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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016425
Report Date: 04/14/2026
Date Signed: 04/14/2026 02:50:04 PM

Document Has Been Signed on 04/14/2026 02:50 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:KIDDIE ACADEMY OF GLENDORAFACILITY NUMBER:
198016425
ADMINISTRATOR/
DIRECTOR:		BETH HOLMESFACILITY TYPE:
830
ADDRESS:1339 SOUTH GRAND AVENUETELEPHONE:
(626) 691-0242
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY: 24TOTAL ENROLLED CHILDREN: 19CENSUS: 16DATE:
04/14/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Director Nicole SantosTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On 04/14/2026 Licensing Program Analyst (LPA) Mary Silva conducted an unannounced case management inspection. LPA met with Director Nicole Santos and Co-Director Danielle Rocha and explained the purpose of the inspection. The purpose of the inspection was to obtain additional information from the facility regarding an incident reported to the Regional Office. LPA was led on a tour of the facility. Census was taken. LPA observed 4 children with 1 teacher and 1 assistant in the infant classroom and 12 children with 2 teachers and 1 assistant in the toddler classroom.

The department received an incident report via email from this facility on 04/06/2026 for an incident that occurred in the toddler classroom involving a child that sustained an injury on the right leg.

During the course of the investigation LPA interviewed Director, Co-Director, and 3 staff that were present in the classroom during the incident. LPA reviewed video footage from the date of incident 04/06/2026, photographs were taken of the injury, and the bookshelf, copy of the facility roster, personnel report were obtained and other documents pertaining to the incident.

According to interviews conducted incident occurred on 04/06/2026 at approximately 11:15am shortly after returning from the outdoor area. Staff #1 began to change diapers, Staff # 2 was setting plates for lunch and Staff #3 was in the carpet area gathering children for circle time. Per Staff # 1 Child #1 was in the library area attempting to climb onto the small bookshelf. Staff # 2 observed child #1 fell on the floor next to the bookshelf. Staff #3 observed child #1 crawling towards the carpet area and began to cry when attempting to stand up. Staff #3 picked up child and observed a bump on the middle of child’s right leg between the knee and ankle. Facility staff applied an ice pack on the right leg and called guardian.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mary Silva
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2026
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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: KIDDIE ACADEMY OF GLENDORA
FACILITY NUMBER: 198016425
VISIT DATE: 04/14/2026
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Per director, guardian informed facility child #1 was taken to seek medical attention that evening. Child #1 sustained a fracture requiring a cast on the right leg. According to the video footage child was observed to be in the library area at approximately 11:17am, walked to a small bookshelf size 20 inches (height) by 27 inches wide and tumbled down from the bookshelf to the carpet. Child#1 made several attempts to stand with difficulty and crawled to staff #3. This incident posed an immediate risk to the health and safety of the child in care.

Based on the information verified during the inspection of the incident, the following deficiencies listed on the attached LIC 809D (deficiency page) 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 and safety.



LPA informed Director Nicole Santos that this report dated 04/14/26 documents 1 type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety and personal rights of the children in care. LPA informed Director Nicole Santos to provide a copy of this licensing report dated 04/14/2026 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parent/guardian for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement must be placed in the child’s file for verification.

Licensee shall post report documenting Type A citation along with Notice of Site Visit Form in an area accessible for review for 30 days or a civil penalty of $100 will be assessed.

An exit Interview was conducted, a copy of this report and appeal rights was provided to Director Nicole Santos.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mary Silva
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/14/2026 02:50 PM - It Cannot Be Edited


Created By: Mary Silva On 04/14/2026 at 01:03 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: KIDDIE ACADEMY OF GLENDORA
FACILITY NUMBER: 198016425

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/15/2026
Section Cited
CCR
01223(a)(2)

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(a)The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Per director, book shelf was immediatelty removed from the toddler classroom. Staffing supervising children has changed from 1 teacher, and 2 assistants to 2 teachers and 1 assistant. Facility director requested to open a TSP referral.
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Based on incident report submitted to regional office, interviews conducted and viedo footage. Child #1 sustained an injury fractured right leg from tumbling down a book shelf. This incident poses an immediate risk to the health and safety of 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.
Christina Gabelman
NAME OF LICENSING PROGRAM MANAGER:
Mary Silva
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/14/2026


LIC809 (FAS) - (06/04)
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