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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500164
Report Date: 01/26/2026
Date Signed: 01/26/2026 11:59:43 AM

Document Has Been Signed on 01/26/2026 11:59 AM - 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:EL MONTE CITY S.D.-NEW LEXINGTON ELEMENTARY SCHOOLFACILITY NUMBER:
191500164
ADMINISTRATOR/
DIRECTOR:		CLAUDIA ROJASFACILITY TYPE:
850
ADDRESS:10410 E. BODGERTELEPHONE:
(626) 575-2320
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 28TOTAL ENROLLED CHILDREN: 24CENSUS: 21DATE:
01/26/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Elsa GomezTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 01/26/26 at 09:15 a.m. The purpose of this inspection is to follow up on an incident reported to the Department with 24 hours on 01/13/26. At 09:24 a.m., LPA met with the facility representative who guided LPA on a tour of the facility and census was taken. According to the facility representative there are 16 preschoolers and 8 toddlers enrolled.

On 01/13/26 during dismissal at approx. 2:35 p.m. child #1 (C1) was sitting in the carpet waiting for their parent to sign them out of the facility. S1 called C1 and as he stood up and walked towards the door it was observed that the child was limping on his left leg. C1s mom asked if something happened; however, S1 replied that the child had been fine all day with no accidents noted or witnessed. According to staff, C1 was their usual self. On 01/15/26 the registered nurse followed up with C1s mother who stated that the child continued to limp at home and took the child to the doctor on 01/14/26. According to mom, the child was diagnosed with a tibia hair line fracture. Mom also stated that the doctor would provide a care plan in order for the child to return to school. Per mom, the doctor also stated that there were no signs of trauma; however, the tibia hairline fracture may have occurred from a misstep.

Interviews conducted with staff revealed that on 01/13/26, C1 was engaged in activities indoors/outdoors and there were no incidents or injuries observed. S1 stated that while outdoors C1 was sitting in the bench while conducting an activity. S2 stated that C1 was fine throughout the day and didn’t complain of any pain. S3 stated that while outdoors C1 was sitting in the bench while conducting an activity. Staff interviewed denied seeing C1 fall or trip while indoors/outdoors. Staff interviewed also revealed that C1 wears appropriate clothing and shoes while at the facility.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2026
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: EL MONTE CITY S.D.-NEW LEXINGTON ELEMENTARY SCHOOL
FACILITY NUMBER: 191500164
VISIT DATE: 01/26/2026
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According to staff, C1 returned on 01/20 with restrictions and a doctor’s note. Per staff, C1 cannot run or jump, and the facility has made accommodations for the child while being indoors/outdoors. LPA attempted to interview C1; however, the child did not speak with the LPA and continued with their table activity. LPA observed C1 has a cast and a cast boot on his left leg. LPA toured the facility indoors/outdoors. Furniture, materials,toys, and playground are age appropriate and in good repair. LPA also observed that the carpets are well maintained and the corners are not lifting. LPA took a picture of the carpet area where C1 was sitting down and obtained a copy of the doctor’s note.

During this inspection, LPA interviewed Staff 1 (S1 thru 3), Child 1 (C1).


At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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, a civil penalty of $100 can be assessed.

An exit interview was conducted, and a copy of this report was provided to the facility representative Elsa Gomez.







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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2026
LIC809 (FAS) - (06/04)
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