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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191503823
Report Date: 10/13/2026
Date Signed: 10/13/2026 03:53:37 PM

Document Has Been Signed on 10/13/2026 03:53 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:CAL POLY CHILD CARE CENTERFACILITY NUMBER:
191503823
ADMINISTRATOR/
DIRECTOR:		CELESTE SALINASFACILITY TYPE:
850
ADDRESS:3801 WEST TEMPLE AVETELEPHONE:
(909) 869-2284
CITY:POMONASTATE: CAZIP CODE:
91768
CAPACITY: 71TOTAL ENROLLED CHILDREN: 71CENSUS: DATE:
10/13/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Celest SalinasTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Kamile Martin conducted an unannounced annual inspection. LPA met with Director Celeste Salinas. LPA was led on a tour of the facility. This is a Preschool program with a Toddler Option, which consists of 4 classrooms (3 preschool and 1 toddler). Per licensee, there are currently 45 enrolled in the program. Hours of operation for this facility are Mon-Fri 7:00am-6:00 pm. Facility is located on the campus of California State Polytechnic University, Pomona. Parents an families sign children in at the front office upon entry to their classrooms on the app CareConnect.

Licensing staff observed all required forms/publications to be posted in the office. Menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Transportation is not provided at this facility.

LPA K Martin entered and inspected the preschool classrooms beginning in the Sunshine Classroom: LPA observed 10 children with 4 staff members 1 aide and a student teacher, Rainbow Classroom LPA observed:10 children with 2 teacher staff 1 therapist and 1 observer student. The Starbright Classroom was observed to have 12 children with 3 teaching staff, And the Moonbeam Classroom (toddlers) was observed to have 9 children and 4 teaching staff. The classrooms were inspected to be clean and organized with adequate toys, books, manipulative and art materials. Children’s belongings were labeled with their name and are stored outdoors; children place their items there before entering the classroom.

Christina Gabelman
Kamile Martin
DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2026
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CAL POLY CHILD CARE CENTER
FACILITY NUMBER: 191503823
VISIT DATE: 10/13/2026
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The Moonbeam room (Toddler) class is physically separate from the preschool classrooms, and they also have a sperate playground. There was a changing table present in the toddler restroom Per director, parents provide diapers and wipes. The facility is currently using cots for nap time for both toddler and preschool classrooms. Bedding is washed weekly or more as needed onsite. Facility does have a laundry room on site. Disinfectants, cleaning solutions, medication and other items that are dangerous to children were inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All floors are clean and safe.

All storage containers for solid waste, including moveable bins shall have tight-fitting covers that are kept on, and in good repair. Trash cans used to discard food have tight fitting lids. The facility was observed to be free of flies, other insects and rodents. Sufficient individual storage space for children was observed, and each child has a cubby. Drinking water was readily available indoors in the form of labeled personalized water bottles, provided from home. Water is provided via Brita filter and provided in each classroom. Each classroom has a location where they bring the water bottles out for outdoor time, children have access to water indoors and outdoors. Currently, the office is used as an isolation area. A cot is available for an ill child to rest on. First Aid supplies are available and complete. Facility has a functioning carbon monoxide detector that meets statutory requirements. Smoke detectors and carbon monoxide were tested on this visit and are operable. Director states there are no weapons, firearms, or bodies of water on the premises.

Fire extinguisher was observed and the valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 8/26, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually. Each classroom has its own restroom for the children to use. All toilets, and hand washing facilities are safe, sanitary and are operating properly with access to tissue paper hand soap and paper towels.

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NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
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: CAL POLY CHILD CARE CENTER
FACILITY NUMBER: 191503823
VISIT DATE: 10/13/2026
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The facility kitchen was inspected. All food preparation areas and food storage areas are kept clean and are free of litter, rubbish and rodents and/or any other vermin. Snacks were reviewed for availability, quantity and appropriateness to children in care. This facility provides breakfast, lunch, and pm snack. A new cabinet top was added to the kitchen area.

LPA inspected the outdoor play area. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards all areas around or under high climbing equipment, swings, slides, and similar equipment are cushioned with material that absorbs a fall. There is an outside play space for Toddlers that is physically separate from the preschool play area. There is a play structure, bike path, garden area, and age-appropriate toys and equipment. Another outside play space observed for the preschool children, that has a large play structure, sandbox areas, bike path, swings, and grass area for children to use. Drinking water is readily available outdoors teachers bring the children’s water bottles outdoors and LPA observed children drinking their water as needed.

Teacher-child ratios were observed to be in accordance with Title 22 regulations. Staff names were recorded. All children were observed to be under visual supervision of a teacher during the inspection. The Licensee is within the conditions, limitations, and capacity specified on the license. All areas were identified on the Facility Sketch were inspected.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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 are available at: https://www.ada.gov/resources/child-care-centers/.

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
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: CAL POLY CHILD CARE CENTER
FACILITY NUMBER: 191503823
VISIT DATE: 10/13/2026
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Sign in and out attendance sheets were reviewed. This facility utilizes the APP called Care Connect where parents and families sign children in on the APP in the main office before children arrive to the classroom. Parents also have the option of scanning the barcode and signing their child in from their personal cell phone. A printout of attendance is provided for staff to mark who is present or absent for the day. The absence form was reviewed in each classroom during the visit. Disaster drills have been conducted at least every six months the last disaster drill was conducted on 3/26. The next emergency drill will be scheduled 10/15 and will be conducted along with the college evacuation The Great Shake Out earthquake drill. Staff files were reviewed for a health screening report and immunizations that meet regulatory requirements. A Technical Violation citation will be issued due to 2 staff not having the required current AB1207 mandated reporter in the file, both staff file reviews show an expired mandated reporter certificate of 8/26. One staff member states she had a hard time logging in to the system to begin the course LPA observed her attempt to retake the course. LPA advised teaching staff to contact technical support on the website or to try and take the course on a desktop computer. The facility is out of compliance with California AB1207 Mandated Reporter.

Criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation was reviewed. Director Celest Salinas has current CPR with an exp date of 10/27. The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence is on file and complete. Educational background, training, and/or experience for each staff is present and file was reviewed. Page 2 of 4

This facility provides Incidental Medical Services (IMS). Facility has submitted IMS plan for all locations. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (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

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
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: CAL POLY CHILD CARE CENTER
FACILITY NUMBER: 191503823
VISIT DATE: 10/13/2026
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LPA discussed the safe sleep regulations with Director 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 Director 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.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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 childcare 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 21-21.1CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Lead testing was completed on 12/22 and had no lead exceedances.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/pro

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
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: CAL POLY CHILD CARE CENTER
FACILITY NUMBER: 191503823
VISIT DATE: 10/13/2026
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LPA advised the licensee how to access forms, regulations and quarterly updates online at: www.ccld.ca.gov. AB1207 Mandated Child Abuse Reporting – Implementation was discussed with Licensee. Website provided: http://mandatedreporterca.com/

Based on the LPA’s observations and record review, the facility will receive a technical violation for AB 1207 Mandated reporter certificate not in compliance. Per Associate Director Michele Crowder current Mandated reporter certificates will be submitted to LPA before 10/23.

The Notice of Site Visit – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted with Associate Director Michele Crowder Copy of report and appeal rights provided

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Kamile Martin
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2026
LIC809 (FAS) - (06/04)
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