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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021223
Report Date: 09/03/2024
Date Signed: 09/03/2024 11:51:38 AM

Document Has Been Signed on 09/03/2024 11:51 AM - 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:PATHWAYS LAFACILITY NUMBER:
198021223
ADMINISTRATOR/
DIRECTOR:		ORTEGA, MARTHAFACILITY TYPE:
830
ADDRESS:1 GATEWAY PLAZATELEPHONE:
(213) 427-2700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90012
CAPACITY: 36TOTAL ENROLLED CHILDREN: 27CENSUS: 16DATE:
09/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Laura Mejia, Associate Director TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On Monday, Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced annual inspection and met with Laura Mejia, Associate Director who guided LPA Perry on a tour of the facility.

This is an infant program that serves children ages 0 to 2 years. This program operates Monday to Friday 6:30 a.m. – 6:00 p.m. Sign in and out takes place at the main entrance area. All areas identified on the facility sketch were toured and inspected both indoors and outdoors. Teacher and child ratio were observed, and present staff are fingerprinted cleared. This facility is located on the premises of Union Station Los Angeles and will operate out of 2 levels (lower and upper). There is also a preschool program (198021224) that operates on the same premises as the infant program. There are no shared areas between the infant and preschool program. Parents have the option of entering the facility through the ground level plaza entrance or the lower-level garage entrance. Both entrance areas require an access card to gain entrance. Per Laura, sign in and sign out procedure will remain the same. Parents will utilize the stationary iPad app located throughout the facility.



LPA was guided through a tour of the designated infant classrooms which are located on level 1 of the facility. There will be a total of 3 classrooms which are the Huggable Hills, Lullaby Lane, and the Rainbow Road. Prior to entrance into the Lullaby Lane staff or parents will be required to wear bootie shoe covers. The Huggable Hills classroom was observed to have a designated napping area which contained cribs. The Lullaby Lane classroom was also observed to have a designated napping area which contained cribs and cots. The classrooms also have feeding chairs available. The Rainbow classroom was observed to have cots for children to nap.

LPA entered classroom Lullaby Lane (0-12 months). LPA Perry observed 2 children and 1 staff present supervising the children. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2024
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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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: PATHWAYS LA
FACILITY NUMBER: 198021223
VISIT DATE: 09/03/2024
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for children to store their personal belongings. LPA observed cleaning solutions stored inside the cabinet with a child safety lock making it inaccessible for children to reach and open. LPA Perry observed a step trash bin with a lid and a trash for diapers. Per teacher, the diaper changing mat is sanitized with soap and water and then a water and bleach solution. LPA observed a washer and dryer inside an off-limit area in the classroom and is used to wash all toys as needed. Classroom was observed to have a working telephone. Classroom has a water dispenser. Individual storage space was observed to be available for each child. LPA did observe a fridge which contained infant bottle labeled with their name and dated. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA observed the diapering changing table to be arm’s length to the hand washing sink and a vinyl diapering mat. Per Laura, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and sent home at pickup.

LPA entered classroom Huggable Hills (12-18months) LPA Perry observed 4 children and 2 staff present supervising the children. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inside the cabinet with a child safety lock making it inaccessible for children to reach and open. LPA Perry observed a step trash bin with a lid and a trash for diapers. Per teacher, the diaper changing mat is sanitized with soap and water and then a water and bleach solution. Classroom was observed to have a working telephone. Classroom has a water dispenser. Individual storage space was observed to be available for each child. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items. LPA observed the diapering changing table to be arm’s length to the handwashing sink and a vinyl diapering mat. Per Laura, soiled clothing is not rinsed in the sink. It is placed in a plastic bag and sent home at pickup.

