<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198020251
Report Date: 08/26/2026
Date Signed: 08/26/2026 03:59:34 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/01/2026 and conducted by Evaluator Priscilla Ochoa
COMPLAINT CONTROL NUMBER: 33-CC-20260601154015
FACILITY NAME:HAPPY BIRCH PRESCHOOLFACILITY NUMBER:
198020251
ADMINISTRATOR:MALI RANDFACILITY TYPE:
850
ADDRESS:1423 TAMARIND AVETELEPHONE:
(323) 469-3706
CITY:LOS ANGELESSTATE: CAZIP CODE:
90028
CAPACITY:46CENSUS: 7DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Director, Mali RandTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Reporting requirements - Staff did not properly report incidents to parents.
Reporting requirements - Staff did not report reportable biting incidents to the licensing office.
Other - Staff revealed names and pictures of children that child in care has bitten
Personal Rights - Children suffered serious biting injuries while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 26, 2026 Licensing Program Analyst (LPA) Priscilla Ochoa conducted an unannounced visit to deliver findings for a complaint that was received by the department on 06/01/26. LPA met with Director, Mali Rand who guided LPA on a tour of the facility. This is a preschool program with a toddler component which operates Monday through Friday from 8:00 am to 5:00 pm. LPA observed 7 children in care with 3 staff members.

Complaint allegation: Reporting requirements - Staff did not properly report incidents to parents. The Reporting Party (RP) alleges that staff were made aware that Child 1(C1) had ongoing challenges with biting other children. According to RP parents of C1 did not receive notification pertaining to biting incidents that occurred while Staff 5 (S5) was not at the facility during a 2 week span. Per RP, Staff 1(S1) explained that bites did occur but were not reported to the parents of C1 because they were small bites.

Page 1 of 3
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5). Per S1, all incidents are communicated to parents through the Brightwheel app. S1 explained that the facility reported all biting incidents to the parents of C1, only when the biting incidents occurred. S1 denied that biting incidents were not reported but acknowledged that attempted bites by C1 were sometimes not report that to the parents. Per S2 – S4 when an incident occurs in the classroom, they report it to S1 and S5 and they informed the parents. Per S2 – S5, C1 continually had bitting incidents multiples times a day during their time at the facility. Per S5, they were aware of biting incidents that occurred while they were away which were reported to S1. S5 acknowledged that while they were absent from the facility, staff did not document the incidents or tell the parents. Per S4, incidents are always reported to S1, who makes the ultimate decision on how and when the parent will be informed about the incident. LPA P. Ochoa observed the timeline of biting incidents reported to the parents of C1 which confirms that no biting incidents were reported to the parents of C1 while S5 was away from the facility. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents interviewed did not express concerns about the facility.

Complaint allegation: Reporting requirements - Staff did not report reportable biting incidents to the licensing office. Per Reporting Party (PR) there were multiple biting incidents at facility where C1 bit multiple children while in care. LPA P. Ochoa observed pictures of several severe bite marks where children had noticeable teeth indentations on their skin. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5). LPA asked S1 if they understood what reporting requirements entailed. Staff stated that they understood and provided an example of a reportable incident to LPA. Per S1, they felt that reporting the biting incidents to licensing was not warranted as they were trying to handle the situation themselves. LPA explained reporting requirements to S1, stressing that the matter became reportable when the biting incidents by C1 were no longer isolated and injuries to other children occurred. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents interviewed did not express concerns about the facility.

Complaint allegation: Other - Staff revealed names and pictures of children that child in care has bitten. Per Reporting Party (PR), Staff 1 (S1) disclosed 2 names and 1 picture of a child that Child 1(C1) had bitten during a discussion with S1 and Staff 5 (S5). LPA P. Ochoa reviewed notes that were documented from this discussion that were taken by the RP. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5). Per S1, they have never disclosed any child’s name to other parents. However, S1 explained that C1 bit a child on the cheek and took a picture to send to C1’s parents to show the bite mark. LPA reviewed the picture and observed the side profile of the child who was bitten. Page 2 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per S2 – S5, they never talked about nor shown pictures of other children to parents. LPA also reviewed Brightweel communications and did not identify that children’s names were communicated to other parents regarding incidents. The facility will receive a technical violation as the child's profile was identifiable but not intentional as they wanted to show the parent of C1 the bit mark C1 caused on another child. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents did not express concerns about the facility.

Complaint allegation: Personal Rights - Children suffered serious biting injuries while in care. Per Reporting Party (PR) there were many bitting incidents at the facility where children were hurt while in care. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5). Per S1, C1 had successfully bitten children in care about 30 times and intended to bite children about 60 times. Per S3, the parents of the other children were expressing their concerns and wanted to know what the facility will be doing to alleviate the biting at the facility. Per S5, C1 had bitten a child where C1 “ripped the skin”. The child needed to seek medical attention and was given antibiotics. LPA P. Ochoa reviewed 11 pictures of severe bite marks where children were bitten by C1 and had noticeable teeth indentations on their skin. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents did not express further concerns about the facility.

