191570658-10-26-2026-33-CC-CRES-DZ8R6H-20261026124445

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191570658
Report Date: 10/26/2026
Date Signed: 10/26/2026 12:45:52 PM

Document Has Been Signed on 10/26/2026 12:45 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	EMERSON/CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191570658
ADMINISTRATOR/ DIRECTOR:	KYM ALLEN		FACILITY TYPE:	850
ADDRESS:	635 LINCOLN AVENUE		TELEPHONE:	(909) 622-4642
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY: 58	TOTAL ENROLLED CHILDREN: 58	CENSUS: 16	DATE:	10/26/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:03 AM
MET WITH:	Elvia Cardiel, Teacher		TIME VISIT/ INSPECTION COMPLETED:	11:15 AM

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 Analysts (LPA) Cynthia Reyes conducted an unannounced Case management- Incident site Inspection to ensure the health and safety standards as required by the regulations governing childcare centers are met for this Head start and Early head start preschool program. This inspection is to follow up on 2 incident reports submitted to the department on 09/03/2026 and 10/08/2026. During the walk through, LPA observed in Early head start 8 children with 1 teacher and 1 assistant and in the Head start classroom 8 children with 1 teacher and 1 assistant as well. Incident dated 09/03/2026 was regarding a child who lost his balance while playing in the science center and fell and hit the middle of his forehead on a table. Per interviews it began to swell up and teacher applied an ice pack and called mom. Teacher stated there was no blood just swelling and when mom arrived teacher advised mom to take child to the doctor and mom did and per the doctor there were no issues, swelling went down and child return to school the next morning. Incident dated 10/08/2026 was regarding a child who had a runny nose and when teacher went to clean the child's nose observed a small red bead in the child nose. Parents were called and mom stated both on the phone and in person when she arrived to pick up the child that the child's sister had a bracelet that broke and it was a red beaded bracelet. Teacher stated they do not have any small beads in the classroom at all. For the incident reports listed above the facility followed all the proper procedures per the parent hand book/admission agreement, incident report was called in and sent in properly and timely, all medical needs were met and parent/guardian was notified, Based on information obtained for these Incidents listed on this date, no follow up is necessary at this time. Consultation was conducted and no citation was given.

Christina Gabelman
Cynthia Reyes
	DATE: 10/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2026

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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: EMERSON/CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191570658
	VISIT DATE: 10/26/2026

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Consultation was conducted regarding the outdoor play yard has a large apparatus that is not completely enclosed and there is a large grass area with lunch benches that the staff are not sure if that area is part of the licensed area for this preschool. several children would run to that area. LPA also observed the licensed parent board has several other documents posted from other departments and is missing some licensed required documents that need to be posted. LPA also observed the changing table is not with in arms reach of a sink as diaper changing is conducted in the early head start classroom.

Exit interview conducted and report and appeal rights were reviewed and given to Janet Palmerin, Teacher

NAME OF LICENSING PROGRAM MANAGER: Christina Gabelman
NAME OF LICENSING PROGRAM ANALYST: Cynthia Reyes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/26/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2026

LIC809 (FAS) - (06/04)

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