LPA entered classroom Rainbow Road (18-24mionths). LPA Perry observed 0 children and 0 staff present. LPA observed age-appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age-appropriate toys accessible to children. LPA observed a cubby for children to store their personal belongings. LPA observed cleaning solutions stored inside the cabinet with a child safety lock making it inaccessible for children to reach and open. LPA Perry observed a step trash bin with a lid and a trash for diapers. Per teacher, the diaper changing mat is sanitized with soap and water and then a water and bleach solution. Classroom was observed to have a working telephone. Classroom has a water dispenser. Individual storage space was observed to be available for each child. LPA observed the cribs to be free from bumper pads, pillows, toys, blankets, hanging above items.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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: PATHWAYS LA
FACILITY NUMBER: 198021223
VISIT DATE: 09/03/2024
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Heating, lighting, and ventilation were evaluated by LPA Perry. LPA observed central AC/heater and vents located on the ceiling. LPA observed the classrooms and temperatures to be in regulation. Per Laura, facilities maintain and controls the AC and heaters. LPA observed the fire extinguishers and the valve on the required 2A10BC fire extinguishers indicating fully charged and serviced on November 28, 2023. Smoke detectors and Carbon Monoxide were not tested during this visit due to the detectors being wired to the emergency pull down fire alarm system. The last emergency drill was conducted on 7/16/2024. LPA observed napping equipment cots to be in good condition and stored in the classrooms. First aid kit supplies are kept inside the classrooms and LPA observed the kits to be fully equipped. During this visit, per Laura, currently has no children with medication or severe food allergies. LPA Perry asked if there were any poisons, firearms, weapons, or bodies of water. Laura stated no firearms, weapons, no poisons nor bodies of water. LPA did not observe firearms or weapons, poisons, nor bodies of water. Per Laura, the ill isolation area takes place in the director’s office and children will utilize staff restroom. LPA observed 1 cot, 1 crib 1 small child size table and a child size bench for the ill child to wait for their authorized representative to pick up.

LPA Perry entered the outdoor play area. LPA observed 10 children with 4 staff supervising the children outside. LPA Perry observed the outdoor space to be half indoor and half outdoor with an open concept. LPA Perry observed the equipment to be in a safe condition, free of sharp, no lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA Perry observed play structure equipment to be age appropriate and areas around or under high climbing equipment, are cushioned with granulated rubber mat that may absorb a fall. For adequate shade, LPA Perry observed hip roof shade structure. LPA observed trash bins with tight lids. For outdoor water drinking, staff bring out water jugs and disposable cups.


This program provides breakfast, lunch, and pm snack. Meals and snacks are provided by an outside vendor called International Institute of Los Angeles. LPA Perry informed Laura that any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. For water drinking, LPA Perry observed water dispensers in the classrooms. LPA observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including movable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects, and rodents.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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: PATHWAYS LA
FACILITY NUMBER: 198021223
VISIT DATE: 09/03/2024
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The following documents were posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights (PUB 393), Personal Rights (LIC 613A), Menu, and Earthquake Preparedness (LIC 9148). PUB 269 Child Passenger System Poster, and Daily Schedule. LPA Perry observed sign in/out. Waiver was observed to be posted for the infants to share the indoor/outdoor area on a staggered schedule.

LPA Perry reviewed the children’s roster, children’s files and staff files and observed the files to be complete.



LPA Perry observed Site Supervisor, La Kendra Williams Red Cross Pediatric First Aid/CPR certification expires on 10/1/24, Preventative Health and Safety certification dated 12/2020 and has proof of immunization against Pertussis, MMR, and Influenza declination. Site Supervisor has completed the mandated reporter (AB 1207) training expires on 7/29/26 Site Supervisor was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.
Items discussed during this visit:

1. The following items are prohibited by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.

3. Current Children’s Roster: Each childcare facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.



4.LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations, and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.

5.Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR and EMSA approved must be present.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC809 (FAS) - (06/04)
Page: 4 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: PATHWAYS LA
FACILITY NUMBER: 198021223
VISIT DATE: 09/03/2024
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6.Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.

7.Qualifications: Educational background, training, and/or experience for each staff present must be available for review

8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles or influenza declination

9.Children’s Records: must be available for review; including but not limited to, the following: Name, address, and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

10.Staff Records: must be available for review; background clearance, LIC 503 Health Screening report, LIC 9108 Statement Acknowledging Requirement to Report Child Abuse, Staff Qualifications, LIC 9050 Employee Rights, LIC 501 Personnel Record, AB 1207 Mandated Child Abuse Certification, MMR, TDAP, TB, influenza or influenza declination.

Criminal Record Clearance - Laura was reminded that all adults 18 and over, 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 Child Care Center. 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.



Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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: PATHWAYS LA
FACILITY NUMBER: 198021223
VISIT DATE: 09/03/2024
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LPA Perry discussed the safe sleep regulations with Laura and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed Laura 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/.

Laura 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Facility is in compliance with Title 22 Regulations and no deficiency will be cited.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty.

Exit interview conducted and report was reviewed with Laura Mejia, Associate Director.
Appeal Rights discussed and provided.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Staicy Perry
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC809 (FAS) - (06/04)
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