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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191200386
Report Date: 12/18/2024
Date Signed: 12/18/2024 03:55:05 PM

Document Has Been Signed on 12/18/2024 03:55 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:PARENTS AND CHILDREN'S NURSERY SCHOOLFACILITY NUMBER:
191200386
ADMINISTRATOR/
DIRECTOR:		MARJORIE GOLDENFACILITY TYPE:
850
ADDRESS:4603 INDIANOLA WAYTELEPHONE:
(818) 790-2103
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 80TOTAL ENROLLED CHILDREN: 65CENSUS: 39DATE:
12/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Director, Marjorie GoldenTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On December 18, 2024, Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced case management inspection for the above facility. LPA was greeted by Director, Marjorie Golden, who guided LPA on a tour of the facility. The purpose of this inspection is to follow up on a self-reported incident that occurred at the facility on 12/09/2024. This is a preschool age program which operates Monday through Friday from 8:00 am to 4:00 pm. Facility consists of 2 buildings and each building consist of 3 classrooms. Per Director, there are 64 children enrolled. LPA observed 34 children in care.

Brief summary of incident: Child #1 (C1) was on standing on top of the steps of the playground structure which is on the far back of the playground. Child #3 (C3) and another child wanted C1 to play with them, so they pulled C1’s arms causing C1 to fall forward to the end of the steps. C1 landed and hurt her left arm. No medical attention was need.

During this inspection, LPA interviewed Staff #1 (S1), Staff #2 (S2), Child #1(C1) and Child #3 (C3). LPA attempted to interview Child 2(C2) who witnessed the fall but C2 refused to speak with LPA. LPA also observed the playground and play structure.

During the course of interviews, S1 and S2 did disclosed they were the only staff members on the playground during the time of the incident. Per S2, S1 and S2 were not fully on the playground yet when children were running up to them explaining what happened to C1. S1 explained that S1 was placed at the tables on the sand area, where S1 could not visually see children on the top of the steps of the play structure. S1, S2, C1 and C3 did confirm that a staff member was not near the play structure and not observed the C1 fall. LPA did observe children on the playground not being actively supervised. LPA observed staff predominately stay in one area and not providing 100% supervision for children in care on the playground. LPA observed multiple children on the play structure, which is on the far end of the playground, while one staff member was on the sand area closets to the patio near the door to the classroom and other teacher on the patio area. Leaving the children on the play structure unsupervised.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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Document Has Been Signed on 12/18/2024 03:55 PM - It Cannot Be Edited


Created By: Priscilla Ochoa On 12/18/2024 at 03:04 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: PARENTS AND CHILDREN'S NURSERY SCHOOL
FACILITY NUMBER: 191200386

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2024
Section Cited
CCR
101229(a)(1)

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation
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Per Director, will ensure that teachers are communicating with each other to ensure that children are being supervised at all times. Director will also have staff members watch supervision vidoes on DSS website. Director will provide a written statement, sign in sheet of the above by POC due date.
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Child was pulled down a set of steps by other children, which was not witnessed by any staff. Lack of supervision posed an immediate risk to the child in care.
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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:Ana Chico
LICENSING EVALUATOR NAME:Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


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: PARENTS AND CHILDREN'S NURSERY SCHOOL
FACILITY NUMBER: 191200386
VISIT DATE: 12/18/2024
NARRATIVE
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Based on inspection of the facility, LPA P. Ochoa informed Director that this report dated December 18, 2024 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA P. Ochoa informed the Director to provide a copy of this licensing report dated December 18, 2024, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22 or Health and Safety code. Please see attached LIC 809-D for citation.

A notice of site visit was given and must remain posted for 30 days during facility’s hours of operation. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and a copy of this report was provided to Director, Marjorie Golden.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Priscilla Ochoa
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
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