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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191200048
Report Date: 02/06/2025
Date Signed: 02/06/2025 03:46:17 PM

Document Has Been Signed on 02/06/2025 03:46 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:HOGG'S HOLLOWFACILITY NUMBER:
191200048
ADMINISTRATOR/
DIRECTOR:
ROSE HOGGFACILITY TYPE:
850
ADDRESS:4490 CORNISHON AVENUETELEPHONE:
(818) 790-1700
CITY:LA CANADASTATE: CAZIP CODE:
91011
CAPACITY: 26TOTAL ENROLLED CHILDREN: 21CENSUS: 17DATE:
02/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Director, Rose HoggTIME VISIT/
INSPECTION COMPLETED:
04:05 PM
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On February 6, 2025 at 1:00 pm Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced random annual inspection. LPA was greeted by Director Rose Hogg, who led LPA on a tour of the facility. This is a Preschool program which consists of one classroom and is La Canada Unified School District property. Per Director, there are currently 21 children enrolled in the program. LPA observed 17 children in care. Hours of operation for this facility are Monday – Friday form 8 am – 5 pm.

Upon entrance LPA observed all required forms/publications to be posted by front entrance inside the classroom. Snack menus were reviewed to ensure that they are being posted one week in advance where it is visible by the child's authorized representative.

At 1:20 pm, LPA toured and inspected the classroom: 1 teacher and 9 children getting ready to nap. LPA inquired about the other 8 children and Director stated, since the children have been inside, S2 took children to the GYM area to play. Per Director, the children who are enrolled at this facility are the only children to use the GYM area. LPA advised the Director to get the process started and get that area licensed if they will be using the GYM area regularly. The remaining 8 children walked into to the classroom moments later, along with S2.

LPA observed mats as napping equipment. Bedding was also inspected for good condition, appropriate storage, and cleanliness. Per Director, children take their sheets and blankets home every Friday to be washed.

Furniture and equipment are in good condition, free of sharp, loose, or pointed parts in the classroom. 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.

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Ana ChicoTELEPHONE: (323) 981-3379
Priscilla OchoaTELEPHONE: 323-981-3350
DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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Document Has Been Signed on 02/06/2025 03:46 PM - It Cannot Be Edited


Created By: Priscilla Ochoa On 02/06/2025 at 03:19 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: HOGG'S HOLLOW

FACILITY NUMBER: 191200048

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/06/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101161(a)
Limitations on Capacity and Ambulatory Status
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above in 1 out of 5 children does not meet the age requirement to be enrolled and attending the facility, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 02/06/2025
Plan of Correction
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Director will inform the C5’s parents in writing that the child does not meet the appropriate age requirement that this facility is licensed to care for and will need to withdraw as of 2/7/2025. Parents can re-enroll C5 when the child is 2 years old. Director will send LPA P. Ochoa a copy of the written communication that the facility had informing the parents that C5 last day of care is 2/6/2025 by POC date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:Ana Chico
TELEPHONE: (323) 981-3379
LICENSING EVALUATOR NAME:Priscilla Ochoa
TELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/06/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/06/2025


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: HOGG'S HOLLOW
FACILITY NUMBER: 191200048
VISIT DATE: 02/06/2025
NARRATIVE
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Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children in care.

At this time, the Directors office is used as an isolation area. A mat is available for an ill child to rest on. First Aid supplies are available and complete.

Facility observed a smoke/carbon monoxide detector. However, LPA did not test detector as children were napping. Director states there are no weapons, firearms, or bodies of water on the premises.

A fire extinguisher was observed. The valve on the required 2A 10BC fire extinguisher indicates fully charged and was serviced on 04/08/2024, as indicated on service tag. Per State Fire Marshall standards, fire extinguishers shall be serviced annually.

Children’s bathroom is located inside the classroom. All toilets, hand washing, and bathing facilities are safe, sanitary and are operating properly. 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 only provides snacks for children in care. Children bring their own lunch from home. LPA reminded Director, that lunch that is brought from home must be labeled with the child’s name and stored properly or refrigerated.

At 1:30 pm, LPA reviewed the outdoor play area, which on the side of the center. LPA observed play structures, playhouses, bikes, and a garden 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. Drinking water is readily available outdoors.

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 tour. All areas were identified on the Facility Sketch were inspected.

Sign in and out sheets were reviewed to ensure that the person who signs the child in and out uses their full legal signature and records the time of the day. Disaster drills have been conducted at least every six months. Last emergency drill was conducted 10/17/2024.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3379
LICENSING EVALUATOR NAME: Priscilla OchoaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
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: HOGG'S HOLLOW
FACILITY NUMBER: 191200048
VISIT DATE: 02/06/2025
NARRATIVE
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Children’s Records were reviewed to ensure that Identification and Emergency form and a medical assessment are on file and deemed complete. During child file review, LPA observed C5 to be under 2 years old, which indicates that the facility has been operating out of compliance of limitations and conditions of their licensee since September 2024 when C5 was enrolled. Based on licensee that is posted on licensing board in the classroom, the facility is licensed to care for children who are 2 – 4 years old. Per Director, they were unaware that the facility had to follow of the specific limitations and conditions of their licensee. LPA communicated to the Director that C5 will need to be withdrawn from the program until they meet the age that the facility is qualified to provide care for.

Staff files were reviewed for a health screening report and immunizations that meet regulatory requirements, criminal Record Clearance for adults and verification of CPR/First Aid and health preventative practices documentation, and educational background, training, and/or experience for each staff present. Staff file review deemed complete.

AB1207 Mandated Child Abuse Reporting – On or before March 30, 2018, any person who works in a childcare facility shall complete the training and renew the training every 2 years. Website provided: https://www.mandatedreporterca.com/training/child-care-providers.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 child care 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 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3379
LICENSING EVALUATOR NAME: Priscilla OchoaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: HOGG'S HOLLOW
FACILITY NUMBER: 191200048
VISIT DATE: 02/06/2025
NARRATIVE
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LPA advised the Director to access forms, regulations and quarterly updates on the Childcare Licensing website at: www.ccld.ca.gov.

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.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA P. Ochoa informed Director, Rose Hogg that this report dated February 6, 2025 documents 1 Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care. Also, LPA P. Ochoa informed the licensee Director, Rose Hogg to provide a copy of this licensing report dated February 6, 2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A notice of site visit was given and must remain posted for 30 days during facility’s hours of operation. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and a copy of the report was provided to Director, Rose Hogg.

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SUPERVISOR'S NAME: Ana ChicoTELEPHONE: (323) 981-3379
LICENSING EVALUATOR NAME: Priscilla OchoaTELEPHONE: 323-981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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