<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191594388
Report Date: 08/29/2024
Date Signed: 08/29/2024 03:24:26 PM

Document Has Been Signed on 08/29/2024 03:24 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:FIRST CHRISTIAN CHURCH INFANT CENTERFACILITY NUMBER:
191594388
ADMINISTRATOR/
DIRECTOR:		LILIANA VASQUEZFACILITY TYPE:
830
ADDRESS:1751 N PARK AVETELEPHONE:
(909) 629-3636
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 4DATE:
08/29/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Director Hilda O.-KoornTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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 (LPA) Stephanie Li conducted a case management inspection for construction incident that was reported to licensing on 08/27/24 and construction began on 08/26/24. LPA met with Director Hilda O.-Koorn, who guided the analyst on a tour of the facility. LPA observed 1 infant and 3 toddlers and 3 teachers present during the time of inspection.

LPA conducted interview with Director, made observations of the roof and play ground. LPA observed that the covered breezeway has been set up with the movable play houses and outdoor toys for children to play with. Per director, construction began on Monday, 8/26/24 and will conclude by this weekend. The LIC624 that was submitted on 8/27/24 stated that children will not be playing outside.

Per interview with director, teachers are bringing the children outside in wagons to play in the outdoor covered breezeway. LPA collected an updated LIC624 from Director indicating the modified outdoor play space and plan.

Director stated that the children will not be present tomorrow as the center is having a staff development day and the facility will be closed on Monday for Labor day. Per director, roofing will be concluded by Tuesday morning.

Based on information obtained during this investigation, no additional follow up is necessary regarding the incident reported. No deficiencies are being cited at this time.



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

Exit interview conducted and report was reviewed with Director Hilda O.-Koorn.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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 1