Based on interviews conducted and record review, the above allegations are deemed SUBSTANTIATED. A finding of Substantiated means that the preponderance of evidence standard has been met.

LPA P. Ochoa informed Director, Mali Rand that this report dated 8/26/26 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA P. Ochoa informed the Director, Mali Rand to provide a copy of this licensing report dated 08/26/26 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. The facility has also been cited type B deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

A notice of site visit was given and must remain posted for 30 days Exit interview conducted and report was reviewed with the Director Mali Rand. Page 3 of 3

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 9
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/01/2026 and conducted by Evaluator Priscilla Ochoa
COMPLAINT CONTROL NUMBER: 33-CC-20260601154015

FACILITY NAME:HAPPY BIRCH PRESCHOOLFACILITY NUMBER:
198020251
ADMINISTRATOR:MALI RANDFACILITY TYPE:
850
ADDRESS:1423 TAMARIND AVETELEPHONE:
(323) 469-3706
CITY:LOS ANGELESSTATE:CAZIP CODE:
90028
CAPACITY:46CENSUS: 7DATE:
08/26/2026
UNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Director, Mali RandTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Admissions Agreements - Staff did not follow biting policy, which included documenting all biting incidents as it states in the handbook.
Admissions Agreements - Staff did not follow confidentiality agreements.
Lack of Supervision - Staff did not provide adequate supervision, resulting in multiple biting Incidents.
Conduct Inimical - Staff told volunteer to be untruthful to licensing representative.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On August 26, 2026 Licensing Program Analyst (LPA) Priscilla Ochoa conducted an unannounced visit to deliver findings for a complaint that was received by the department on 06/01/26. LPA met with Director, Mali Rand who guided LPA on a tour of the facility. This is a preschool program with a toddler component which operates Monday through Friday from 8:00 am to 5:00 pm. LPA observed 7 children in care with 3 staff members.

Complaint allegation: Admissions Agreements - Staff did not follow biting policy, which included documenting all biting incidents as it states in the handbook. The Reporting Party (RP) explained that during a meeting with C1’s parents, Staff 1(S1) and Staff 5 (S5) were questioned about missing reports for biting incidents that were not reported. According to RP, S1 laughed and expressed that there were more incidents than documentation. LPA P. Ochoa reviewed the parent handbook which clearly states the following procedures when frequent biting incident occur.
Page 1 of 4
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
This includes Immediate Response to Biting Incidents; Documentation and Communication; Behavioral Support and Intervention, Parent-Teacher Meetings and Referral to Outside Support (if needed). The procedures in place includes Suspension or Expulsion (if behavior does not improve). LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5) and Adult 1 (A1). Per S1, they have communicated with parents of Child 1(C1) via Brightwheel of incidents, hosted meeting with the parents of Child 1(C1) to discuss their biting behaviors, hired a specialty teacher to observe C1’s behavior and also communicated with the parent that they should consider providing a shadow for C1 to help them transition throughout the day to avoid any other biting incidents. S1 also expressed that they reduced C1’s hours at the facility to minimize biting incidents. Per S2, they would support C1 while they were experiencing challenging behaviors. Per S3, S1 and other staff would also host meetings to talk about how the facility can meet C1’s needs while in care and identifying C1’s triggers. However, S4 describes that the facility does not follow the biting policy as there were many biting incidents and staff members were not aware of all incidents. S4 also mentioned that there were incidents where pictures were not taken but S1 was always informed. S4 and S5 explained that the facility was aware of C1’s triggers and divided the class into two groups to minimize triggers which did help C1. S1 – S5 acknowledged that the parent of C1 did hire A1 as additional support to help C1 transition and shadow them throughout their time at the facility. Per A1, with their presence, C1’s biting incidence did improve; however they still occurred. Though the facility failed to report and document all biting incidents, they did make ongoing efforts to support C1 to reduce behaviors and protect the health and safety of other children in care. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents did not express concerns about the facility.

Complaint allegation: Admissions Agreements - Staff did not follow confidentiality agreements. Per Reporting Party (RP), the facility is well aware of the confidentiality agreement stated in their handbook but choose not to follow them. RP expressed that Staff 1 (S1) continues to disclose confidential information to other parents. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5) and all staff have expressed that they are aware of the confidentiality agreement and do not share information to other parents. LPA interviewed Parent 1 (P1) – Parent 3 (P3). LPA P. Ochoa asked parents to describe how the facility informs parents of incidents that occur with their children. Per P1 – P3 facility informs that parents through Brightwheel and in person. All parents mentioned that only their child’s information is disclosed to them. All parents did not express concerns about the facility.

