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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191802038
Report Date: 02/21/2023
Date Signed: 02/21/2023 01:57:51 PM


Document Has Been Signed on 02/21/2023 01:57 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:HOOVER INTERGENERATIONAL CARE, INC. (CHILD DEV CTRFACILITY NUMBER:
191802038
ADMINISTRATOR:FAITH SAUNDERSFACILITY TYPE:
850
ADDRESS:3216 S. HOOVER STTELEPHONE:
2137483700
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:69CENSUS: 47DATE:
02/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Rulywndra Walker, Site Supervisor
Jennifer Jimenez, Office Manager		TIME COMPLETED:
02:08 PM
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On Monday, February 21, 2023 at 9:35 a.m. Licensing Program Analysts (LPA’s) Mayra Rivera and Mary Silva conducted an unannounced annual inspection and met with site supervisor Rulywndra Walker who guided LPA’s Mary Silva and Mayra Rivera on a tour of the facility.

This is a preschool program that consists of four classrooms (Rainbow, Blue, Green and Purple) and outdoor play yard (front and back). This program serves children ages 3 year to 5 years. This program operates Monday - Friday 7:00 a.m. - 5:30 p.m. Sign in and out takes place at the main entrance area. All areas identified on the facility sketch were toured and inspected both indoors and outdoors.



At approximately 9:45 a.m. LPA’s Rivera and Silva entered green classroom. LPA Rivera observed 11 preschool children playing with staff #1, 2 and internship student. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed cubbies with children’s personal items. LPA observed cleaning solutions stored inside top cabinet making it inaccessible for children to reach. LPA Rivera observed a trash bin with a tight-fitting lid outside the classroom.

At approximately 9:53 a.m. LPA’s Rivera and Silva entered blue classroom. LPA Rivera observed 14 preschool children playing with staff #3 and #4. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed cubbies with children’s personal items. LPA observed cleaning solutions stored inside top cabinet making it inaccessible for children to reach. LPA Rivera observed a trash bin with a tight-fitting lid outside the classroom.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2023
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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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: 02/21/2023
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At approximately 9:54 a.m. LPA’s Rivera and Silva entered purple classroom. LPA observed the classroom empty as the children and staff were outside playing. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed cubbies with children’s personal items. LPA observed cleaning solutions stored inside top cabinet making it inaccessible for children to reach. LPA Rivera observed a trash bin with a tight-fitting lid located outside the classroom. At approximately 10:35 a.m., LPA Rivera returned to the classroom and observed 8 children with staff #5 and #6.

At approximately 10:01 a.m. LPA’s Rivera and Silva entered Rainbow classroom. LPA Rivera observed the classroom empty as the children and staff were outside playing. LPA Rivera observed age appropriate furniture and equipment to be in good condition, free of sharp, not loose, or pointed parts and age appropriate toys accessible to children. LPA observed cubbies with children’s personal items. LPA observed cleaning solutions stored inside top cabinet making it inaccessible for children to reach. LPA Rivera observed a trash bin with a tight-fitting lid outside the classroom.

The restrooms are located inside the classrooms. LPA Rivera observed the restrooms to be in good condition with working toilets, sinks, hand soap dispenser and paper towels. LPA observed a total of 7 toilets and sinks. Ill/isolation area children utilize the staff restroom located in the staff lounge.

At approximately 10:09 a.m. LPA’s Rivera and Silva entered the front outdoor playground. LPA observed Rainbow classroom outside playing. LPA Rivera observed 14 children with staff #6 and #7. LPA observed the play equipment to be in safe condition, free of sharp, no loose or pointed parts. All areas around or under climbing equipment, are cushioned with sand that absorbs a fall. For outdoor water drinking, LPA Rivera observed a water jug and disposable cups. LPA Rivera observed a white door closed and locked. The side metal gate, LPA observed the gate closed and locked with a self-latch. For adequate shade, LPA observed the building extended roof.

