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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191802038
Report Date: 05/12/2022
Date Signed: 05/12/2022 02:05:24 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/28/2022 and conducted by Evaluator Mayra Rivera
COMPLAINT CONTROL NUMBER: 54-CC-20220328122920
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: 40DATE:
05/12/2022
UNANNOUNCEDTIME BEGAN:
01:03 PM
MET WITH:Faith Saunders, DirectorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not provide parent with a copy of paperwork
INVESTIGATION FINDINGS:
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This complaint inspection was conducted by Licensing Program Analyst (LPA) Mayra Rivera. LPA arrived at the facility to interview staff, review files and deliver the findings to the complaint investigation. LPA met with Director Faith Saunders who guided LPA on a tour of the facility.

During the course of the investigation LPA Mayra Rivera interviewed parents, director, office manager and reviewed children files. The information disclosed indicated that staff did provide copy of paperwork (parents rights).

Based on interviews and file reviews conducted, the department is unable to determine if the allegation occurred. Therefore, the above allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation did or did not occur.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 54-CC-20220328122920
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 05/12/2022
NARRATIVE
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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 conducted with Director Faith Saunders. Appeal rights were given and explained.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2