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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020168
Report Date: 04/28/2026
Date Signed: 04/28/2026 02:36:45 PM

Document Has Been Signed on 04/28/2026 02:36 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:DISCOVERY DAYS PRESCHOOL-INFANTFACILITY NUMBER:
198020168
ADMINISTRATOR/
DIRECTOR:		LISA MARIE SCOTTFACILITY TYPE:
830
ADDRESS:85 PALMETTO DRTELEPHONE:
(707) 621-0499
CITY:PASADENASTATE: CAZIP CODE:
91105
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 38DATE:
04/28/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Rebecca Adachi, Assistant DirectorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On April 28, 2026, Licensing Program Analyst (LPA) Monique Ayala conducted an announced Case Management - Incident inspection at the above facility. LPA met with Assistant Director, Rebecca Adachi who guided LPA on a tour of the facility. LPA observed 38 infants with 11 staff members.

The purpose of the inspection is to follow up on an incident that occurred on 03/26/2026 and was reported to the department on 03/27/2026; the incident was reported in a timely manner.

During the inspection LPA interviewed Staff #1 (S1) to Staff #4 (S4) and obtained relevant documentation. LPA was unable to interview Child #1 (C1) as C1 is now attending the facilities sister licensed facility.

Based on interviews with S1-S4, C1 was displaying normal behavior throughout the day. S1-S4 stated C1 ate, drank water and had normal wet diaper changes throughout the day (LPA obtained daily log). Per S1-S4 it wasn't until the end of the day that C1 started displaying drowsiness and eyes rolling back. Per S2-S3, S3 took C1 temperature and did not observe high levels (99). S2-S4 stated S1 directed them to call C1 parents. Per S4, they called C1 parents and they did not answer the call. S1-S4 stated the parent messaged the facility through BrightWheel informing S1-S4 that they would arrive at the facility within 5 minutes. Per S1-S4, upon the parents arrival, the parent asked if C1 ate and drank normally or if C1 had eaten anything different; S1-S4 confirmed yes to eating normally and no to nothing new/different. Parent signed out C1 at 5:06pm and left the facility. Per S1, the parent returned to the facility with C1 and sat in the courtyard area.
NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2026
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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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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: DISCOVERY DAYS PRESCHOOL-INFANT
FACILITY NUMBER: 198020168
VISIT DATE: 04/28/2026
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Per S1, the ambulance and fire trucks arrived at the facility at 5:20pm. Per S1, S3-S4 they observed the parent and C1 leave with the paramedics. S1-S4 stated C1 did not return to the facility until the following Monday where S4 asked the parent how C1 was doing. Per S1, S3 and S4, C1 had low blood sugars and was dehydrated. Per S1, C1 was taken to the hospital on 03/26/2026 and had a check up with their pediatrician the following day. Per S1, parent informed them that C1 was not required to have further testing as test results came back normal. Per S1, C1 was transitioning to their sister facility and the facility developed an internal plan for C1 if this incident were to happen again.

LPA observed C1's file and observed that the Physician Report was not completed or signed by the physician. The area where the physician is supposed to sign was signed by C1 mother. LPA was unable to determine if C1 had a prior health history of low blood sugars.

The facility is being cited a Type B deficiency in accordance with Title 22 regulations, see LIC809D.

An exit interview was conducted and a copy of this report was provided to assistant director, Rebecca Adachi. A Notice of Site Visit was provided and must be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Monique Jessica Ayala
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 04/28/2026 02:36 PM - It Cannot Be Edited


Created By: Monique Jessica Ayala On 04/28/2026 at 01:21 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-INFANT
FACILITY NUMBER: 198020168

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
101220(a)(1)

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Child's Medical Assessment: Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child...Such assessment shall be performed by, or under the supervision of, a licensed physician, and shall not be
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Assistant director stated they will have the parents of C1 obtain a completed and signed Physicians Report for C1 by POC date (05/22/2026)
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more than one year old when obtained.
This requirement was not met as evidence by: Based on record review, C1 does not have a signed Physicians report by a physician. This poses a potential health and safety risk to children 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.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Monique Jessica Ayala
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2026


LIC809 (FAS) - (06/04)
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