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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019065
Report Date: 09/05/2024
Date Signed: 09/05/2024 04:34:32 PM

Document Has Been Signed on 09/05/2024 04:34 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:BLOOMING FLOWERS CHILD CARE CENTERFACILITY NUMBER:
198019065
ADMINISTRATOR/
DIRECTOR:		THOMAS, JAZMYNEFACILITY TYPE:
850
ADDRESS:680 E. ARROW HIGHWAYTELEPHONE:
(909) 399-0003
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 11DATE:
09/05/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director Elaine DavisTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 9/5/2024 at 12:15pm, Licensing Program Analyst (LPA), Stephanie Li conducted an unannounced Proof of Correction (POC) inspection to ensure the deficiencies cited on 8/15/2024 during a complaint investigation have been corrected. A COVID risk assessment was conducted. LPA met with Director Elaine Davis. LPA observed 11 children in care with 4 adults.

During the visit, LPA observed that Director was with teaching staff and supervising teaching staff. Per director, the new hire was a no show to the interview and she has been unable to hire a fully qualified teacher. LPA obtained a declaration from director indicating that she is aware that she needs to be present supervising staff while children are awake and has made adjustments to the transportation schedule so she does not need to leave the facility during the day.

LPA cleared the deficiencies on this date and issued Proof of Correction (POC) clearance letters during the visit.

A notice of site visit was given to Licensee and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director Elaine Davis.



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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Stephanie Li
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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