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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191870755
Report Date: 09/25/2025
Date Signed: 09/25/2025 03:38:08 PM

Document Has Been Signed on 09/25/2025 03:38 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HOOPER AVENUE EARLY EDUCATION CENTERFACILITY NUMBER:
191870755
ADMINISTRATOR/
DIRECTOR:		CAROLYN MACARANASFACILITY TYPE:
850
ADDRESS:1224 E 52ND STTELEPHONE:
(323) 232-3801
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY: 166TOTAL ENROLLED CHILDREN: 166CENSUS: 81DATE:
09/25/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Humberto BenitezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On 9/25/2025 at 10:00 AM Licensing Program Analysts (LPAs) Claudia Kam and Christine Nolan conducted an Unannounced Case Management inspection to follow up on an incident that was reported to The Department on 9/5/2025. Upon arrival, LPAs met with Facility Representative (FR) Principal Humberto Benitez. Census was taken.

An incident was reported to The Department in regards to personal rights. The facility did not report this incident to Department within the required 24 hours, a written report was submitted via email within seven days, Title 22 Regulation requirements discussed.

During this inspection LPA interviewed FR, staff involved and child. FR followed LAUSD protocols regarding these types of incidents, reporting to Operations Coordinator and writing an ISTAR report. (FR) Principal conducted internal investigation in regards to allegations of violation of C1's personal rights and findings were substantiated.

LPA has confirmed that child had just started school and incident occurred on his 3rd day of school. Child was acclimating to attending school and arrived agitated. Child attempted to run to his mother and staff was attempting to calm child down. Staff was observed yelling at the child by staff and parents during the interaction.

Staff interviews with S1, S3, and review of P1 statement confirm that staff was witnessed yelling at a child in care at 8:10am on 8/27/25. C1 was interviewed and did confirm yelling but was unable to confirm more as he shut down during interview.
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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Claudia Kam
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: HOOPER AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870755
VISIT DATE: 09/25/2025
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Per Principal (FR), the school is now working in partnership with C1’s Authorized Representative to create plan for the child and provided support to the family. Facility representative has conducted a meeting on personal rights on 9/8/25 and LAUSD trainings from PBIS and has created a drop off strategy with guardian and staff. FR states there will be a TREE representative to assist the family and provide a training for staff.

Based on this information, the following deficiency on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.


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

Exit interview conducted and report was reviewed with the principle/facility representative Humberto Benitez.

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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Claudia Kam
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/25/2025 03:38 PM - It Cannot Be Edited


Created By: Claudia Kam On 09/25/2025 at 02:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: HOOPER AVENUE EARLY EDUCATION CENTER
FACILITY NUMBER: 191870755

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2025
Section Cited
CCR
101223(a)(3)

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(a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation.....threat...
This regulation was not met as evidenced by:
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Facility Representative states they have conducted a personal rights training on 9/8-9/12 and provided agenda and sign in sheet for staff training on 9/25/25. Deficiency has been cleared on 9/25/25.
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Based on LPA interviews, it was confirmed that a child was spoken to in an inappropriate manner (yelling) which was witnesses by 2 staff and parents. This poses a possible health, safety, and personal rights risk to children in care.
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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.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Claudia Kam
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2025


LIC809 (FAS) - (06/04)
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