198016425-4-30-2026-33-CC-MSIA-DTMNNW-20260430103726

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198016425
Report Date: 04/30/2026
Date Signed: 04/30/2026 10:37:30 AM

Document Has Been Signed on 04/30/2026 10:37 AM - 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 GLENDORA		FACILITY NUMBER:	198016425
ADMINISTRATOR/ DIRECTOR:	BETH HOLMES		FACILITY TYPE:	830
ADDRESS:	1339 SOUTH GRAND AVENUE		TELEPHONE:	(626) 691-0242
CITY:	GLENDORA	STATE: CA	ZIP CODE:	91740
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	04/30/2026
TYPE OF VISIT:	Office	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Beth Holmes,		TIME VISIT/ INSPECTION COMPLETED:	10:30 AM

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On 04/30/2026 a meeting was held at Pomona Unified School District-Resource and Referral Agency as a follow up to the Noncompliance Conference called on 03/25/2026. Present during this meeting are Regional Manager Deborah Ajao, Licensing Program Manager Christina Gabelman, Licensing Program Analyst Mary Silva, Licensee Beth Holmes, and Licensee David Holmes. This meeting was called to discuss the following issues or deficiencies.

On 04/06/2026, facility self-reported an incident to the department regarding a child that sustained an injury in the toddler classroom.

· Type A citation issued for personal rights on 04/14/2026: Case Management-Incident Inspection: On 04/06/26 Child #1 (1 year 10 month old) sustained a fracture to right leg while climbing a toddler size bookshelf according to video footage and interviews conducted.

Facility implemented the following corrections to prevent similar incidents from occurring:

· Bookshelf was removed from the toddler room.

· Staffing was changed from one teacher and two assistants to two teachers and one assistant.
Due to the history and nature of violations including the incident that occurred on 04/06/2026 the department is taking the following action.

Licensee of Kiddie Academy of Glendora (Fac #198016423), (Fac #198016424), (Fac #198016425), was advised that the case has been referred to the Department's Legal Division for revocation.

Regional Manager, Deborah Ajao, explained the Administrative Action process.

Licensee was advised that any additional serious violation of the regulations may result in a more immediate administrative action being taken against the licensee.

Exit interview was conducted, appeal rights and report was reviewed with licensee, Beth Holmes.

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Mary Silva
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/30/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2026

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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