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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500469
Report Date: 03/04/2026
Date Signed: 03/04/2026 04:55:19 PM

Document Has Been Signed on 03/04/2026 04:55 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:MARYVALE DAY CARE CENTERFACILITY NUMBER:
191500469
ADMINISTRATOR/
DIRECTOR:		MARCELA TORRESFACILITY TYPE:
850
ADDRESS:7600 EAST GRAVES AVENUETELEPHONE:
(626) 280-6510
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY: 80TOTAL ENROLLED CHILDREN: 76CENSUS: 55DATE:
03/04/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Alex RodriguezTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 03/04/26 at 01:45 p.m. The purpose of this inspection is to follow up on an incident that was reported to the Department within 24 hours. At 02:05 p.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 76 preschoolers enrolled.

On 02/10/26 at approximately 11:00am, child 1 (C1) was in the preschool playground and was observed jumping off a bench that is near a cement wall that contains dirt and grass. The lower cement wall is at the level of the child sized benches. C1 was reminded not to be jumping off the bench and while the teacher briefly turned to speak to another child when the teacher turned back, they observed C1 was already in the process of jumping off the bench. The teacher observed C1 fall and hit his forehead on the edge of the cement wall.

LPA conducted an interview with S1 who stated that they were providing care and supervision near the area where the incident occurred. According to S1, they had vision of the entire yard and remembered seeing C1 playing in the bench area. Per S1, C1, was reminded not to be jumping off and then observed C1 jump off once again but turned around to assist another child. S1 recalled turning back to see C1 and observed that the child was sitting on the floor. S1 couldn’t determine if the child fell but when they focused on the child they observed blood on the child’s head. S1 immediately went towards C1 to assist and provide first aid. Per S1, there was another teacher who was also supervising children near the block area who observed what occurred and approached C1.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2026
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: MARYVALE DAY CARE CENTER
FACILITY NUMBER: 191500469
VISIT DATE: 03/04/2026
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S1 grabbed towels and took them over to apply pressure to C1s cut since he was bleeding. Staff who were present in the playground called administration for assistance and to bring the first aid kit. According to S1, administration responded immediately and brought gloves, towels, and the first aid kit. LPA interviewed S2 who stated that C1 is very active and loves to run and jump. According to S2, C1 was observed jumping off the bench and was reminded by S3 to not be jumping off the bench. S2 turned their back and when they turned back to supervise the area where C1 was they observed C1 landing on the cement and sitting after the jump. S2 immediately went over to C1 and observed blood was coming from his head. S2 also corroborated that administration was called immediately for assistance and support. Per S2, administration brought gloves, towels, and a first aid kit. Interview conducted with S3 revealed that they were near the area where C1 was playing. According to S3, C1 was playing in the bench area and told the child to not jump off the bench. When S3 was about to continue supervising the playground they saw S2 run towards C1 and observed that the child was bleeding. Per S3, they radioed for administration to come and assist the staff. S3 stated that administration came with gloves, towels, and a first aid kit. Interviews conducted with S4 revealed that they were leaving the playground when a staff member called out their name. As S4 was approaching the area of the incident they observed C1 was bleeding and radioed S5. Per S4, they radioed that there was a head injury and S5 provided the first aid kit, gloves, and towels. Staff interviewed revealed that S1 and S2 responded immediately to assist and assess C1. Staff also corroborated that towels were placed in C1s head to apply pressure and stop the bleeding. Interviews corroborate that staff were supporting the child and other staff while ensuring that the child was doing well and calm. Staff revealed that C1 was taken to the restroom, the area was cleaned, changed clothing, applied an ice pack and a band aid was placed over the cut. C1 was then taken to the office which by then parent of C1 was already notified. Parent arrived at the facility and assessed the child. Parent later notified the facility that the child was taken to the doctor. According to the parent, the doctor stated that the child did not need stitches and provided a doctor’s note without restrictions. Staff stated that the child is still enrolled/attending the facility and after the incident the child return to the facility the next day.

During the inspection LPA toured the area where the incident took place. LPA observed that the benches are age appropriate and in good condition. LPA did not observe any hazards that pose a risk to children in care. Staff interviewed revealed that there has not been other incidents in the area. Though staff were actively supervising children the incident occurred so fast.

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

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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: MARYVALE DAY CARE CENTER
FACILITY NUMBER: 191500469
VISIT DATE: 03/04/2026
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During this inspection, LPA interviewed Staff 1 (S1 thru 5). LPA reviewed staff statements and the accident report for C1. LPA also obtained copies of staff statements, accident report and doctor’s note.

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 Victoria Casas.

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

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC809 (FAS) - (06/04)
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