191802038-10-25-2019-54-CC-BVON-BJGTX4-20191202140629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191802038
Report Date: 10/25/2019
Date Signed: 10/25/2019 10:01:13 AM

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
09/23/2019 and conducted by Evaluator Armando J Lucero

PUBLIC

COMPLAINT CONTROL NUMBER: 54-CC-20190923132416

FACILITY NAME:	HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTR		FACILITY NUMBER:	191802038
ADMINISTRATOR:	KRISTEN ZEERBAUGH		FACILITY TYPE:	850
ADDRESS:	3216 S. HOOVER ST		TELEPHONE:	(213) 748-3700
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90007
CAPACITY:	69	CENSUS: 52	DATE:	10/25/2019
		UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Kristen Zearbaugh, Director		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility is failing to prevent lice outbreaks

INVESTIGATION FINDINGS:

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An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) A. Lucero regarding the allegation above for the purpose of delivering findings. LPA met with Director Kristen Zearbaugh.

Complaint alleges facility is failing to prevent lice outbreaks in September 2019. Interviews were conducted with Director and staff. It was stated during interviews that teachers cleaned, sanitized and disinfected the room to prevent future outbreaks.

Due to lack of proper documentation, LPA is unable to determine if facility staff cleaned the classrooms due to an outbreak. Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore at this time the above allegation is Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 54-CC-20190923132416

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: 10/25/2019

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 the Licensee, during which appeal rights were given and explained. A copy of the Appeal Rights (LIC 9058 01/16) was provided. The Licensee’s signature on this report acknowledges receipt of rights.

SUPERVISOR'S NAME: Brandi VanOosten	TELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Armando J Lucero	TELEPHONE: (323) 981-3435
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

LIC9099 (FAS) - (06/04)

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