198005647-9-23-2025-54-CC-PBIP-DLSTST-20250923145941

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198005647
Report Date: 09/23/2025
Date Signed: 09/23/2025 02:59:45 PM

Document Has Been Signed on 09/23/2025 02:59 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:	ST. PIUS X PRE-SCHOOL		FACILITY NUMBER:	198005647
ADMINISTRATOR/ DIRECTOR:	VICTORIA DE LA CRUZ		FACILITY TYPE:	850
ADDRESS:	10855 S. PIONEER BLVD'		TELEPHONE:	(562) 864-4818
CITY:	SANTA FE SPRINGS	STATE: CA	ZIP CODE:	90670
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 15	CENSUS: 10	DATE:	09/23/2025
TYPE OF VISIT:	POC	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:20 PM
MET WITH:	Victoria De La Cruz - Director		TIME VISIT/ INSPECTION COMPLETED:	03:15 PM

NARRATIVE

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On September 23, 2025 at 1:20 p.m. Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility for the purpose of a Case Management - Plan of Correction (POC) Inspection to follow up on a Type B Deficiency cited on September 11, 2025 during an Annual Inspection. LPA Bishop announced purpose of inspection and was granted entry to facility by Director Victoria De La Cruz. LPA took a census of the classroom and there were 10 children present some of whom were sleeping. Director De La Cruz indicated that she does have a total of 15 children that are enrolled.

The purpose of todays visit is to verify that the mandated reporter training had been completed by Director De la Cruz and her Assistant. The mandated reporter training is required and it has to be completed every two years. At the time of the inspection on September 11, 2025 Director De La Cruz and her Assistant had expired Trainings on file.

LPA Bishop was able to verify that Director De la Cruz and her Assistant has completed their new trainings. Director De La Cruz provided certificates to LPA Bishop with an expiration date of 09/11/2027 and 09/14/2027. LPA Bishop verified that the correction version of the certificate was completed by both individuals.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today, 09/23/2025.

A notice of site visit was given and must remain posted for 30 days

Appeal rights were given and a POC Clearance Letter to identify that the Deficiencies were in fact verified and cleared. Exit interview was conducted and report was reviewed with Director De La Cruz.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2025

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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