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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191570934
Report Date: 01/04/2024
Date Signed: 01/04/2024 03:14:54 PM

Document Has Been Signed on 01/04/2024 03:14 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:AMAR CHILDREN'S CENTERFACILITY NUMBER:
191570934
ADMINISTRATOR:CHRIS TORTORCIFACILITY TYPE:
850
ADDRESS:1000 N. CALIFORNIA AVE.TELEPHONE:
(626) 933-7101
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY: 384TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
01/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Kathy Jarvey & Abigail Querubin-VillarealTIME COMPLETED:
03:30 PM
NARRATIVE
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On 1/4/2024 an unannounced Case Management-Incident inspection was conducted by Licensing Program Analyst (LPA) Carolyn Tuba to follow up on an Unusual Incident. LPA entered main school office and was met with Supervisor, Kathy Jarvey, as Child Development Supervisor, Gabriel Munoz was not available. Supervisor, Kathy Jarvey guided LPA on a tour of the facility, which occurred during naptime and there was a census of 128 children with 10 staff in care.

The incident that occurred on 12/15/2023 at approximately 10:37 am was reported to the Department on 12/15/2023 via a written report emailed to Community Care Licensing. The facility reported the incident in a timely manner. During this visit LPA was joined by staff member, Ryan Martinez, and Director, Abigail Querubin-Villareal. LPA obtained written statements from staff members involved in the incident. An additional staff members’ statement was not available during the time of visit. During the investigation, as well as the Unusual Incident Report (UIR) reported that during a transition time from the classroom to the outside playtime and a child was left inside the classroom unattended by staff for 3 to 5 minutes. A name to face was conducted, but child got out of line and stayed inside the classroom. A staff who was coming back from break found the child sitting at the table, unharmed and brought them outside to the staff member. Staff reported the incident to Child Development Supervisor, Gabriel Munoz, who reported it to the Department. LPA provided a copy of the TSP brochure for reference to the Director.

During this visit a civil penalty was assess for a repeat violation that occurred on 5/26/2023.

The following deficiency listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiency that are being cited need to be cleared to protect the children’s health & safety.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2024
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 01/04/2024 03:14 PM - It Cannot Be Edited


Created By: Carolyn Tuba On 01/04/2024 at 01:52 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: AMAR CHILDREN'S CENTER
FACILITY NUMBER: 191570934

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/25/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) 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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LPA and Director discussed that Technical Support Program (TSP) will be referred to assess, consult and provide training and resources to the facility. Per Director staff will be provided additional training on transition plan and supervision. LPA will be provided a copy of the plan.
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This requirement is not met as evidenced by: Based on interviews, and written statements that a child was left unsupervised for 3 to 5 minutes inside the classroom with no adult supervision during transition to outside play. This poses an immediate Health and Safety risk to children 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:Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:
DATE: 01/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/04/2024


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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: AMAR CHILDREN'S CENTER
FACILITY NUMBER: 191570934
VISIT DATE: 01/04/2024
NARRATIVE
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One (1) Type A - A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee/Director was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

An exit interview was conducted with Director, Abigail Querubin-Villareal and a copy of this report was provided, and Notice of Site Visit provided and shall be posted for 30 days in an area accessible for review.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Carolyn Tuba
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
LIC809 (FAS) - (06/04)
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