's observed learning materials/ toys in bins in the shelves and additional learning materials/ toys stored in cabinets and are Per C.Seymour are taken out during lessons. Floors and rugs were observed to be clean and safe. LPA 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 will be cited.

During today's visit C.Seymour, stated 1 child enrolled at the center is on medication and child is not here today. Per C.Seymour, medications are stored in inaccessible cabinet by Administrators desk. Per C.Seymour, stated medication is not at the facility because child is getting a new prescription.

LPA reviewed required posters to be posted in a prominent area. LPA's observed the following posters: Facility License, PUB269 Child Passenger Restraint System, Emergency Disaster Plan and Notifications of Parents Rights, located at the Entrance/ Exit on the left hand side wall, on a bulletin board. LPA provided Lead Sample Results and C.Seymour posted results on board. At 12:18pm, LPA Reyes and Calderon did not observe food menu posted at the facility; LPA Reyes asked C.Seymour for the food menu. C.Seymou stated we just got back today from holiday break, deficiency will be cited.

Outdoor play yard at 10:00am, LPA's 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, deficiency will be cited. There are no pools or bodies of water at the facility. Children had adequate shade in the play yard. Outdoor had age appropriate bicycles/ tricycles and toys to play in the carpet area. Additional, outdoor toys stored in the bigger shed. (Page 2/4Cont...)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
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: FULL GOSPEL CHILD DEVELOPMENT CENTER PRESCHOOL
FACILITY NUMBER: 198019526
VISIT DATE: 01/06/2025
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LPA’s reviewed 5 children’s files, deficiencies noted due to incomplete documentation's, deficiecty will be cited at another time. LPA's reviewed 3 staff files, including Administrator. All staff present at the facility were fingerprinted cleared. Pediatric First Aid and CPR for C.Seymour expires: 10/2025. During file review Mandated Reporter Training for C.Seymour expired 7/1/26 . Staff 2 did not have mandated reporter training in file, C.Seymour and Licensee Angela Huffman stated does not have training just stated working at facility. There were in completed staff records, that will be cited at another time.

During inspection, C.Seymour at 2:07pm stated drill was conducted within the last 6 months. When LPA requested documentation, C.Seymour stated they are in the process to organize and not sure were document is.



LPAs 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, deficiency will be cited. Per C.Seymour stated 1 person signs in/out 2 children that is what is missing.

LPA Calderon at 2:19pm observed fire extinguisher no service date tag, C.Seymour stated does not have any documentation for extinguisher, picture taken and deficiency cited. LPA observed broken window near behind the cabinet located on the right hand side of the wall heater, picture taken.

Per C.Seymour stated poisons are locked in the storage cabinet located. Per C.Seymour, no guns at the facility and facility does not provide transportation.

  • Facility representative was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 01/06/2025 04:35 PM - It Cannot Be Edited


Created By: Ashley Calderon On 01/06/2025 at 03:39 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: 01/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101161(a)
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:

Deficient Practice Statement
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Based on LPA's Calderon and Reyes observation, LPA's observed 11 preschool children and 3 toddlers. Facility is licensed for 10 preschool children and 5 toddlers. The facility representative did not comply with the section cited above in [1] out of [10] children present which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/07/2025
Plan of Correction
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During today's visit children went home, making census: 12 . Facility representative will submit a Declaration Statement LIC855 understanding the License and submit by POC due date of 1/10/25.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Denise Gibbs
LICENSING EVALUATOR NAME:Ashley Calderon
LICENSING EVALUATOR SIGNATURE:
DATE: 01/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/06/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
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: 01/06/2025
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  • LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative 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.
  • This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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/.
  • Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.


During the exit interview, the Licensee, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS. Based on today’s visit, Per Regulations Title 22 there facility was given (1) deficiency/ Type A provided on LIC 809-D. LPA will return at a later time to provide the Type B deficiency. observed during today's visit due to time constraint. Due to insufficient time, LPA will return at a later time. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit. 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 and appeal rights were provided.
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SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2025
LIC809 (FAS) - (06/04)
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