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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401101
Report Date: 03/25/2025
Date Signed: 01/12/2026 05:38:08 PM

Document Has Been Signed on 01/12/2026 05:38 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:BELMONT SHORE CHILDRENS CENTERFACILITY NUMBER:
198401101
ADMINISTRATOR/
DIRECTOR:		MARTINEZ, ANNAFACILITY TYPE:
860
ADDRESS:30 S TERMINO AVENUETELEPHONE:
(562) 439-3369
CITY:LONG BEACHSTATE: CAZIP CODE:
90803
CAPACITY: 66TOTAL ENROLLED CHILDREN: 32CENSUS: 29DATE:
03/25/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Anna MartinezTIME VISIT/
INSPECTION COMPLETED:
01:30 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
On 03/25/2025 at 9:30 am, Licensing Program Analysts (LPAs), Elka Chavez and Susann Sanchez conducted an unannounced Case Management inspection to add a new Toddler Program. LPAs met with Facility Representative, Anna Martinez. This location is currently licensed to operate as a Preschool Program with the capacity of 66 children from ages 2 to 6 in (4) classrooms: Guppies, Seahorse, Penguin and Dolphin.

The licensee, Belmont Shore Children’s Center LLC., is requesting an overall capacity of (63) children by adding a new Toddler program with a capacity of (12) children from ages 18 to 36 months old in (1) classroom: Guppies; and the Preschool capacity will be reduced to (51) children from ages 2 to 6 in (3) classrooms: Seahorse, Penguin and Dolphin. Hours of operation will be Monday to Friday from 7:00am to 5:30pm.

There were 29 children present with 3 staff members during today’s inspection. All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed Facility staff 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, Facility Representative stated that they will be located in the office. There is an operational carbon monoxide detector on site located in the office and in the large room (Dolphins and Penguins classroom). All required licensing documents were observed posted in the office. Children will be signed in and out at the office.

Report Continues Page 1 of 3

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/25/2025
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 4
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)
Page: 2 of 4
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: BELMONT SHORE CHILDRENS CENTER
FACILITY NUMBER: 198401101
VISIT DATE: 03/25/2025
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
Facility Representative was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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). Per Facility Representatives, the facility has already completed lead testing and has the results on file.

Facility Representatives was informed of the MyChildCarePlan.org site, 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. “

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.”

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

• The Applicant needs to rake the wood chips in the toddler outdoor activity space.

Licensee Representative, Anna Martinez understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

A license for a total of 63 children: (12) toddlers serving ages 18 to 36 months in (1) classroom: Guppies; and (51) preschoolers serving ages 2 to 6 years old in (3) classrooms: Seahorse, Penguin and Dolphin will be granted upon a final file review.

Exit interview conducted and report was reviewed with the Facility Representatives, Anna Martinez.

Report Ends Page 3 of 3.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: BELMONT SHORE CHILDRENS CENTER
FACILITY NUMBER: 198401101
VISIT DATE: 03/25/2025
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
LPAs continued to tour the facility and measured the indoor activity space. The total toddler indoor activity space measured is 503.87 square feet, which is sufficient to accommodate the requested toddler capacity of 12 children. The existing preschool classroom total indoor activity space measured at 1,811.95 square feet, which is sufficient for 51 preschool children. LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available for the children via a filter water dispenser. 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 3/10/2025.

LPAs observed a total of (1) sink and (1) toilets available for toddler children’s use. There is a changing table located within the Guppies classroom. There was a total of (8) sinks and (5) toilets available for preschool children’s use. These are sufficient to accommodate the overall requested capacity of (63) children. 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. The staff restroom located in the Guppies classroom will be used for toddler children who become ill and the staff restroom located in the Dolphin classroom will be used for preschool children who become ill.

Facility will provide AM/PM snacks. Parents will provide their child's lunch. Per applicant representative, facility will have snacks in case of an emergency. There is a kitchen located on the premises. The kitchen area includes a refrigerator, sink, stove and food prep countertop. The kitchen prep area was observed to be free of hazards. Food was observed to be properly stored separate from cleaning materials. The kitchen and food storage areas were observed to be free of rodents and/or vermin.

The facility currently has (3) fully fenced playground areas one is designated as the Toddler play yard and (2) Preschool play yards. LPAs observed each play yard is fenced. Fencing is made of wrought iron which is at least four feet high. The total square footage for designated toddler outdoor activity space is 2,440.67 square feet, which is sufficient to accommodate the requested toddler capacity. The total square footage for designated preschool outdoor activity space is 5,812.85 square feet, which is sufficient to accommodate the requested preschool capacity. Shade is provided via shade structured canopy. There are sufficient outdoor age-appropriate toys and play equipment available on the playgrounds. There is a Tiny Tikes climbing structure on the toddler play yard area. There is adequate cushioning in fall zones of climber provided by outdoor wood chips. LPAs observed that the wood chips needed to be raked and leveled flat on the ground to prevent falls. Drinking water is available via filtered water dispenser. LPAs observed all hazardous items on the playground to be inaccessible to children.

Report Continues Page 2 of 3

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4