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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191802038
Report Date: 09/15/2022
Date Signed: 09/15/2022 04:10:03 PM

Document Has Been Signed on 09/15/2022 04:10 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: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 43DATE:
09/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:05 PM
MET WITH:Faith Saunders, Executive DirectorTIME COMPLETED:
04:30 PM
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On Thursday, September 15, 2022 at 3:05 p.m., Licensing Program Analyst (LPA) Mayra Rivera conducted a Case Management inspection at the above facility to follow up on the self reported incident that occurred on Friday, September 9, 2022. LPA’s met with Executive Director, Faith Saunders, who guided the LPA on a tour of the facility The Monterey Park South West Child Care Regional Office, received the incident report via email on Friday 9/9/2022

LPA Rviera interviewed staff, reviewed documentation, and obtained copies of relevant documents. determining whether or not a violation occurred.

Base on the information provided and documents received in regards the incidents that occurred on 9/9/22, the facility followed procedures and provided first aid to ensure the child received the proper first aid care. Therefore, LPA Rivera determined there to be no violation of Tittle 22. personal rights.


Upon receipt, Notice of Site Visit shall be posted for thirty (30) consecutive days where the parent/guardian of children enter and exit the facility Failure to maintain posting as required will result in a $100 civil penalty.

Exit interview conducted with Executive Director, Faith Saunders and appeal rights were provided and explained.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
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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