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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003400
Report Date: 04/30/2025
Date Signed: 04/30/2025 05:08:58 PM

Document Has Been Signed on 04/30/2025 05:08 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:CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITYFACILITY NUMBER:
198003400
ADMINISTRATOR/
DIRECTOR:		LAURA NAVARETTEFACILITY TYPE:
840
ADDRESS:5025 PALM DRIVETELEPHONE:
(818) 790-2347
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 68DATE:
04/30/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Site Director, Laura NavaretteTIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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On April 30, 2025, at 2:00 pm Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced case management inspection for the above facility. This facility is located on the premise of Palm Crest Elementary School. LPA was greeted by Site Director, Laura Navarette, who guided LPA on a tour of the facility. The purpose of this inspection is to follow up on a self-reported incident that occurred at the facility on 4/23/2025. This is a school age program which operates Monday through Friday from 7:00 am to 6:00 pm. Per Site Director, there are 70 children enrolled and LPA observed 68 children in care along with 7 staff members.

Brief summary of incident: Child #1 (C1) was climbing on a post on the play structure on the playground. While C1 was climbing down, C1 could not find C1 footing on the ladder causing C1 to slip and fall to the ground, landing on left shin. Due to the fall, C1 had a spiral break on left shin.

During this inspection, LPA interviewed Staff #1 (S1), Staff #2 (S2), Child #1(C1) - Child #3 (C3). LPA also observed and took photos of the play structure on the playground and “Play smart” rules for the play structure.

During the course of interviews, S1 and S2 mentioned that C1 was climbing on the post all the way to the top which makes a V. C1 – C3 did mention that they are allowed to climb the post on the play structure. C3 mentioned that only 4th and 6th graders are allowed to climb the post. While LPA was observing the play structure and area that C1 had fallen from, the V section of the post is significantly high enough where a child can get severally injured if they fall.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2025
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITY
FACILITY NUMBER: 198003400
VISIT DATE: 04/30/2025
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**This report is being amended to reflect a change in citation. Please see the new report dated 8/20/25**

Both S1 and S2 acknowledged that the V section of the post is significantly high to climb. LPA also observed and took a photo of the “Play smart” rules that are posted next to the play structure. The post clearly states, “Do not climb, roof, railings, or posts…”. Per S1, these rules are only gone over at the beginning of the school year. Per S2, they are constantly asking children not the climb the post. LPA asked if C1 was reminded not to climb the post and both S1 and S2 said no. S1 mentioned that it is their philosophy to allow children to use their fine and large motor skills. If they can climb it then they are do it. LPA reminded S1 its vital that the facility follows the rules of the play structure to ensure children are using it in a safe manner.

Based on the LPA’s interviews and observations, the following deficiency listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

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

An exit interview was conducted, and a copy of this report was provided to Site Director, Laura Navarette

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
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Document is an Amendment of Original Document on 08/19/2025 07:42 PM


Created By: Priscilla Ochoa On 04/30/2025 at 04:37 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILD EDUCATIONAL CENTER, CALTECH/JPL COMMUNITY
FACILITY NUMBER: 198003400

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
05/01/2025
Section Cited
CCR
101223(a)(2)

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The licensee shall ensure that each child is accorded the following personal rights:
To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

this requirement was not met as evidenced by
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Site Director will provide LPA a statement documenting that staff will enforce and have children follow the Play smart rules of the playstructure for the children's safety.
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Based on observations and interviews, the staff did not ensure that the child was following the play smart rules that are posted at the play structure to ensure proper use as instructed by the play structure manufacture.
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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.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Priscilla Ochoa
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/30/2025


LIC809 (FAS) - (06/04)
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