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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020167
Report Date: 04/25/2024
Date Signed: 04/25/2024 04:02:43 PM

Document Has Been Signed on 04/25/2024 04:02 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:DISCOVERY DAYS PRESCHOOLFACILITY NUMBER:
198020167
ADMINISTRATOR/
DIRECTOR:		LISA MARIE SCOTTFACILITY TYPE:
850
ADDRESS:85 PALMETTO DRTELEPHONE:
(707) 621-0499
CITY:PASADENASTATE: CAZIP CODE:
91105
CAPACITY: 83TOTAL ENROLLED CHILDREN: 87CENSUS: 58DATE:
04/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Aracely RamirezTIME VISIT/
INSPECTION COMPLETED:
03:26 PM
NARRATIVE
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On 04/25/2024, Licensing Program Analyst (LPA) Shushanik Safaryan conducted an unannounced inspection to the above facility . Upon arrival LPA met with Facility Representative Aracely Ramirez , who guided the LPA on a tour of the facility. This is a preschool age program which operates Monday through Friday from 07:30am to 05:30 PM. Program consists of 5 classrooms. Per Facility Representative there are 87 children enrolled. There is an infant program on the premises with facility number 198020168.

During the visit LPA obtained information that the Facility had a maintenance issue on 04/22/2024 , which effected facility restrooms and children did not have an access to the operating toilets and had to walk to another facility located in the different address to use the restrooms .Facility failed to notify to the Department regarding the incident .

Upon the occurrence, during the operation of the child care center of any of the events specified in 101212
Reporting Requirements (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

Based on the information obtained during this visit the deficiencies listed on the following pages are being cited in accordance with California Code of Regulations Title 22 to protect the children’s health & safety. Please see attached LIC 809D.


The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.
An exit Interview was conducted, a copy of this report along with Notice of Site visit and Appeal Rights were explained and provided to the Facility Representative , Lisa Mari Scott on 04/25/2024.
SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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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Document Has Been Signed on 04/25/2024 04:02 PM - It Cannot Be Edited


Created By: Shushanik Safaryan On 04/25/2024 at 02:41 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: DISCOVERY DAYS PRESCHOOL
FACILITY NUMBER: 198020167

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/30/2024
Section Cited
CCR
101212(d)(1)(C)

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101212Reporting Requirements d)Upon...occurrence.. any... events specified..below, report shall be made ... by telephone...fax within the.. next working day and during... business hours...(1)Events reported..(C)Any unusual incident..This requirement is not met evidenced by

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Per Facility Represantative report will be submitted to the department by POC date .
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Based on the information obtain Facility had a maintenance issue and did not have operable toilets for the children on 04/22/2024.This unusual incident was not reported to the Department .
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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:Claudia Guangorena
LICENSING EVALUATOR NAME:Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024


LIC809 (FAS) - (06/04)
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