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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020156
Report Date: 08/19/2026
Date Signed: 08/19/2026 05:08:53 PM

Document Has Been Signed on 08/19/2026 05:08 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:MUSE ACADEMY INC., THEFACILITY NUMBER:
198020156
ADMINISTRATOR/
DIRECTOR:		PAULA MERCADOFACILITY TYPE:
830
ADDRESS:1135 GAVIOTA AVETELEPHONE:
(310) 924-7515
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 18TOTAL ENROLLED CHILDREN: 7CENSUS: 7DATE:
08/19/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:31 PM
MET WITH:Temporary Director Sarah Kinney and Owner Briana Harvey TIME VISIT/
INSPECTION COMPLETED:
05:20 PM
NARRATIVE
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 Licensing Program Analysts (LPAs) Ashley Calderon and Erica Lujan conducted a case management other visit based on observations observed during earlier visit conducted today. LPA's were greeted by Temporary Director Sarah Kinney.

During today's visit, Staff #1 (S1) Danielle Kleinman was working with infants in Room 1 and Staff #2 (S2) the Director of Education Alicia Moore that oversees the infant program was present. LPA Calderon and Lujan reviewed Guardian Personnel Roster List and noted S1 and S2 were not associated to the above facility. Via telephonically at 1:56pm LPA Calderon received assistance by LPA Dayna Chambers to review fingerprints on both individuals; it was confirmed by LPA Chambers S1 and S2 have fingerprint clearances although not associated with the above facility; deficiency given.

During the tour of the facility alongside with Temporary Director Sarah Kinney.
LPA's observed Child #1 wearing a helmet during nap time (picture taken), per interview with Owner Briana Harvey Child #1 informed LPA's parents say it is for medical reasoning's. During visit, LPA's requested Medical Notice for Child #1 due to use of helmet. Lpa's initially were only given Helmet Directive from parent; B.Harvey informed LPA's that is all that was provided. At 2:58pm Documentation for Medical Examination Instructions by Medical Professional were emailed by parent of Child #1 via email to B.Harvey. Copy of Medical document were given to LPA's, verbal consultation was given.
Warren Birks
Ashley Calderon
DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: MUSE ACADEMY INC., THE
FACILITY NUMBER: 198020156
VISIT DATE: 08/19/2026
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LPA Calderon observed Diaper Changing table in classroom #1 at 11:12am, that had no padding surface at time of the room tour(picture taken) at 4:30 pm B.Harvey informed LPA's the padding mat for changing tables were taken off but are available to place on diaper changing table and at B. 4:44pm Harvey placed pads on the changing table, verbal consultation was given. LPA's during visit saw no potty chairs or toilets for infant classroom, per B.Harvey interview informed LPA's infant program do not get potty trained and only diaper changes are done; verbal consultation was given.

In addition LPA's observed at 11:09am Child #1 during their nap that their crib had a sleep sack that was hanging by the crib ledge and a bib hanging as well photos were taken, during the visit Temporary Director Sarah removed items and placed them in child's personnel belonging cubby; deficiency will be cited at a later time. Per Temporary Director Sarah and Per B.Harvey sleep sacks have been used for infants, licensing personnel will cite at a later time due to sleep sacks are prohibited to use in licensing facilities.

During the tour, LPA's observed active construction being done on premises in room 2, no locks were observed in room 2, LPA's observed equipment accessible on floor and tables at times no workers were using this space. The children's classroom was observed closed with a high to reach knob on door making hallway inaccessible that leads to room 2 were construction is taking place. Although construction was not in the infant classroom during this time, verbal consultation was provided for children's safety.

Per California Code of Regulation Title 22, (1) deficiency cited today Type A alongside with Civil Penalties given. LPA's will return at a later time to provide additional deficiencies observed today as well as to provide written consultations provided during this visit. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. B.Harvey was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit . A Notice of the Site visit was given and must be posted for 30 days, Appeal Rights, Civil Penalty and an exit interview was conducted with Owner Brianna Harvey.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 08/19/2026 05:08 PM - It Cannot Be Edited


Created By: Ashley Calderon On 08/19/2026 at 03:32 PM
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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MUSE ACADEMY INC., THE
FACILITY NUMBER: 198020156

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/20/2026
Section Cited
CCR
101170(e)(2)

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(e) All individuals subject to a criminal record review...shall prior to working...in a licensed facility...(2)Request a transfer of a criminal record clearance as specified in Section 101170(f)
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Owner B.Harvey will submit Transfer sheets or associate via Guardian for staff association to be processed. Submit association documents to LPA Calderon for POC clearance by due date given.
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The requirement was not met as evidenced by: Staff #1 Danielle Kleinman & Staff #2 Alicia Moore present during visit. Per LPA Guardian Roster staff are not associated to the above facility.
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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.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2026


LIC809 (FAS) - (06/04)
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