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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007433
Report Date: 10/16/2025
Date Signed: 10/16/2025 03:05:31 PM

Document Has Been Signed on 10/16/2025 03:05 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:BUNDLE OF JOY DAYCARE #3FACILITY NUMBER:
198007433
ADMINISTRATOR/
DIRECTOR:		YOLANDA STOWEFACILITY TYPE:
840
ADDRESS:4835 LONG BEACH BLVD.TELEPHONE:
(562) 728-6882
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/16/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director - Yolanda StoweTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On October 16, 2025, at 12:15 p.m., Licensing Program Analyst (LPA) Peter Bishop arrived at the above facility to conduct an unannounced case management visit. This is a School Age Program. There were 0 School Age children present at the time of this visit. LPA Peter Bishop announced the purpose of visit and was granted entry into the facility by the Director - Yolanda Stowe. The purpose of today's visit was to follow up for the facility’s required visits.

The Licensee was on site at the time of the inspection.

Physical Plant: Indoor Space

LPA Bishop observed the Classroom where School Age Children are located. The classroom was equipped with age-appropriate furniture and learning materials. Classroom has carpeted area, soft furnishings, age-appropriate toys, dramatic play, manipulative items, and a library area.

LPA Bishop observed the School Age Classroom has a variety of age-appropriate equipment, toys and materials were observed to be in good condition and in sufficient quantity. At the time of this visit LPA Bishop observed the facility to be in compliance with age-appropriate equipment.

LPA Bishop did not observe in broken or damaged furniture. Licensee indicated that all broken furniture had been removed and LPA did not not observe any broken or damaged furniture at the time of this visit. LPA Bishop found the furniture was in compliance.

LPA Bishop inspected the bathroom for any potential hazards. LPA Bishop did not observe any deficiencies. LPA Bishop observed that there handles on the faucet in the School Age Bathroom. LPA Bishop found the bathroom to be in compliance.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025
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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Document Has Been Signed on 10/16/2025 03:05 PM - It Cannot Be Edited


Created By: Peter Bishop On 10/16/2025 at 02:01 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: BUNDLE OF JOY DAYCARE #3
FACILITY NUMBER: 198007433

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2025
Section Cited
CCR
101216(f)

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At Least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid persuant to health andsafety code 1596.866 shall be present when children are at the child care center or offsite for center activites.
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Director Yolanda Stowe will submit valid CPR card via email to LPA Bishop.
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Based on record review 3 of 4 staff did not have a valid Pediatric CPR and First Aid approved by Emergecny Medical Services Authority EMSA which poses a potential health, safety or personal rights risk to persons in care.
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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.
Karen Chambers
NAME OF LICENSING PROGRAM MANAGER:
Peter Bishop
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
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: BUNDLE OF JOY DAYCARE #3
FACILITY NUMBER: 198007433
VISIT DATE: 10/16/2025
NARRATIVE
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Physical Plant: Outdoor Space

The Playground area has canopy for shade, small climbing structure with wood chip area, balls, basketball hoop, tether ball poll, and age-appropriate tables and chairs.

LPA Bishop observed the School Age playground. The playground was free of debris and LPA Bishop did not observe any potential health and safety risks at the time of this visit. LPA Bishop observed the School Age Playground to have a variety of age-appropriate equipment, toys and materials in good condition and in sufficient quantity. The playground was found to be in compliance at the time of this visit.

Staff #1

File has all required licensing documents in file

CPR expiration date of 8/12/25 A Type B Deficiency will be issued today.

Mandated Reporter expiration date of 2/26/26

Accredited courses in file.

Based on this information, the following deficiencies on the attached LIC 809D 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 & safety. 1 Type B Deficiency will be issued today.



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

Appeal rights reviewed and given to the Director - Yolanda Stowe

Exit interview conducted and report was reviewed with the Director - Yolanda Stowe

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Peter Bishop
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC809 (FAS) - (06/04)
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