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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191670880
Report Date: 01/30/2026
Date Signed: 01/30/2026 03:07:26 PM

Document Has Been Signed on 01/30/2026 03:07 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ASI, INC. CSUDH CHILD DEVELOPMENT CENTERFACILITY NUMBER:
191670880
ADMINISTRATOR/
DIRECTOR:		CANDACE MANANSALAFACILITY TYPE:
850
ADDRESS:1000 E VICTORIATELEPHONE:
(310) 243-1015
CITY:CARSONSTATE: CAZIP CODE:
90747
CAPACITY: 65TOTAL ENROLLED CHILDREN: 49CENSUS: 39DATE:
01/30/2026
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:26 PM
MET WITH:DIRECTOR CANDACE MANANSALATIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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Licensing Program Analyst (LPA) Ashley Calderon conducted a case management- other, LPA met with Director Candance Manansala and explained the reason for the visit.

Reason LPA conducted a visit due to calls Quality Assurance calls to parents, mentioned to LPA Calderon food given to children is fine. Pre visit conducted on 1/30/26, LPA Calderon conducted a tour of the facility and observed lunch time, during lunch time children were eating pizza bagel with pepperoni, mini carrots, and orange slices. Children were schedule to eat chicken sandwich, LPA informed Director Manansala to write in changes in menu. Per Director, makes changes on Class Dojo to inform parents.

LPA reviewed Menu posted in each classroom in the toddler and preschool side and menus are posted in front of the two entrance doors in the Information Bulletin boards. Per Director C.Manansala, informed LPA Calderon menu's are posted on Class Dojo and Administrative staff post menu's around the facility and on Class Dojo on Friday's, in advance for the week to come. Menu reviewed by LPA Calderon for 1/26/26 -1/30/26 and the whole month of February, LPA suggested more lean meats. Per Director Manansala, facility uses program Child and Adult Career Food Program (CACFP). Per Director Manansala, parents are able to supply food and facility can make alternative arrangements if children have a doctors note for Special Diets and Food Allergies.

LPA Calderon informed Facility to review and follow the table chart for lunch listed on Title 22 regulations: 101227Food Services. LPA Calderon reminded Director, table chart states to use Meat and Meat Alternates like Lean meat or poultry or fish.and tree nuts and seeds that may be used as meat alternates are listed in program guidance and to review food menus and make adjustment if needed.

Per California Code of Regulation Title 22, no deficiency cited. A notice of Site Visit was given, must post for 30 days and an exit interview was conducted with Director Candance Manansala.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2026
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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