198401160-4-18-2025-54-CC-ECHZ-DFUTCB-20250418143627

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198401160
Report Date: 04/18/2025
Date Signed: 04/18/2025 02:36:46 PM

Document Has Been Signed on 04/18/2025 02:36 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:	TWIGS TO TREES INC		FACILITY NUMBER:	198401160
ADMINISTRATOR/ DIRECTOR:	HOLMES, AMA		FACILITY TYPE:	860
ADDRESS:	5925 CHERRY AVE		TELEPHONE:	(909) 838-9599
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 9	TOTAL ENROLLED CHILDREN: 1	CENSUS: 1	DATE:	04/18/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:29 AM
MET WITH:	Ama Holmes		TIME VISIT/ INSPECTION COMPLETED:	02:45 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 04/17/2025 at 9:30am, Licensing Program Analyst (LPA), Elka Chavez conducted an unannounced Case Management inspection for an increase in capacity. Upon arrival, LPA met with facility representative, Ama Holmes. This location is currently licensed to operate as an Infant Program with the capacity of 9 children from ages 3 months to 24 months in (1) classroom: Infant classroom. Applicant Twig to Trees Inc., is requesting to be licensed for 30 preschool children ages 2 to 5 in (1) classroom: preschool classroom, 14 toddler children ages 18 to 36 months in (1) classroom: toddler classroom and 9 infant children ages 3 months to 24 months in (1) classroom: infant classroom for an overall capacity of 53 children. Hours of operation will be Monday through Friday from 8:00 am to 5:00 pm. Present during today’s inspection was (1) child with (1) staff. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Ama Holmes 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 kitchen. There is an operational carbon monoxide detector and is hardwired with the fire alarm system. All required licensing documents were observed posted in each classroom. Children will be signed in and out in the classrooms. LPA continued to tour the facility and measured new additional indoor and outdoor activity space. The total infant indoor activity space measured 333.46 square feet, which is sufficient to accommodate the requested capacity of (9) children. Page 1

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TWIGS TO TREES INC	FACILITY NUMBER: 198401160
	VISIT DATE: 04/18/2025

NARRATIVE

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The total toddler indoor activity space measured 505.67 square feet, which is sufficient to accommodate the requested capacity of (14) children. The total preschool indoor activity space measured 1,070.38 square feet, which is sufficient to accommodate the requested capacity of (30) children. LPA 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 in the classrooms via bottled water. In the infant room highchairs and feeding tables have broad based legs, plastic seats are in good repair and trays lock onto chairs. Highchairs are made of washable, moisture resistant material. The changing tables has at least 1” padding covered with moisture resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. LPA observed a total of 9 cribs for children’s use. Crib area is separated from the activity space via a pony wall. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs are kept in a binder in the napping area. Needs and Services Plans and Sleep Plans are kept in a binder in the teacher room. LPA 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 4/1/2025.

LPA observed a total of (1) sink, (1) toilet and (1) potty chair available for infant children’s use in the infant restroom. LPA observed a total of (2) sinks, and (2) toilets available within the toddler classroom for toddler children’s use. LPA observed a total of (2) sinks, and (2) toilets available within the preschool classroom for preschool children’s use. These are sufficient to accommodate the requested capacity of (53) children.

The facility currently has 3 fully fenced playground areas: infant playground, toddler playground and preschool playground. Fencing is made of wood and is at least four feet high. The total square footage for the infant outdoor activity space is 754.62 square feet, which is sufficient to accommodate the requested capacity. The total square footage for the toddler outdoor activity space is 1,055.25 square feet, which is sufficient to accommodate the requested capacity. The total square footage for the preschool outdoor activity space is 2,268.44 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via sunshade sails. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. Drinking water is available via bottled water. LPA observed rocks within the wood chip activity

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NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TWIGS TO TREES INC	FACILITY NUMBER: 198401160
	VISIT DATE: 04/18/2025

NARRATIVE

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area located in the preschool playground. LPA observed approximately 1-inch nails sticking out of the wood fence in the preschool playground. LPA observed rocks and gravel in the area where the wood playhouse is located in the preschool playground. Facility representative stated that staff will conduct walkthroughs of the outdoor activity space in the morning and afternoon with an outdoor safety checklist. LPA reminded facility representative Ama Holmes that sandboxes shall be inspected daily and kept free of hazardous foreign materials. Facility representative Ama Holmes was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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 Facility Representatives, the facility has already completed lead testing on 4/3/2025 and has the results on file.

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

· The Licensee must remove the rocks from wood chips located within the preschool outdoor play area.

· The Licensee must remove any hazards within the preschool outdoor play area.

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

Licensee 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.

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NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: TWIGS TO TREES INC	FACILITY NUMBER: 198401160
	VISIT DATE: 04/18/2025

NARRATIVE

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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 reviewed with licensee representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.”
LPA discussed the safe sleep regulations with licensee representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep , as an additional resource. LPA also informed licensee representative 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.

Licensee Representative 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. “

Once all corrections are received and reviewed, a license for a total of 53 children: (9) infants serving ages 3 to 24 months in the infant classroom; (14) toddlers serving ages 18 to 36 months in the toddler classroom; and (30) preschoolers serving ages 2 to 5 years old in the preschool classroom will be granted upon a final file review.

A notice of site visit was given to licensee representative and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee representative, Ama Holmes.

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NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Elka Chavez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/18/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2025

LIC809 (FAS) - (06/04)

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