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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198014168
Report Date: 06/03/2025
Date Signed: 06/03/2025 10:51:03 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2025 and conducted by Evaluator Monique Jessica Ayala
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250425124419
FACILITY NAME:KIDS KLUB SAN GABRIEL / ROSEMEADFACILITY NUMBER:
198014168
ADMINISTRATOR:JILL LODATOFACILITY TYPE:
850
ADDRESS:4930 EARLE AVENUETELEPHONE:
(626) 288-4400
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:149CENSUS: 95DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Arianna Alonzo, DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Other: Facility staff commingle school age children with preschool children together
INVESTIGATION FINDINGS:
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13
On June 3, 2025, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced complaint investigation for the above allegation. LPA met with director, Arianna Alonzo who guided LPA on a tour of the facility. LPA observed 95 children with 27 staff members.

The purpose of the inspection is to deliver findings for the allegation, “Facility staff commingle school age children with preschool children together”.

During the investigation, LPA interviewed Staff #1 (S1) to Staff #11, Child #1 (C1) to Child #7 (C7), Parent #1 (P1) to Parent #3 (P3), LPA obtained a facility roster and time sheets for C1 to C4. LPA interviewed Reporting Party (RP) who stated there was no additional information to provide.

RP alleged, “Facility staff commingle school age children with preschool children together”.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 7
Control Number 33-CC-20250425124419
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDS KLUB SAN GABRIEL / ROSEMEAD
FACILITY NUMBER: 198014168
VISIT DATE: 06/03/2025
NARRATIVE
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 Disclosed in interviews with S1, S2, S8 and S11 stated that they have observed or were aware of commingling preschool age children with school age children. Per S1, school age children may be placed in a preschool classroom if the school age staff are stuck in traffic and are running a few minutes behind. Per S1, the school age children are usually in the preschool classroom for 4-6 minutes. Per S2, school age children were brought into the preschool classroom or outside if snacks were occurring for about 5 minutes. Per S2 that occurred a hand full of times. S8 stated, school age children come into the preschool classroom if the school has a shortened day or there is no school. Per S8, the school age children are usually in the preschool classroom for 15 minutes until a school age staff arrives at the facility. Per S11, there were 2 children that did not nap and were placed in a school age classroom. S11 stated, after consulting with LPA Tcheng there has not been any more commingling. LPA interviewed C5 (5 years old) who stated they have played with two preschool age children in their classroom. LPA was unable to determine if C5 was talking about the preschool classroom they were in last year or the current school age classroom they are in now. C6 (8 years old) stated they have played with preschool age children outside. LPA interviewed P1 to P3, who did not corroborate the allegation.

Based on interviews conducted the above allegation is deemed SUBSTANTIATED. S1, S2, S8, S11, C5 and C6 corroborated that commingling has occurred at the facility. A finding of Substantiated means that the preponderance of evidence standard has been met.

The facility is being cited one Type B deficiency in accordance with Title 22 Regulations section, 101161(a), see LIC9099D.

An exit interview was conducted, and a copy of this report was provided to the Executive Director, Debbie Rudman along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 6 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/25/2025 and conducted by Evaluator Monique Jessica Ayala
PUBLIC
COMPLAINT CONTROL NUMBER: 33-CC-20250425124419

FACILITY NAME:KIDS KLUB SAN GABRIEL / ROSEMEADFACILITY NUMBER:
198014168
ADMINISTRATOR:JILL LODATOFACILITY TYPE:
850
ADDRESS:4930 EARLE AVENUETELEPHONE:
(626) 288-4400
CITY:ROSEMEADSTATE: CAZIP CODE:
91770
CAPACITY:149CENSUS: 95DATE:
06/03/2025
UNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Ariana Alonzo, DirectorTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 3, 2025, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced complaint investigation for the above allegation. LPA met with director, Arianna Alonzo who guided LPA on a tour of the facility. LPA observed 95 children with 27 staff members.

The purpose of the inspection is to deliver findings for the allegation, “Facility staff commingle school age children with preschool children together”.

During the investigation, LPA interviewed Staff #1 (S1) to Staff #11, Child #1 (C1) to Child #7 (C7), Parent #1 (P1) to Parent #3 (P3), LPA obtained a facility roster and time sheets for C1 to C4. LPA interviewed Reporting Party (RP) who stated there was no additional information to provide.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 33-CC-20250425124419
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDS KLUB SAN GABRIEL / ROSEMEAD
FACILITY NUMBER: 198014168
VISIT DATE: 06/03/2025
NARRATIVE
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RP alleged, “Facility staff are not following reporting requirements”. The department received an incident report from the facility that occurred on 04/01/2025 where inappropriate interaction with children occurred. Per RP, the facility did not fully disclose what occurred with the children. Per RP, there was inappropriate touching with two children who were involved in the inappropriate behavior. LPA interviewed S2, who stated they did not observe any inappropriate touching with the children but did observe hand movement under the table. Per S2, they asked the children involved if touching occurred during that incident and the children stated no. Per S2, video footage was reviewed did not observe any touching. The children involved in the incident were interviewed by LPA Tcheng on an earlier date, there were no disclosures made by the children. There was no corroborating information obtained from other staff that were interviewed, children or parents.

Based on interviews conducted, the above allegation is deemed UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, and a copy of this report was provided to the Executive Director, Debbie Rudman along with Appeal Rights. A Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 33-CC-20250425124419
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDS KLUB SAN GABRIEL / ROSEMEAD
FACILITY NUMBER: 198014168
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
06/03/2025
Section Cited
CCR
101161(a)
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Limitations on Capacity: A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidence by: Based on interviews conducted it was by S1, S2, S8 and S11
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Per Executive Director, the facility has a stand by school age staff in the event the school age children arrive early and if there is no school.
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that commingling has occurred on several occasions. This poses a potential health and safety risk for children 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.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2025
LIC9099 (FAS) - (06/04)
Page: 7 of 7