198021915-3-24-2026-33-CC-CGRN-DSGTTK-20260324150051

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021915
Report Date: 03/24/2026
Date Signed: 03/24/2026 03:01:29 PM

Document Has Been Signed on 03/24/2026 03:01 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:	SALVATION ARMY PRESCHOOL		FACILITY NUMBER:	198021915
ADMINISTRATOR/ DIRECTOR:	CHRISTINA CUEVAS		FACILITY TYPE:	860
ADDRESS:	12000 WASHINGTON BLVD		TELEPHONE:	(562) 696-7175
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90606
CAPACITY: 61	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	03/24/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:15 AM
MET WITH:	Nely Gomez and Kimberly Plascencia		TIME VISIT/ INSPECTION COMPLETED:	03:15 PM

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	Page 1 of 5: On 03/24/2026 at 10:15 am, Licensing Program Analysts (LPAs), Crystal Green and Lilli Babcock conducted an announced prelicensing inspection to add a new toddler program to existing licenses which will be consolidated into a new Single License. LPAs met with Applicant Representatives, Nely Gomez and Kimberly Plascencia. This location is currently licensed to operate an infant program (191599464) with a capacity of (12) from ages 0 to 2 years old. A preschool program (191599462) with a capacity of (17) children from ages 2 to 5 years old and a school age program (198004973) with a capacity of (28) children from kindergarten and above. All of the existing licenses are currently inactive status. The Applicant, Salvation Army Sante Fe Springs, has requested to change their license by removing their infant program and adding a new toddler program. The Applicant is requesting to care for 61 children: (16) toddlers from ages 18 to 36 months, (17) preschoolers from ages 2 to 5 years old, and (28) school age children from kindergarten and above. Hours of operation will be Monday to Friday from 7:00 am – 6:00 pm. All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed the Applicant Representatives that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, the Applicant Representatives stated that they will be in a higher cabinet located in the office. A fully equipped first aid kit is located in throughout the facility.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

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: SALVATION ARMY PRESCHOOL	FACILITY NUMBER: 198021915
	VISIT DATE: 03/24/2026

NARRATIVE

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There is an operational carbon monoxide detector on site located throughout the facility. All required licensing documents shall be posted in a publicly accessible location. Licensing staff did not observe a designated parent board area. Children will be signed in and out near the office entrance. Applicant Representative informed that the facility will not offer transportation for school-age children.

LPAs continued to tour the facility and measured all indoor and outdoor activity space. Total indoor toddler activity space measured 426.46 square feet, which can only accommodate the capacity of (12) toddler children. Total indoor preschool activity space measured 645.22 square feet, which is sufficient to accommodate the requested capacity of (17) preschool children. Total indoor school age activity space measured 1,286.44 square feet, which is sufficient to accommodate the requested capacity of (28) school-aged children. The indoor activity spaces were observed to have cubbies, bookshelves, and other activity supplies for the children. LPAs did not observe the toddler and preschool classroom to have age-appropriate tables, chairs, and cots/mats. Drinking water will be available in the classrooms via filtered water jugs. LPAs observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 01/21/2026.

LPAs observed a total of (1) sinks and (1) toilets available for toddler children’s use, which can only accommodate the capacity of 15 toddlers. There is also a changing table available near the toddlers’ restroom. LPAs did not observe the changing table to be within arm’s reach of a sink. There is a total of (2) sinks and (2) toilets available for preschool children’s use, which is sufficient to accommodate the preschool requested capacity. The school-age children were observed to have access to (2) sinks and (2) toilets. The school restrooms were observed to afford privacy for children. Licensing staff observed (1) sink to be non- operational. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the office and ill children will use the staff restroom.

Facility will provide Lunch, and AM/PM Snacks. There is a kitchen area on site that will be inaccessible to children in care. Per Applicant Representative, food will be prepared and brought into the classrooms.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

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: SALVATION ARMY PRESCHOOL	FACILITY NUMBER: 198021915
	VISIT DATE: 03/24/2026

NARRATIVE

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The facility currently has fully fenced playground to accommodate each program separately. Fencing is made of wrought iron and is at least four feet high. The total square footage for the toddler outdoor activity space is 1400.30 square feet, which can accommodate the requested toddler capacity. The total square footage for the preschool outdoor activity space is 1,286.44 square feet, which is sufficient to accommodate the requested capacity. Per Applicant Representative, the designated school age yard will not be in use as the program will remain on inactive status. At this time, new measurements were not obtained for the school age outdoor activity space. The school age outdoor yard surface was observed to have insufficient cushioning under the high climbing areas of the play structure, and the surface areas were observed to be uneven and contain holes. Per the Applicant Representatives, the designated school age yard will undergo structural and surface changes in the future. Licensing staff advised that the department must be notified prior to its operations to ensure its compliance and to obtain measurements.

Shade is provided via a fixed shade canopy. There are sufficient outdoor toys and play equipment available on the toddler and preschool playground. There is a climbing structure on the preschool playground for children aged 2 to 5 years old which is properly anchored. There is adequate cushioning in fall zones of climbers provided by outdoor surface cushioning within the preschool yard. Drinking water will be available via filtered water jug. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant Representative was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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 childcare 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 21-21.1-CCP).

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

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: SALVATION ARMY PRESCHOOL	FACILITY NUMBER: 198021915
	VISIT DATE: 03/24/2026

NARRATIVE

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Applicant representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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, available at: http://www.ada.gov/childqanda.htm

LPA discussed with applicant representatives LIC 311A- Records to Be Maintained at the facility. LPA also discussed with the Applicant Representatives the requirements regarding maintaining a sleep log for children under the age of 24 months.

Applicant Representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

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: SALVATION ARMY PRESCHOOL	FACILITY NUMBER: 198021915
	VISIT DATE: 03/24/2026

NARRATIVE

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The following corrections are needed prior to the issuance of the license:

The Applicant must obtain and submit proof of the Parent Board postings in a publicly accessible area.
The Applicant must submit proof of the toddler changing table accessible within arm’s reach of a sink.
The Applicant must obtain and submit proof of age-appropriate tables and chairs within the toddler and preschool classroom.
The Applicant must obtain and submit proof of additional mats/cots.

At the request of the Applicant Representative, the school age program will remain inactive until 09/01/2026. The Facility Representative must inform the department regarding whether it will begin operating or remain inactive status. Licensing staff advises that a follow-up inspection must be conducted to ensure the school- age program is in compliance prior to its operation.

Once corrections are received and approved, A license for (57) children: (12) toddlers from ages 18 to 36 months, (17) preschoolers from ages from ages 2 to 5 years old, and (28) school- age children from ages kindergarten and above will be granted upon a final file review.

Exit interview conducted and report was reviewed with the Applicant Representatives, Kimberly Plascencia.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

LIC809 (FAS) - (06/04)

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