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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019066
Report Date: 03/27/2025
Date Signed: 03/27/2025 03:16:53 PM

Document Has Been Signed on 03/27/2025 03:16 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GOLDEN CITY CHILD DEVELOPMENT CENTER INC.FACILITY NUMBER:
198019066
ADMINISTRATOR/
DIRECTOR:		ANGELICA HERRERAFACILITY TYPE:
830
ADDRESS:812 E. CARSON ST.TELEPHONE:
(310) 634-5664
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: DATE:
03/27/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:20 PM
MET WITH:Angelica Herrera, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Susann Sanchez conducted a Plan of Correction (POC) inspection on this date. LPA met with Licensee, Angelica Herrera and gave LPA a tour. The purpose of the POC inspection was determine if Licensee has corrected the deficiency cited on 3/06/2025.
LPA determined the following:
  • LPA observed 6 infants with 3 staff.
  • LPA observed children being supervised.
  • LPA did not any blankets in the cribs.
  • LPA observed and tested carbon monoxide detectors and was operable.
  • LPA observed sign in sheets to be filled.
  • LPA observed 15 minute sleep logs.
  • LPA observed Notice of Site visit 03/06/2025 posted by the sign in sheets. .
  • LPA reviewed 6 children's files and observed LIC 9224 (Acknowledgment of Receipt) all signed.

LPA cleared all citations.

Upon arrival at 12:20pm, LPA observed an adult in the office that was not fingerprinted. Adult stated they were present to have lunch and do maintenance. Director stated at 12:40pm, that the adult only came today for some maintenance work. Director stated that adult is her son and he has not been fingerprinted. Adult left right away and director stated they will get fingerprint. Type A was cited.



Consult was given at 2:00pm, regarding the toddler option. Per director and Owner D. Chase, they will remove toddler option from the infant license. LPA stated that a new LIC 200A is needed, and a new parent handbook. LPA will return at a later date to remeasure classroom.
NAME OF LICENSING PROGRAM MANAGER: Valarie Cook
NAME OF LICENSING PROGRAM ANALYST: Susann Sanchez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GOLDEN CITY CHILD DEVELOPMENT CENTER INC.
FACILITY NUMBER: 198019066
VISIT DATE: 03/27/2025
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Based on the LPA’s observations and records review, 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 & safety. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return.

A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days.Exit interview was conducted with Director, Angelica Herrera. A copy of this report and appeal rights were discussed and left with Director.
NAME OF LICENSING PROGRAM MANAGER: Valarie Cook
NAME OF LICENSING PROGRAM ANALYST: Susann Sanchez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/27/2025 03:16 PM - It Cannot Be Edited


Created By: Susann Sanchez On 03/27/2025 at 01:48 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: GOLDEN CITY CHILD DEVELOPMENT CENTER INC.
FACILITY NUMBER: 198019066

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/28/2025
Section Cited
CCR
101170(j)

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(j) The licensee shall maintain documentation of criminal record clearances or criminal record exemptions of volunteers that require fingerprinting.This requirement is not met as evidenced by: Upon arrival at 12:20pm, LPA observed an adult in the office that was not fingerprinted. Adult stated they were present
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Adult left right away and director stated they will get fingerprint. Per director, adult will not return until there fingerprinted.
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 to have lunch and do maintenance. Director stated at 12:40pm, that the adult only comes once a month. his poses an immediate health, safety or personal rights risk to persons 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.
SUPERVISOR'S NAME:Valarie Cook
LICENSING EVALUATOR NAME:Susann Sanchez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/27/2025


LIC809 (FAS) - (06/04)
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