At approximately 10:15 a.m. LPA’s Rivera and Silva entered the back outdoor playground. LPA observed blue classroom outside playing. LPA Rivera observed 14 children with staff #3 and #4. LPA observed the play equipment to be in safe condition, free of sharp, no loose or pointed parts. All areas around or under climbing equipment, are cushioned with sand that absorbs a fall. For outdoor drinking water, LPA Rivera observed a water jug and disposable cups. LPA Rivera observed a shed and is utilized to store brooms and mops. LPA Rivera did not observe hazard materials. LPA Rivera observed the side push gate and alerts the front office staff when door opens or when someone rings the bell. For adequate shade, LPA observed the building pavilion

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
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
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: 02/21/2023
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Heating lighting and ventilation were evaluated by LPA Rivera. LPA observed central AC/heater and the vents located on the ceiling walls. LPA observed the current room temperatures to be between 69-71 degrees. LPA observed 4 fire extinguishers located inside Rainbow classroom, hallway, staff lounge and kitchen and the valve on the green area on the required 2A10BC fire extinguishers indicating fully charged and serviced on 4/7/22. The fire extinguisher located in the Purple classroom, LPA Rivera observed the valve not on the green area and informed Ms. Walker the fire extinguisher will need to be replaced. LPA Rivera observed fire alarm system and did not observe carbon monoxide detectors. LPA observed the first aid kits to be fully stocked with band aids, gauzes, adhesive bandages and antiseptics and located in the classroom’s cabinets. LPA observed the fire/earthquake log and last drill conducted on 1/19/23.

LPA observed napping equipment cots to be stored in the classrooms. Sheets and blankets are provided by the parents and the facility provides incase parents forget or an accident. For ill/isolation area children utilize the director's office and a mat is be available for children to use to rest if needed. During this visit, facility has one child with medication and children with food allergies.

This program provides breakfast, lunch and p.m. snack. The meals and snacks are prepared onsite kitchen. A monthly menu is available and posted in the main entrance hallway. For water drinking LPA observed water jugs and disposable cups in each classroom. At approximately 10:23 a.m., LPA Rivera observed the food preparation area to be clean and free of litter, rubbish, rodents, and/or any other vermin and storage containers for solid waste, including moveable bins with tight-fitting covers that are kept on, and in good repair. The facility was observed to be free of flies, other insects and rodents. LPA Rivera observed the refrigerator temperature to be at 33 Fahrenheit.

At approximately 10:50 a.m., LPA observed on the bulletin wall the license, Parents Right's, Personal Rights, LIC 610 Emergency Disaster Plan, Facility Sketch, LIC 9148 Earthquake Checklist, PUB 269 Child Passenger System Poster, Drill log, monthly Menu and Daily Schedule. LPA’s reviewed the children's roster, children and staff files and the sign in/out sheets. LPA Silva observed 47 signatures and children present during the visit.

LPA Silva observed director Faith Saunders pediatric First Aid/CPR certification dated March 8, 2022 preventative health and safety (nutrition/lead) training dated September 11, 2021. LPA Silva observed child abused mandated certification (AB 1207) dated 2/8/23 and immunization against pertussis, and measles, and influenza declination. Director has been informed mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
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
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: 02/21/2023
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Items discussed during this visit:

1. The following items are an immediate citation by Licensing: Refused Entry to a Facility or Any Part of a Facility is a violation of Section 1596.852, 1596.853 or 1597.09. Regulations 101238 (g) (2), The Presence of an Excluded Individual, Fire Clearance Violations, Accessible Bodies of Water, Accessible Firearms, Ammunition or Both

2. Breakfast/Lunch/Snack Menus: Menus are required to be posted one week in advance where it is visible by the child's authorized representative. Menus for the past 30 days must also be available upon request.


3. Current Children’s Roster: Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
4. LIC 311A - Records to be Maintained at the Facility: LPAs advised that forms, regulations and quarterly updates can be accessed on the Child Care Licensing website at: www.ccld.ca.gov.
5. Pediatric First Aid and CPR: At least one person trained in Pediatric First Aid and CPR must be present.
6. Designated Staff: The name of the childcare center director or fully qualified teacher(s) designated to act in the director's absence must be on file.
7. Qualifications: Educational background, training, and/or experience for each staff present must be available for review.
8. Immunization Requirements: Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles
9. Children’s Records: must be available for review; 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: 02/21/2023
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Office manager Jennifer Jimenez 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.


During this visit, one technical violation was given due to no carbon monoxides in the classrooms. No citations given during this visit.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with office manager. Jennifer Jimenez.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
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