191802051-7-11-2025-54-CC-JESA-DJGTTA-20250711150025

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191802051
Report Date: 07/11/2025
Date Signed: 07/11/2025 03:00:36 PM

Document Has Been Signed on 07/11/2025 03:00 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:	SALVATION ARMY DAY CARE CTR		FACILITY NUMBER:	191802051
ADMINISTRATOR/ DIRECTOR:	MARIA RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	836 STANFORD AVE		TELEPHONE:	(213) 623-9022
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90021
CAPACITY: 150	TOTAL ENROLLED CHILDREN: 150	CENSUS: 43	DATE:	07/11/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Director Maria Rodriguez		TIME 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 Analysts (LPAs) Jeanette Estrada and Christine Nolan conducted an unannounced Annual Required inspection at the facility. LPAs met with Director Maria Rodriguez and explained the reason for the visit. Director provided a tour of the facility. LPAs observed a total of 43 children supervised by 8 staff. This is a preschool program that serves children ages 2 to 5. This program operates Monday through Friday from 7:30 AM to 4:30 PM. The facility consists of 8 classrooms. LPAs inspected all classrooms. Telephone service, heating, lighting and ventilation were evaluated and are operable. The facility has central air and heating. Lighting was observed to be in operable condition. Floors in the classrooms were observed to be in good condition. In the classrooms LPAs observed cubbies available for children to store their belongings and age appropriate materials and furniture for children to use. LPAs observed napping cots stored in the classrooms. Per Director, napping sheets are provided and laundered by the program but parents have the option to provide their own. In classrooms 1 through 4 there is one bathroom in each classroom with one toilet and one sink. In classrooms 5 through 8 there is one bathroom in each class with two toilets and two sinks. Each restroom was observed to be clean, free of hazards and in operable condition with supplies available to children. Availability of indoor drinking water was observed in the classrooms via a water container with disposable water cups and a drinking fountain attached to the hand washing sink in the classrooms. The facility last tested for lead contamination in the water sources used for children on 4/28/23. Per results there were no action level exceedances at the facility at the time of that test. Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. Disinfectants and cleaning solutions are stored in upper latched cabinets in each classroom. When used, medication is stored in the Director's office. Per Director, at this time there are no children enrolled who require medication.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jeanette Estrada
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SALVATION ARMY DAY CARE CTR	FACILITY NUMBER: 191802051
	VISIT DATE: 07/11/2025

NARRATIVE

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Per parent hand book, the facility only is trained to administer emergency-life threatening medications such as Epi-Pen and inhalers. All other over the counter and prescribed medication is not administered on site. LPAs observed required posted documents in the facility.
LPAs observed the disaster drill log with the last drill dated 7/11/25. Sign in/sign out sheets were reviewed. LPAs observed 43 children were signed in at the time of inspection. Per Director there are no poisons stored in the facility. LPAs did not observe any bodies of water (pools, fountains). LPAs did not observe a carbon monoxide detector in the facility. The facility is equipped with a centralized fire alarm system throughout the building.
The outdoor playground areas were evaluated. There is adequate shade in the playground. The play ground is fully enclosed. LPAs observed an open section of the playground contained a play structure with shade and various other age appropriate toys and equipment. There is cushioned material around and under the play structure. LPAs observed a storage area in the yard where additional toys and materials are kept. There is drinking water outside provided via a portable water container and disposable cups and a water fountain.
Per Director a section of the outdoor yard has not been in use due to remodeling. Per Director, remodeling is complete. LPAs inspected and took pictures of remodeled area. LPAs observed a low bridge that connects the two areas of the playground. In this section, LPAs observed a play structure labeled for ages 2 to 5, shade and cushioned material under and around the structure. There is also a restroom in this section of the yard with four toilets and two sinks. LPAs did not observe any hazards in either section of the yard. Per Director the classrooms use the yard at separate times during the day and children are always supervised.
The facility provides breakfast, lunch and a snack to children in care. Menus are posted once a week in the facility where it is visible by the child's authorized representative. Menus are also provided to parents. Menus for the past 30 days are available upon request. There is a kitchen where meals are prepared in the facility. LPAs inspected the kitchen and observed food properly stored. LPAs did not observe hazards in the facility.
LPAs reviewed staff records and children's records. All records contained the required documents. Staff has valid pediatric first aid/CPR on file.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jeanette Estrada
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SALVATION ARMY DAY CARE CTR	FACILITY NUMBER: 191802051
	VISIT DATE: 07/11/2025

NARRATIVE

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Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
One type B citation is being issued today for no carbon monoxide detector. See page LIC 809D
A notice of site visit was given to Facility Representative and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Director Maria Rodriguez.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jeanette Estrada
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/11/2025 03:00 PM - It Cannot Be Edited

Created By: Jeanette Estrada On 07/11/2025 at 02:49 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: SALVATION ARMY DAY CARE CTR	FACILITY NUMBER: 191802051
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/11/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.954

Licensure Requirements

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs did not observe a carbon monoxide detector in the facility which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/14/2025
	Plan of Correction
1 2 3 4	Director stated a carbon monoxide detector will be purchased. Proof of purchase will be provided.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Warren Birks
NAME OF LICENSING PROGRAM MANAGER:

	Jeanette Estrada
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/11/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025

LIC809 (FAS) - (06/04)

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