<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011061
Report Date: 11/15/2024
Date Signed: 11/15/2024 12:00:45 PM

Document Has Been Signed on 11/15/2024 12:00 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:CELEBRATION KIDS, INC.FACILITY NUMBER:
198011061
ADMINISTRATOR/
DIRECTOR:
SARA GURLEYFACILITY TYPE:
850
ADDRESS:1101 ARROYO VERDE ROADTELEPHONE:
(626) 379-3644
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY: 86TOTAL ENROLLED CHILDREN: 86CENSUS: 33DATE:
11/15/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:07 AM
MET WITH:Darlene Eliasvaca TIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/15/24 , at 11:15 am , Licensing Program Analyst(LPA) Shushanik Safaryan conducted an unannounced Case Management inspection to the above facility to ensure Type B deficiencies cited on 10/29/24 have been cleared. Upon arrival, LPA met with Facility Representative , Darlene EliasVaca, to whom the reason of the visit was explained . Tour was provided . During the tour ,LPA observed 33 children with 8 staff members .

During the visit, LPA toured the facility , observed the refrigerator outside was cleaned, toured the classrooms, and observed dirty carpet was replaced , bathroom floor was fixed. Next LPA toured the outdoor play area and observed wooden steps that lead to the wooden house were replaced . During the visit LPA reviewed staff records and observed Mandated Reporter Certificates for 2 staff members , LIC 503 for 4 staff members .

During the visit, LPA cleared deficiencies cited on 10/29/24 and provided a copy of the Licensing Report to Licensee and issued POC clearance letter.

The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days.
Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Page 1 of 1
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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 1