<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021390
Report Date: 07/10/2024
Date Signed: 07/16/2024 07:45:23 PM

Document Has Been Signed on 07/16/2024 07:45 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:LITTLE OTTERS ACADEMYFACILITY NUMBER:
198021390
ADMINISTRATOR/
DIRECTOR:		WANG, WEIHANFACILITY TYPE:
860
ADDRESS:700 FRONT STTELEPHONE:
(626) 284-6558
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 25DATE:
07/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Zhaoyuan HuangTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Director Zhaoyuan Huang.

The purpose of the inspection conducted on tis date was to obtain additional information regarding an incident report provided by the facility on 07/08/2024. On 07/08/2024 Child#1 sustained an injury at the facility when the classroom was using the restroom. According to the facility Staff#1 was inside the restroom with 11 children including Child#1. Staff#1 stated that they were in the middle of changing a child on the changing table that was located near the restroom sink, when Child#1 walked out of the restroom. Staff#1 told Child#1 to come back inside the restroom. Child#1 was walking back in to the restroom when Child#2 closed the restroom door while Child#1's hand was near the door area. Child#1 injured their hand when the restroom door was closed by Child#2.

While Staff#1 is qualified to provide care for 12 preschool children in the classroom, the same type of supervision was not possible since Staff#1 was changing another child while the other remaining 10 children were inside the restroom. The facility stated that normally another staff member would be present to help out Staff#1 when going to the restroom, but there was no one available at that point in time on 07/08/2024. The fact that Staff#1 was inside the restroom with 10 children while changing a child is an immediate risk to children in care. Please see the attached 809D for the specific deficiency information.

The notice of site inspection and this report must remain posted for a period of 30 days during hours of operation. Failure to maintain posting during business hours will result in a civil penalty of $100.00 dollars.
A copy of the LIC 9224 was provided to the facility during this inspection. The Director understands that a signature on the copies of this form is to be filed for every child currently attending and any new children enrolled for a period of 1 year starting from this date. Exit interview conducted with Director Zhaoyuan Huang. Appeal rights discussed and explained.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 07/16/2024 07:45 PM - It Cannot Be Edited


Created By: Seung Lee On 07/10/2024 at 02:03 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: LITTLE OTTERS ACADEMY
FACILITY NUMBER: 198021390

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/12/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by the fact that Chilld#1 sustained an injury from the restroom
1
2
3
4
5
6
7
The Director stated she will complete or schedule a staff meeting for all staff members. The meeting agenda and attendance information will be provided to LPA Lee by the POC date.
8
9
10
11
12
13
14
door while Staff#1 was changing another child on the changing table in the restroom. This is an immediete risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Christina Gabelman
LICENSING EVALUATOR NAME:Seung Lee
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2