191870755-2-1-2023-54-CC-DGIS-CNMRGS-20230201120112

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 191870755
Report Date: 02/01/2023
Date Signed: 02/01/2023 12:01:53 PM

Document Has Been Signed on 02/01/2023 12:01 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:	HOOPER AVENUE EARLY EDUCATION CENTER		FACILITY NUMBER:	191870755
ADMINISTRATOR:	CAROLYN MACARANAS		FACILITY TYPE:	850
ADDRESS:	1224 E 52ND ST		TELEPHONE:	(323) 232-3801
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90011
CAPACITY:	166	CENSUS: 85	DATE:	02/01/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Carolyn Macaranas, Principal		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Denise Gibbs conducted an unannounced case management inspection on 2/1/23 at 8:45am. Upon arrival, LPA met with Raquel Ramirez, Office Manager. Carolyn Macaranas , Principal arrived shortly after. There were 85 children present during inspection. On 1/27/23, Principal submitted an unusual incident report to the Department regarding an incident that occurred that same day. Incident report stated that a Child One (C1) left the school premises, running down the sidewalk to the Hooper Primary Center entrance. LPA conducted interviews with staff and child involved. LPA also inspected all entrances and exits to the facility. Information gathered through interviews and observations confirmed that child was in eye sight of a staff member at all times. On this day C1 was exhibiting challenging behaviors, S1 was assisting in their classroom for extra support. Staff One (S1) and Staff Two (S2) were supervising C1 in the restroom. LPA observed three separate restrooms along one side of wall with cubbies along the opposite wall. There is a narrow walkway between the restroom doors and the cubbies, approximately 2ft wide. Per S1, C1 was in the walkway upset because they did not want to wash their hands. As S1 was assisting another child in the restroom, C1 ran around the corner to the right toward the main entrance door. S2 followed right behind C1. LPA observed the distance from the walkway to the main entrance door is approximately 20 steps. The door has a push bar that opens out. C1 pushed the bar to the main entrance door and ran out of the metal security gate that leads to the sidewalk. Security gate was open. Per Principal, security gate has not been working for approximately two weeks. During this time S2 was still supervising C1. S3 was in the parking lot on a break and immediately assisted in supervising C1 and returning them to the facility. C1 remained on the same side of the block, did not cross the street and was stopped at Hooper Primary Center to the right of the school. C1 was not injured and Principal met reporting requirement for this incident. Per Principal, behavior support is scheduled for C1 in conjunction with parent. Additional staff is available to assist in the classroom when challenging behaviors occur. A staff meeting is scheduled for 2/2/23 to discuss --------------PAGE 1

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

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: HOOPER AVENUE EARLY EDUCATION CENTER	FACILITY NUMBER: 191870755
	VISIT DATE: 02/01/2023

NARRATIVE

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supervision. One of the security gates that lead to the playground that was being used as an additional entrance and exit for parents now remains locked. During inspection C1 was observed in attempt to run away from staff. Staff were observed to be communicating with each other to block exits. Staff was observed to block child, get down to the child's level and discuss behavior. Per principal, she will also talk to the district about providing additional safeguards for the doors, such as child safety alarms.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

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

Exit interview was conducted with Carolyn Macaranas, Principal.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/01/2023 12:01 PM - It Cannot Be Edited

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: HOOPER AVENUE EARLY EDUCATION CENTER	FACILITY NUMBER: 191870755
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/01/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/01/2023 Section Cited	1 2 3 4 5 6 7	101238(a) Buildings and Grounds (a) The child care center shall be safe... and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by	1 2 3 4 5 6 7	Per Principal she will put in another work order to fix the security gate. A staff meeting on supervision will be conducted. A behavior support plan will be put in place for C1. A supervision plan will be put in place to stop incident form reoccurring. Principal will email a copy of the work order, meeting agenda with teachers present, behavior support plan and
	8 9 10 11 12 13 14	Based on observation and interview, the licensee did not comply with the section cited above. The security gate that leads to the street does not property self close and latch when opened, which poses/posed a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14	classroom supervision plan by POC date 3/1/23.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Trevino Cochran	TELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Denise Gibbs	TELEPHONE: (323) 558-2794
LICENSING EVALUATOR SIGNATURE:	DATE: 02/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/01/2023

LIC809 (FAS) - (06/04)

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