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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009833
Report Date: 12/09/2025
Date Signed: 12/09/2025 03:29:05 PM

Document Has Been Signed on 12/09/2025 03:29 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:ANNEX MONTESSORI CHILDCARE CENTERFACILITY NUMBER:
198009833
ADMINISTRATOR/
DIRECTOR:		HAYDEE DIAZFACILITY TYPE:
850
ADDRESS:3400 AEROJETTELEPHONE:
(626) 569-2641
CITY:EL MONTESTATE: CAZIP CODE:
91731
CAPACITY: 37TOTAL ENROLLED CHILDREN: 37CENSUS: 22DATE:
12/09/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Dianne TalensTIME VISIT/
INSPECTION COMPLETED:
03:43 PM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced Case Management Incident inspection at the above facility on 12/09/25 at 11:45 a.m. LPA met with the facility representative who guided analyst on a tour of the facility. There were 22 children with 06 staff.

During today's inspection, LPA interviewed staff 1 (S1 thru 3), child 1 (C1). LPA also reviewed C1s file.

On 12/01/25 at approximately 9:30am during circle time child #1 (C1) was observed on several occasions going to the hamster cage and putting their finger inside the cage. According to the unusual incident report, C1 was given several warnings prior to sustaining a small cut on their index finger. The unusual incident report reveals that it is unknown if the child was bitten by the hamster or if it was the cage that caused the cut on the child’s finger. Interviews conducted with S1 revealed that it is unknown if the hamster bit the child or if the cage cut the child’s index finger. According to S1, C1 was taken to the doctor; however, the child’s parent did not provide a doctor’s note, and it is unknown if the child’s cut was from the hamster or cage. S1 stated that the child returned the next day without any restrictions. Interviews conducted with S2 revealed that on 12/01 C1 had to be redirected on several occasions from the hamster area because the child does not like circle time. S2 recalled seeing C1 poking other children during circle time and then their attention shifted towards the hamster area/cage. S2 redirected C1 to the carpet; however, C1 kept returning to the hamster area. C1 came up to S2 and showed them their finger but the staff didn’t see anything. C1 came up to S2 a second time to show them their finger and blood was observed. S2 requested assistance from other staff to provide first aid. Per S2, C1s finger was washed with soap and water, and a band aid was placed on the child’s index finger. S2 stated that the hamster was not out but it is unknown how C1 sustained the small cut. Page 1 of 2

NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 12/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2025
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: ANNEX MONTESSORI CHILDCARE CENTER
FACILITY NUMBER: 198009833
VISIT DATE: 12/09/2025
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S2 also revealed that they have been bitten by the hamster when they clean the cage and that the cut observed on C1 is not the same. Interviews conducted with S3 revealed that on 12/01 C1 had to be constantly redirected and removed from the hamster area, but the child didn’t want to go to the carpet because the child wanted to put their finger in the hamsters cage. S3 observed C1 poking the hamster, disturbing the hamster, and moving the hamsters cage. Per S3, due to the disturbance the hamster was observed to be out and observed C1 remove their finger from the cage. S3 then observed C1 moving their finger and walking towards S2. According to S3, the child’s finger had blood when they approached S2. S3 stated that the hamster was close enough to bite the child; however, the staff did not observe the hamster bite C1. LPA attempted to interview C1; however, the child was not responsive.

Interviews also revealed that the hamster has bitten their current wood cage (pictures taken), previous cage (pictures taken), has escaped at least 5 times within the last 3 months prior to the incident of 12/01 and prior to children’s arrival. LPA observed the current cage is made out of wood and the sides were reinforced with additional wood to prevent the hamster from biting the sides of the cage and escaping. The current cage seems to be secured and safe as it doesn't have any openings for children to place their fingers or hands inside.

The incident was reported to the Department within the required 24 hours of occurrence. LPA recommends that there is always supervision in the hamster area and that the hamster is placed in a secured cage that is not easily bitten or that the hamster can escape. LPA provided a technical advisory.

At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no deficiencies being issued today.

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

Exit interview conducted and report was reviewed with the facility representative Dianne Talens.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2025
LIC809 (FAS) - (06/04)
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