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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021920
Report Date: 10/14/2025
Date Signed: 10/14/2025 04:37:41 PM

Document Has Been Signed on 10/14/2025 04:37 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:CLARK CHILD CAREFACILITY NUMBER:
198021920
ADMINISTRATOR/
DIRECTOR:		BRIANNA CLARKFACILITY TYPE:
850
ADDRESS:3751 E COLORADO BLVDTELEPHONE:
(626) 344-1306
CITY:PASADENASTATE: CAZIP CODE:
91107
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/14/2025
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:24 PM
MET WITH:Applicants Brianna Clark and Gladys ClarkTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 10/14/25 at 1:30pm, Licensing Program Analysts (LPA)s Stephanie Li and Crystal Green conducted an unannounced annual inspection. Upon arrival, LPA’s met with Applicant Brianna Clark and Co-applicant Gladys Clark, who led LPA’s on a tour of the facility. The licensee has been affected by the Eaton fire and intends to relocate her Family Child Care to Berry Patch Playground indoor commercial facility based on the Proclamation, the Governor issued Executive Order N-2-25 on January 8, 2025 (EO N-2-25). The hours of operation will be Monday – Thursday from 7:30am – 5:30pm. The licensee has not obtained an approved fire clearance and is waiting for inspector to confirm inspection date.

At 1:40 pm, the licensee guided LPAs on a tour of facility. Facility does not have an outdoor play space and has an indoor playground for children to actively play. The facility is one story and parents would enter, drop off, and sign in at the front of the lobby. Per licensee, she is going to install a ring camera at the front door. Front door leads directly into commercial busy street and licensee, will install door alarm to alert adults when door is opened. The LPAs walked through the back door to enter facility. LPA’s observed a lobby area for sign in, an indoor playground/structure with padded climbing levels, tunnels, ladders, and slide for older to children to play with. There are labeled age appropriate designated areas for different ages of children to play. There are enough cubbies to store children’s belongings and napping equipment for all children. There is a separate clear room next to the lobby designated for napping. LPA’s observed 4 cots and 4 play pens in the nap room. Per licensee, Licensee stated she has 1 emergency evacuation crib and will bring the crib into the facility. There are tables and benches for children to sit and eat at. There is a toddler area (rm 3) with cushions, chairs and tables. There is an infant room (rm 2) with soft materials and sensory items for infants to play with. LPAs observed 2 mounted televisions and plenty of age-appropriate toys for children in care. LPAs also documented measurements and pictures of the classroom. A changing table was observed in the infant room and children’s bathroom that is within arms reach of a sink. page 1 of 4

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2025
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: CLARK CHILD CARE
FACILITY NUMBER: 198021920
VISIT DATE: 10/14/2025
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LPAs also observed electronic cords, devices, computers, and gaming devices in the toddler/game space. Per licensee, the area where the electronics are located will be inaccessible for children in care. Licensee reviewed with LPA’s potential use of the space for infant, toddlers, preschool and school aged children. Per licensee, she will be conducting reservation only indoor event venue during non-operating hours. LPAs reminded licensee that all children must be under supervision, including visual supervision. All areas were observed to be clean, orderly, comfortable, and well ventilated.

The facility does have a restroom with 1 toilet and 1 handwashing sink. There are 2 portable potty chairs, step stools, and a changing table. All toilets and hand washing facilities are in safe and sanitary operating condition. Bathroom is located down the hallway, near the back door. The backdoor leads directly into the back alley. LPA’s advised creating a barrier from the restroom to the back door. LPA’s also stated that a door alarm will need to be installed to alert staff when the back door is opened. Licensee stated she will install a gate barrier and door alarm on the back door. Drinking water is available through 5 gallon water dispenser.

Licensing staff observed disinfectants, cleaning solutions, medication and other items that are dangerous to children are stored in the office. All furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe. First Aid supplies are available and complete. The cozy nook under the climbing structure is used as the sick area for an ill child to rest. There is only one bathroom near the office for an ill child and staff to use.

The facility will provide am and pm snacks for children in care and parents will provide children’s lunch. The licensee has a snack menu posted and 2 mini fridges, one designated for infants and the other for rest of children. There is a kitchenette area on site that is off limits to children for staff to prepare snacks. The kitchen area is made inaccessible by a gate. LPAs reminded licensee lunch/meals brought from home for children in care must be stored properly, labeled with the child’s name and or refrigerated. All storage containers for solid waste, including moveable bins, have tight fitting covers and are in good repair. Per licensee, there are no weapons, firearms, or bodies of water on the premises.

LPAs observed a combo functioning carbon monoxide detector and smoke alarm in the staff lounge. LPA’s advised that combo alarm will need to be placed in the main child care area. LPA’s observed a fully charged 2A-10BC fire extinguisher, last purchased on 8/1/2025.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC809 (FAS) - (06/04)
Page: 3 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CLARK CHILD CARE
FACILITY NUMBER: 198021920
VISIT DATE: 10/14/2025
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The facility will have a sign in / sign out sheet for parents to sign in the hallway upon entrance to the building. LPAs informed licensee that the sign in and sign out sheets should document the time the children are dropped off and picked up along with the person who sign in and out the child uses their full legal signature.

LPAs reviewed and discussed children and staff records that are used for a childcare center. LPAs provided licensee the necessary documents LIC501, LIC503 for staff that are required for a child care center. During the inspection, the licensee provided Early Child Care completed courses transcripts for assistant to LPAs to review. Co-applicant Gladys Clark is fully qualified for director title. Applicant Brianna Clark is fully qualified as lead teacher and only missing her CHDV admin units to be qualified for director. Per licensee, she is currently enrolled in admin course with Child Care Education Institute and will have it completed within a year.

The licensee will need to update admissions agreement to reflect the child care business name and will submit them to LPA’s, licensee will also create a parent handbook and employee handbook for parents and staff to review and sign.

LPAs also reviewed and discussed Child Care Center postings, and LPA’s observed snack menu, daily schedules, disaster plan, sick policy, car seat postings, poison control, fire drill log, and safe sleep tips posted in the back hallway. LPA’s notified licensee that parent postings need to be posted near the front where parents drop off and sign in. Postings need to be made easily available for parents to see. Licensee is missing Parents Rights poster. LPA’s provided printed parents rights poster during visit.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Facility has a medication plan for medical services, epi-pens and inhalers.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CLARK CHILD CARE
FACILITY NUMBER: 198021920
VISIT DATE: 10/14/2025
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FACILITY HAS NOT COMPLETED LEAD TESTING: 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 21-21.1- CCP). Per licensee, the facility will not use water at the facility for drinking nor food preparation. A Letter of Attestation was received during visit.

Facility 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.

Licensee 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.

The facility will need to make the following corrections: 1. Install door alarms on front door and back door so adults are notified when the door is opened. 2. Install back hallway barrier between bathroom and backdoor to restrict access to back door. 3. Move smoke and carbon alarm combo into main day care area. 4. Set up isolation area for an ill child to rest 5. Move emergency crib into facility 6. Fix netting in upper climbing play structure to prevent children from getting through to dangerous areas. 7. Move parent posting to parent sign in area, including Parents Rights Poster.

Once the licensee submits proof of corrections, the information will be reviewed by the Regional Office for final approval.

An exit interview was conducted, and a copy of the report was provided to licensee, Brianna Clark.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Stephanie Li
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5