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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018199
Report Date: 06/24/2025
Date Signed: 06/24/2025 11:25:06 AM

Document Has Been Signed on 06/24/2025 11:25 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ST. ANNE'S EARLY LEARNING CENTER AT SAN MARINOFACILITY NUMBER:
198018199
ADMINISTRATOR/
DIRECTOR:
ELENA MEDINAFACILITY TYPE:
850
ADDRESS:3156 W. SAN MARINO STREETTELEPHONE:
(213) 381-2931
CITY:LOS ANGELESSTATE: CAZIP CODE:
90006
CAPACITY: 28TOTAL ENROLLED CHILDREN: 22CENSUS: 4DATE:
06/24/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Deserie Villa, Lead Teacher & Ana Marquardt Associate Director of EducationTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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On June 24, 2025 Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced Case Management incident inspection at the facility due to a self reported unusual incident report received by the department on May 5, 2025. Upon arrival, LPA Perry met with Lead Teacher Desiree Villa and Associate Director of Education Ana Marquardt. The purpose of the visit was explained.During the inspection, LPA Perry observed 4 staff members supervising 4 children. The facility was operating within its licensed capacity and maintaining appropriate staff-to-child ratios.

The report concerned an incident that allegedly occurred on May 1, 2025, involving Child #1. According to the parent, the child stated that Staff #2 had spanked them and reported that their “butt was hurting.”

LPA Perry conducted interviews with staff members who were present at the time of the alleged incident. Written declarations were obtained, and the facility’s internal investigation documentation was reviewed and other pertinent documents regarding the alleged incident. It was disclosed during the visit that the facility had also became aware that it was reported to the Los Angeles Police Department (LAPD). According to Associate Director Ana, LAPD officers reviewed and investigated and indicated that the report was inconclusive, citing a lack of evidence and no indication abuse observed in the facility’s surveillance recordings. LPA Perry made efforts to follow up with LAPD to confirm the details of their findings, however, those attempts were unsuccessful as no return contact was received by the time of the inspection report. Per Ana she will provide LPA with report once received.

Associate Director Ana confirmed that surveillance footage from the entire day of May 1, 2025, as well as several surrounding days, was reviewed internally. No inappropriate contact or indication of physical discipline was observed. However, per facility policy, video footage is not available for release and therefore could not be reviewed directly by LPA Perry. All staff interviews and declarations reviewed were consistent and did not corroborate the allegation. No staff member reported witnessing any physical discipline or concerning conduct by Staff #2 or any other employee.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2025
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: ST. ANNE'S EARLY LEARNING CENTER AT SAN MARINO
FACILITY NUMBER: 198018199
VISIT DATE: 06/24/2025
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LPA Perry also reviewed California Code of Regulations, Title 22, Section 101212(d), with Associate Director Marquette. This regulation requires that any unusual incidents including suspected abuse or any event that threatens the health or safety of a child must be reported to the Department within the required timeframe. LPA Perry informed Ana the importance of maintaining clear documentation and internal protocols for compliance with Title 22 requirements.

Based on the information obtained during the inspection including staff interviews, review of internal documentation, and discussion of procedures there is no evidence to substantiate a violation of Title 22 regulations. The facility is currently operating in compliance, and no deficiencies are being cited. A Notice of Site Visit was issued and must be posted prominently at the facility for 30 days. Failure to comply with posting requirements may result in a $100 civil penalty. Exit interview was conducted with Deserie Villa, Lead Teacher & Ana Marquardt Associate Director of Education.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2025
LIC809 (FAS) - (06/04)
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