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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191802038
Report Date: 05/24/2019
Date Signed: 05/24/2019 04:37:52 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTRFACILITY NUMBER:
191802038
ADMINISTRATOR:KRISTEN ZEERBAUGHFACILITY TYPE:
850
ADDRESS:3216 S. HOOVER STTELEPHONE:
(213) 748-3700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:69CENSUS: 42DATE:
05/24/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Kristen Zearbaugh, DirectorTIME COMPLETED:
04:50 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Rita Ramos and Denise Gibbs conducted an unannounced annual required inspection. LPAs met with Kristen Zearbaugh, Director, who guided analysts on a tour of the facility. This is a preschool program which consists of 3 classrooms; Rainbow Room, Green Room, and Purple Room. Facility operation hours are Monday to Friday from 7:00 AM to 5:30 PM.

All areas identified on this report were inspected. Upon arrival, the following staff were present during this inspection: Rainbow Room: Staff #1, #2 and #3 with 18 preschoolers; Green Room: Staff #4 and #5 with 11 preschoolers; Purple Room: Staff #6, #7, and #8 with 13 preschoolers. The following was observed during the tour of the facility.

Furniture and equipment were inspected for age appropriateness and good repair. Telephone service, heating, lighting and ventilation were evaluated. Children have their own cubby to store their belongings. Linens are taken home each week to be washed. Napping equipment (cots) were observed in separate storage areas. Per Director, the isolation area is located in the office. Age appropriate sinks and toilets were inspected for availability and good repair in all restrooms. General sanitation was observed. Availability of indoor drinking water was observed in classrooms. LPAs observed that the facility does not have a carbon monoxide detector.


Disinfectants, cleaning solutions, medication and other items that are dangerous to children, were inaccessible to children. LPAs advised the Director to make sure cleaning compounds be stored high or to lock them under the sink. LPAs advised the Director that staff's personal items should be stored in an area in which they are not accessible to children in care. Director states that there are no poisons stored at the facility.

All kitchen areas/food preparation areas and food storage areas are kept clean and are free of litter, rubbish, rodents, and/or any other vermin. All storage containers for solid waste, including moveable bins have tight-fitting covers that are kept on, and in good repair. ----------Page 1 of 3

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTR
FACILITY NUMBER: 191802038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2019
Section Cited
CCR
101226(e)(2)
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Health-Related Services

All prescription and nonprescription medications shall be maintained with the child's name and shall be dated.

This requirement is not met as evidenced by LPAs observing that Child #2's epinephrine
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Director had Child #2's parent come to the facility to pick up child's medicaton.
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is expired. This poses a potential health and safety risk to children in care since Child #2 was not present the during the inspection.
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Type B
06/07/2019
Section Cited
HSC
1596.954
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Carbon monoxide detectors required; inspection

Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part
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Per Director, a detector will be purchased and a picture will be submitted by POC due date of 06/07/19.
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2 of Division 12. The department shall account for the presence of these detectors during inspections.

This requirement is not met as evidenced by LPAs observing that there is no carbon monoxide detector at the 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.
SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTR
FACILITY NUMBER: 191802038
VISIT DATE: 05/24/2019
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

Upon inspecting the storage of medications, LPAs observed that Child #2 had expired epinephrine. Due to Child #2 not being present at the facility, and Director called Child #2's parent to pick up the medication, LPAs advised the Director to make sure that stored medication is being inventoried. However, since the medication was expired, it poses a potential health and safety risk to children in care.

LPAs advised the Director to access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov.

The following deficiencies listed on the attached deficiencies page are being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00. Exit interview was conducted with Kristen Zeerbaugh, Director, including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTR
FACILITY NUMBER: 191802038
VISIT DATE: 05/24/2019
NARRATIVE
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Trash cans used to discard food have tight fitting lids.

Outdoor playground equipment is in a 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. LPAs observed an unraveled water hose in the yard and advised Director to remove or properly store the water hose so it will not be a tripping hazard. All areas around or under high climbing equipment, slides, and similar equipment are cushioned with material that absorbs a fall. There is adequate shade in the play yard. Availability of outdoor drinking water was observed.

All individuals present have obtained a criminal record clearance or criminal record exemption. There is at least one person trained in CPR and Pediatric First Aid present during this inspection.

Children’s Records were reviewed for completeness; Inspection of required forms was made. LPAs issued the Children’s Record Review (LIC 857) to the Director during this inspection. In review of children’s records, files contain information including, but not limited to the following: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary.

LPA also issued the Review of Staff records (LIC 859) to the licensee during this inspection. The LIC 857 and the LIC 859 documents the staff and children’s files that were reviewed during this inspection.

Children's roster was reviewed and is current. Sign-In and Sign-Out sheets were reviewed. Children present were signed in. Disaster drill log was available, last drill was conducted on 04/16/19.

Menus are posted one month in advance where it is visible by the child's authorized representative. Menus for the past 30 days are available upon request. Snacks were reviewed for availability, quantity and appropriateness to children in care. The facility provides preschoolers with a breakfast, lunch, and snack.

First Aid supplies were observed in the classroom in a box. According to the Director, medication is only administered to a child when accompanied with a doctor's note and they are stored in the child's classroom in a cabinet where it is inaccessible to children in care. ------------------------Page 2 of 3

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Rita RamosTELEPHONE: (323) 981-3985
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4