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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009260
Report Date: 06/17/2025
Date Signed: 06/17/2025 04:28:23 PM

Document Has Been Signed on 06/17/2025 04:28 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:BELLFLOWER II CHILD DEVELOPMENT CENTERFACILITY NUMBER:
198009260
ADMINISTRATOR/
DIRECTOR:
SILVIA GUZMANFACILITY TYPE:
850
ADDRESS:14523 BELLFLOWER BLVD.TELEPHONE:
(562) 925-2836
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 1DATE:
06/17/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Maria Brena, DirectorTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analysts (LPAs) Austin Estrada and Peter Bishop conducted an unannounced Annual/Random inspection at the above facility. LPAs met with Director Maria Brena, and informed of the purpose of the inspection. LPA's were guided on a tour of the facility. LPA observed 1 child present outside of the facility that was participating in graduation ceremony. Per Director, the facility provides two sessions. The AM sessions operates from 8 am to 11 am and PM session operates from 12 pm to 3 pm.

The facility has two classrooms where care is provided. Both classrooms (room 1 and room 2) were observed to be clean and in good repair. The floors were clean, and lighting was in operable condition. There were age appropriate toys and equipment. LPA observed water readily available via a filter water cooler. The facility provided cups to the children. LPA observed cubbies/storage area for children to store their personal belongings.

Smoke detector and carbon monoxide detector were observed to be in operable condition. LPA observed a fire extinguisher indicated fully charged last serviced on 10/2/24. First Aid kit was observed and inventoried. LPA observed two sinks and two toilets in each classroom. Sinks and toilets were inspected for availability, good repair, water temperature, toilet paper, paper towels, and general sanitation. Disinfectants and cleaning solutions were observed to be located in the bathroom on a high shelf inaccessible to children in care. Per Director there are no poisons stored at the facility. LPA advised Director that poisons must be locked away, not only inaccessible to children.

Per Director, children do not sleep while in care as the they are only here for three hours. The isolation area for sick children waiting to be picked up is located in the director's office away from other children.


Per Director, the facility administers medication on a as needed basis and is kept locked in a cabinet in the office inaccessible to children in care. --------page 1 of 3
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Alicia Mooberry
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2025
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 4
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: BELLFLOWER II CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198009260
VISIT DATE: 06/17/2025
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There are first aid supplies in each classroom. Carbon monoxide detectors tested and are operable in each classroom. Hazardous items including including insecticides and cleaning compounds are stored in inaccessible locked cabinet in kitchen. The director's office is used as an isolation area for ill children the faculty bathroom is available for children if needed.

The facility (indoor and outdoors) operates on the grounds of church building, completely separate operations. The outdoor play area is enclosed and surrounded by exit gates are at least five feet high. The outdoor space was observed to have age-appropriate toys and material for children, free of loose, sharp, and/or pointed parts. LPA observed required cushioning under climbing structure to absorb a fall. There is adequate shade, materials and surfaces accessible to children appear to be age appropriate and toxic free. Per Director, water pitchers are used while children are outdoors for drinking water.

Breakfast, Lunch and Snack menus are posted at least one week in advance and are visible to an authorized representative. Kitchen where meals are prepared is located inside separate building where Bellflower 3 preschool 198019354 is located. Food was reviewed for availability, quantity, expiration dates and appropriateness for children in care. LPA observed the refrigerated bread loafs did not have the Best By date, per director the food is purchased on a weekly basis. LPA discussed with Director to constantly assess expiration dates on food items that are removed from original packaging and document accordingly. The kitchen was observed to be in clean and sanitary condition. Cleaning compounds are stored away from food preparation areas.

LPA reviewed sign in and sign out sheets to ensure children are being properly signed in and signed out by the authorized representative. LPA conducted a Children's Records Review for completeness and to ensure children have proper forms such as Identification and Emergency forms, Immunization records, Health History, Personal Rights, Parents Rights.. The children's roster was available and current.

Staff Records were reviewed to ensure the following: Criminal record clearance or criminal record exemption, education credits, current CPR/First Aid and health preventative practices, proof of immunization against pertussis and measles and influenza and/or flu declination, Mandated Reporter training, LPA observed at least 1 staff member to have current pediatric CPR/1st Aid (Expiration December, 2025).

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NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Alicia Mooberry
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
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: BELLFLOWER II CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 198009260
VISIT DATE: 06/17/2025
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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/.

Last Fire Drill conducted on 5/14/25, Earthquake drill conducted on 4/16/25. Facility Roster is current.

Licensee 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.

LPA verified that the lead testing was completed and in accordance to the Written Directives outlined in PIN 21-21.1-CCP.



Based on record reviews no deficiencies were cited in accordance with Title 22 regulations.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/tion-process.

Exit interview was conducted with Director Maria Brena and a copy of Appeal Rights (LIC 9058) was discussed and provided

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

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Alicia Mooberry
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4