Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191598102
Report Date: 01/30/2019
Date Signed: 01/30/2019 10:31:15 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LITTLE PEOPLE PRESCHOOL-SCHOOL AGEFACILITY NUMBER:
191598102
ADMINISTRATOR:CANDICE WONGFACILITY TYPE:
840
ADDRESS:4715 ROSEMEAD BLVD.TELEPHONE:
(626) 286-1332
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:53CENSUS: 0DATE:
01/30/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Yolanda BadilloTIME COMPLETED:
09:30 AM
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
Licensing Program Analyst conducted an unannounced case management inspection on this date. Upon arrival, LPA met with Teacher Yolanda Badillo. There were no school-age children in care at this time. LPA conducted this inspection for the purpose of following up with a deficiency cited on 12/07/18.

The following was found to be a violation and required correction:

1596.7995: Employees or volunteers at day care center; immunization requirements; records; exemptions. Staff #1-3 did not have complete immunization record.
LPA reviewed staff files and found that Staff #1 & #3 are missing proof of immunizations. Staff #1 is still missing proof of measles vaccine. Staff #3 did not have proof of influenza vaccine on file. The Plan of Correction has not been met.

See 809-D for details on deficiency recited.

An exit interview was conducted with Teacher Yolanda Badillo. A copy of this report and was provided and explained.

The Notice of Site Visit (LIC 9213)must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2019
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LITTLE PEOPLE PRESCHOOL-SCHOOL AGE
FACILITY NUMBER: 191598102
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/06/2019
Section Cited
HSC
1596.7995
1
2
3
4
5
6
7
Recite: Employees or volunteers at day care center; immunization requirements; records; exemptions.
This requirement has not been met as evidenced by LPA's review of files. Staff #1 is missing proof of measles vaccine. Staff #2 is missing influenza vaccine. This poses a risk to the health and safety of children in care.
1
2
3
4
5
6
7
Per teacher, she will inform staff of missing items. Proof will be place in file and a copy submitted to LPA by POC due date of 2/6/19.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Ariel AlmazanTELEPHONE: (323) 981-2949
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2