191594914-10-22-2026-54-CC-FWHE-DZ4UJE-20261022153724

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191594914
Report Date: 10/22/2026
Date Signed: 10/22/2026 03:37:36 PM

Document Has Been Signed on 10/22/2026 03:37 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	CERRITOS COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	191594914
ADMINISTRATOR/ DIRECTOR:	ELISA COBURN		FACILITY TYPE:	850
ADDRESS:	11110 ALONDRA BLVD		TELEPHONE:	(562) 860-2451
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY: 125	TOTAL ENROLLED CHILDREN: 125	CENSUS: 59	DATE:	10/22/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:45 PM
MET WITH:	Alicia Rosas, Designated Administrator		TIME VISIT/ INSPECTION COMPLETED:	04:00 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) Franchesca White arrived at the above facility for the purpose of an unannounced Case Management - Incident inspection. LPA White announced the purpose of the visit and was granted entry into the facility by facility representative, Alicia Rosas. There are 82 children enrolled, and 59 present at the time of inspection. There are 18 staff present. 18 out of 18 staff have current criminal background clearance at the time of inspection according to Guardian. The purpose for today's visit is to follow up on an Unusual Incident Report (UIR) received to the department on 9/22/2026. On 9/21/26, at 4:16 PM while playing outdoors in the ocean area, Ignacio was running up and down the rubbery surface between the blue spinner and slide. As he was coming down he slipped and fell onto his right side over his right arm avoiding hitting his head. I, Teacher Diana, asked Ignacio if he was able to sit up. As he attempted to bare weight and sit up, he cried. We noticed that his right forearm was curved outward. Teacher Jacqueline, walkie talkie the front office asking for assistance. Diana Echeverria and Jacqueline Benitez were in the space and immediately supported Ignacio after fall. Front office was notified Diana called parents and spoke to Ignacio's mother,Guadalupe. Alicia called campus police for support as Guadalupe requested no ambulance for Ignacio. Upon arrival of parents after checking on Ignacio they request paramedics assistant and Campus Police called it in. Paremedics arrived on seen and attended Ignacio, and transported him to Downey PIH. Day care child required x-rays that showed a bone forearm fracture that required resetting and use of a splint until healed. Day care child was scheduled to have a follow up visit with Orthopedics for further evaluation and treatment. At 2:50 p.m., LPA White reviewed the child's file to ... (Report Continues 1 of 2 Pages).

Denise Gibbs
Franchesca White
	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CERRITOS COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 191594914
	VISIT DATE: 10/22/2026

NARRATIVE

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contain the incident report submitted to the department ,the incident report given to the parent with signatures of staff and parent, and the School Status report stating that the child would be on modified school attendance from 9/23/2026 - 10/21/2022.

At 3:00 p.m., LPA White interviewed Alicia Rosas, Designated Administrator. Alicia states that 9/25/2026 with the only restriction being no wetting the cast. There is a follow up appointment scheduled for the week of 10/26/2026.

At 3:10 p.m., LPA White observed the area where the day care child fell on the play yard. LPA did not observe any obvious hazards that require attention. Play area was observed to be in good repair. LPA White observed the child in his classroom. Day care child was engaged in solo play with supervision from Teacher Marlen. Teacher Marlen says he has been playful, and has to be reminded not to put too much weight on his arm. Day care child showed LPA White his cast and showed LPA that he can spin on his other arm without hurting his cast.

Based on observations, interviews, and record review there will be no deficiencies cited in accordance with California Title 22 Regulations. A Notice of Site Visit was given and must remain posted for 30 days. Failure to post will result in a civil penalty of $100.

Report was reviewed with facility representative, Alicia Rosas. A copy of the report and appeal rights was given to facility representative, Alicia Rosas.

(Report Ends Here 2 of 2 Pages)

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

LIC809 (FAS) - (06/04)

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