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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009140
Report Date: 09/01/2026
Date Signed: 09/01/2026 09:47:14 AM

Document Has Been Signed on 09/01/2026 09:47 AM - 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:LILY'S GARDEN PRESCHOOLFACILITY NUMBER:
198009140
ADMINISTRATOR/
DIRECTOR:		SUMMER (XIA) YANFACILITY TYPE:
850
ADDRESS:616 S. CHAPEL AVE.TELEPHONE:
(626) 282-9736
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 122TOTAL ENROLLED CHILDREN: 102CENSUS: 52DATE:
09/01/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Director, Summer YanTIME VISIT/
INSPECTION COMPLETED:
10:05 AM
NARRATIVE
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On September 1, 2026, Licensing Program Analyst Staicy Perry conducted an unannounced Case Management – Deficiency visit at the facility to for the purpose of the health and safety of the children in care. LPA Perry took a census of the facility and observed a total of 52 children during the inspection. Per Director she currently has 102 children enrolled.

At approximately 8:56am, LPA Perry observed that Classroom 1 had 16 children in care and one staff member providing care and supervision. LPA interviewed Staff 1, who stated that she was left alone with the 16 children for approximately 15 minutes while waiting for the next staff member to arrive. Staff reported that the additional staff member arrives at the facility until approximately 9:00 a.m. Staff stated that If she is over she just cares for all the children and dose not inform the office and waits until the next staff member arrives. LPA Perry did observe the additional staff member arriving at 9:00am and assisted staff #1.

Currently the facility is not in compliance with Title 22 Regulations. Based on LPA’s observations and information obtained during the visit; the facility did not maintain the required staff-to-child ratio during the identified period. A deficiency is being cited on this date in accordance with applicable Title 22 regulations. One (1) Type B deficiency is being issued on this date. See LIC 809-D for the deficiency cited.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report was reviewed with Director, Summer. Appeal rights provided and discussed.

Brandi VanOosten
Staicy Perry
DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/01/2026
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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Document Has Been Signed on 09/01/2026 09:47 AM - It Cannot Be Edited


Created By: Staicy Perry On 09/01/2026 at 09:27 AM
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: LILY'S GARDEN PRESCHOOL
FACILITY NUMBER: 198009140

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2026
Section Cited
CCR
101216.3(a)

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101216.3(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.This requirement was not met as evidenced by.
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Per facility Director Summer, a staff meeting will be held and they will provide LPA Perry with sign in and out sheets of staff who attended and meeting agenda. As well as work out a plan to revisit scheduling to ensure ratios. A written plan will be submitted by email to LPA Perry by POC date.
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During inspection LPA Perry observed a total of 16 preschool children present with 1 staff, staff #1 supervising the children which poses a potential danger of the children in care.
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Included in the meeting, the video at CCLD ratio video, https://ccld.childcarevideos.org/child-care-center-operators/teacher-child-ratios-in-child-care-centers/ will be observed and staff will write a summary of what they learned, sign and dated and submit to LPA Perry by POC date.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Staicy Perry
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/01/2026


LIC809 (FAS) - (06/04)
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