198021780-11-12-2025-33-CC-CGRN-DNCUS4-20251112144944

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198021780
Report Date: 11/12/2025
Date Signed: 11/12/2025 02:50:02 PM

Document Has Been Signed on 11/12/2025 02:50 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:	GIBBS DEVELOPMENT CENTER		FACILITY NUMBER:	198021780
ADMINISTRATOR/ DIRECTOR:	SARA NAVA		FACILITY TYPE:	860
ADDRESS:	676 GIBBS ST		TELEPHONE:	(626) 409-6016
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY: 64	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	11/12/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:30 AM
MET WITH:	Sara Nava and Luis Ponce		TIME VISIT/ INSPECTION COMPLETED:	03:05 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	Page 1: On 11/12/2025 at 10:30 AM, Licensing Program Analyst (LPA), Crystal Green conducted an announced Pre-Licensing inspection for a new license. Upon arrival, LPA met with Applicant Representatives, Sara Nava and Luis Ponce. Applicant, Gensis Daycare Services Inc., is requesting to be licensed for (64) children: (20) infants from ages 0 to 24 months in the infant activity room and nap room, (24) preschoolers from ages 2 to 5 years old in the Preschool classroom, (20) school age children from ages 5 to 12 years old in school-age classroom. Hours of operation will be Monday to Friday from 6:00 AM to 6:30 PM. This facility is located on the premises of Trinty United Methodist Church. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Sara Nava that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Sara Nava stated that they will be in a higher cabinet located in the within each classroom. A fully equipped first aid kit is located in within each classroom. There is an operational carbon monoxide detector on site located throughout the premises. All required licensing documents were observed posted in the near the entrance of the office and at the entrance of each classroom. Children will be signed in and out at the entrance of each classroom. LPA continued to tour the facility and measured all indoor and outdoor activity space. Total infant indoor activity space measured 736.12 square feet, which is sufficient to accommodate the requested capacity of (20) infant children. Total preschool indoor activity space measured 941.53 square feet, which is sufficient to accommodate the requested capacity of (24) preschool children.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025

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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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GIBBS DEVELOPMENT CENTER	FACILITY NUMBER: 198021780
	VISIT DATE: 11/12/2025

NARRATIVE

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Total school age indoor activity space measured 705.79 square feet, which is sufficient to accommodate the requested capacity of (20) school age children. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, cribs, napping cots, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via filtered water faucet attached to sink and filter water jugs. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 10/30/2025 by the Los Angeles County Fire Department.

Infant Program: Highchairs and feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. High chairs are made of washable, moisture-resistant material. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing. Cribs meet regulatory requirements. Crib area is separated from activity space via located in a separate adjacent room. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. LPA observed 9 cribs located in the crib area. Sleep logs are kept in the crib area. Needs and Services Plans and Sleep Plans are kept in Infant classroom.
There is at least one potty chair for every five infants. LPA observed the infant room to have a total of (3) sinks: 2 sinks will be used for the changing table which was observed to be within arm’s reach and 1 sink will be used as a dishwashing sink.

LPA observed a total of (3) sinks and (2) toilets available for preschool children’s use. These are sufficient to accommodate the requested capacity of (24) preschool children. The restroom was observed to be located between the preschool and school age classroom. LPA did not observe a separate restroom for the school age program. There is a sliding door to the restroom that allows the restroom to be accessible from both classrooms. The school- age classroom was observed to have (1) sink located within the classroom. LPA advised that a waiver would need to be requested in order to allow the school age children to share the preschool restroom. LPA observed the designated preschool restroom to have individual stalls to afford privacy for school-age children. Per Applicant Representative, preschool children will be escorted to and from the restroom and staff will ensure that the door is closed prior to it use. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the staff lounge near the office and ill children will utilize the staff restroom.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GIBBS DEVELOPMENT CENTER	FACILITY NUMBER: 198021780
	VISIT DATE: 11/12/2025

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Parents will provide their child AM/PM Snacks and Lunch. Facility will have additional snacks available for children in case of emergency.

The facility currently has 2 fully fenced playground areas designated for the infant and preschool program. Fencing is made of wood and is at least four feet high. The total square footage for the infant outdoor activity space is 1620.44 square feet, which is sufficient to accommodate the infant requested capacity. The total square footage for the preschool outdoor activity space is 2,688.00 square feet, which is sufficient to accommodate the requested capacity. The school age program currently does not have a separate playground. A playground waiver to share the playground at different times in the AM and PM due to the school age program not having its own separate yard shall be submitted and approved prior to licensure. Shade is provided via shade canopies and a shade tree. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the preschool playground for children aged 2 to 5 years old which is properly anchored. There is adequate cushioning in fall zones of climbers provided by outdoor pour and play cushioning. Drinking water is available via filtered water jug. LPA observed all hazardous items on the playground to be inaccessible to children. Applicant, Sara Nava was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Criminal Record Clearance:
Applicant representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: GIBBS DEVELOPMENT CENTER	FACILITY NUMBER: 198021780
	VISIT DATE: 11/12/2025

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA reviewed with Applicant Representative, Sara Nava the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA discussed the safe sleep regulations with Applicant Representatives and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/, and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicants were informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

The Applicant Representative, Sara Nava, also operates a large Family Child Care License 198019648—Nava and Gonzalez FCC that requires the licensee to be present in the home. During this inspection, Sara Nava has been advised that in order for her to maintain her family childcare license, she must be present in the home 80% of the time.

The Applicant Representative, Luis Ponce, also operates a large Family Child Care License 364845702—Ponce-Nava FCC that requires the licensee to be present in the home. During this inspection, Luis Ponce has been advised that in order for him to maintain his family childcare license, he must be present in the home 80% of the time.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025

LIC809 (FAS) - (06/04)

Page: 3 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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: GIBBS DEVELOPMENT CENTER	FACILITY NUMBER: 198021780
	VISIT DATE: 11/12/2025

NARRATIVE

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The both Applicant Representative was advised to inform the department of any changes to their Family Child Care License status or operating hours.

During this inspection, LPA discussed with the Applicant Representatives the information needed to be submitted in order request a waiver to allow the school age program to share use of the restroom and the outdoor space with the preschool program using a staggered schedule. The Applicant Representatives were informed that the waiver request will be reviewed by the Regional Office for final approval.

The following correction is needed prior to the issuance of the license:

The Applicant must submit and be approved for a waiver regarding the shared use of the designated preschool outdoor space with the school age program.
The Applicant must submit and be approved for a waiver regarding the shared use of the designated preschool restroom with the school age program.
The Applicant must obtain an updated Fire Clearance approval to reflect the requested capacity for each program.

Once the final approval is granted for the requested waiver, A license for (64) children: (20) Infants from ages 4 weeks to 24 months, and (24) Preschoolers from ages 2 to 5 years old, and (20) School- Age children from ages 5 to 13 years old will be granted.

Applicant Representatives understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with the Applicant Representatives, Sara Nava and Luis Ponce.

NAME OF LICENSING PROGRAM MANAGER: Monica Cuddy
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 11/12/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2025

LIC809 (FAS) - (06/04)

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