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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191801470
Report Date: 03/20/2025
Date Signed: 03/20/2025 02:27:54 PM

Document Has Been Signed on 03/20/2025 02:27 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:ORIENTAL MISSION CHURCH NURSERY SCH00LFACILITY NUMBER:
191801470
ADMINISTRATOR/
DIRECTOR:		NO, HANNAHFACILITY TYPE:
850
ADDRESS:424 N. WESTERN AVE.TELEPHONE:
(323) 466-8046
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY: 120TOTAL ENROLLED CHILDREN: 120CENSUS: 21DATE:
03/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Eileen KimTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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Licensing Program Analysts (LPAs) Seung Lee conducted an unannounced required inspection. Upon arrival LPA Lee met with Eileen Kim, Director who guided the LPA on a tour of the facility. This is a preschool program which consists of 9 classrooms, but is currently only using 2 due to low enrollment. Director stated there are 23 children enrolled at this moment. The preschool program is located within a church. Parents go through the front door of the church through the worship hall to the preschool. Hours of operation are Monday-Friday 8AM-6PM.

PHYSICAL PLANT- Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Director (Licensee) states that poisons are locked in an off limits room. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing sinks are safe, sanitary and are operating properly. Smoke and Carbon monoxide detectors were observed in all classrooms used by children in care. The last disaster/fire drill conducted by the facility was on 02/27/2025 per drill log observed at the Director's office.

All floors are clean and safe. All kitchen areas/food preparation areas and food storage areas were kept clean and are free of litter, rubbish and rodents and/or any other vermin. All storage containers for solid waste, including moveable bins shall had tight-fitting covers that are kept on, and were in good repair. Trash cans used to discard food had tight fitting lids. Drinking water is readily available both indoors and outdoors. The facility was observed to be free of flies, other insects and rodents.

The outdoor play space is currently not being used by children in care due to on going remodeling of the area which began after 10/15/2023. A classroom normally used for supplemental activities was observed to be converted into an indoor play area with appropriate equipment and toys. The Director stated that children will be able to use the whole space of the regular outdoor play space after a few more months. The Director stated the facility will provide a new letter that details the updated plans for the renovation of the outdoor play area.

SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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 2
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: ORIENTAL MISSION CHURCH NURSERY SCH00L
FACILITY NUMBER: 191801470
VISIT DATE: 03/20/2025
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FACILITY RECORDS- All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this visit. The name of the child care center director or fully qualified teacher(s) designated to act in the director's absence is on file. Educational background, training, and/or experience for each staff present are on file and were reviewed. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. CPR for Director expires 12/2025 per certificate observed in the office.

Snack menus are posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. The facility serves breakfast, lunch, and PM snack.

Incidental Medial Services (IMS). Director stated that prescription and non-prescription medications are administered with a written permission slip with instructions. Medication is stored in an off limits box per classroom. Medications administered can include prescription inhalers and Epi-Pens. Therefore, the facility does not offer Incidental Medial Services (IMS) at this time. LPAs advised the licensee that an amendment to the current plan of operation must be submitted in 30 days prior to enrolling a child with IMS needs. Please refer to Section 101173 and 101226 for further information on regulatory requirements.
There were no deficiencies cited during today’s visit.

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. Failure to maintain posting as required will result in a civil penalty of $100.00

Exit interview conducted with Director Eileen Kim. Appeal rights discussed and explained
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
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