Page 2 of 4

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Complaint allegation: Lack of Supervision - Staff did not provide adequate supervision, resulting in multiple biting Incidents. Per Reporting Party (PR), the staff at facility could have prevented all of the biting incidents that occurred with Child 1(C1) while in care. RP explained that Adult 1(A1) expressed that C1 always showed signs that they were going to bite a child. The staff would let other children invade C1’s space when they knew C1 would bite. Per RP, the children at the facility require more structure which will help prevent incidents. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5) and Adult 1(A1). Per S2, the facility encouraged C1 to use their words. S2 provided an example where C1 would become over stimulated because they were surrounded by children and they taught C1 to express “space please” so the children would not crowd them. S3 mentioned they always tried to intervene when they identified C1 triggers when they felt that C1 was going to bite other children in care. S3 also mentioned that they would request support if they felt like the teachers in the classroom needed assistance with the children. S5 expressed that C1 did not always show signs that they were going to bite a child. They described an incident during story time where C1 was sitting next to them and the child in front of C1 was bending forward and C1 grabbed them by the shirt wanting to bite them, but S5 stopped the interaction. Per S5, a staff member and A1 have tried or did intervene when C1 was going to bite another child. However, a review of biting incidents found that children were in fact bitten on multiple times. LPA P. Ochoa did not interview children as they are toddlers and non verbal. LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents did not express concerns about the facility.

Complaint allegation: Conduct Inimical - Staff told volunteer to be untruthful to licensing representative - Per Reporting Party (PR), Staff 1 (S1) approached Adult 1(A1) during a licensing annual inspection on May 07, 2026 and was told that if the analyst approaches them to say that it was their second day at facility and their role was to help Child 1 (C1) transition doing their time at the facility. LPA P. Ochoa interviewed Staff 1 (S1) – Staff 5 (S5) and Adult 1(A1). Per S1, they did approach A1 during the licensing visit to remind them that they are not allowed to be alone with C1 and if the analyst approached them to say that they are there to assist C1 with transitions. Per A1, S1 did approach them during the inspection and tell the analyst that they were C1’s helper and watching their behavior. A1 did express that their primary role at the facility was to assist C1 throughout their time at the facility and help prevent any biting incidents. A1 described that they were left alone with C1 as a teacher left the area to do diaper changes and get more children. Per A1 they were left alone with C1 for no more than 3 minutes. S2 – S5, all disclosed that A1 sole purpose was to assist C1 and help prevent bitting incidents and was never left alone with C1 or other children. LPA P. Ochoa did not interview children as they are toddlers and non verbal.

Page 3 of 4

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
VISIT DATE: 08/26/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA interviewed Parent 1 (P1) – Parent 3 (P3). All parents did not express concerns about the facility.

Based on interviews conducted, the above allegation is deemed UNSUBSTANTIAED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Mali Rand.

Page 4 of 4

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/28/2026
Section Cited
CCR
101223(a)(2)
1
2
3
4
5
6
7
The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings....to meet his/her needs.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Per Director, they will host a meeting with their staff and watch personal rights video on CDSS website. Each staff will write a summary on personal rights. Director will send sign in sheet and statements to LPA by POC date 08/28/26.
8
9
10
11
12
13
14
Based upon observation, interview, and records the facility did not provide a safe environment for children in care as bitting incidents continued to occur which posed an immediate health, safety, and personal rights risk to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 8 of 9
Control Number 33-CC-20260601154015
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: HAPPY BIRCH PRESCHOOL
FACILITY NUMBER: 198020251
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2026
Section Cited
CCR
101212(F)
1
2
3
4
5
6
7
The items specified in (d)(1)(A) through (H) above shall also be reported to the child's authorized representative.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Per Director, they will host a meeting with their staff and watch reporting requirements video on CDSS website. Each staff will write a summary on reporting requirements. Director will send meeting sign in sheet and statements to LPA by POC date 08/28/26.
8
9
10
11
12
13
14
Based upon observation, interview, and records the facility did not report all biting incidents to C1's parent which posed a potential health, safety, and personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
08/28/2026
Section Cited
CCR
101212(D)(1)(C)
1
2
3
4
5
6
7
Child care center... specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours...Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
1
2
3
4
5
6
7
Per Director, they will host a meeting with their staff and watch reporting requirements video on CDSS website. Each staff will write a summary on reporting requirements. Director will send meeting sign in sheet and statements to LPA by POC date 08/28/26.
8
9
10
11
12
13
14
Based upon observation, interview, and records the facility did not report excessive biting incidents to department which posed a potential health, safety, and personal rights risk to persons in care.
8
9
10
11
12
13
14
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: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2026
LIC9099 (FAS) - (06/04)
Page: 9 of 9