<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019174
Report Date: 05/06/2019
Date Signed: 05/15/2019 11:50:26 AM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.FACILITY NUMBER:
198019174
ADMINISTRATOR:CECILE A. KEATLEYFACILITY TYPE:
830
ADDRESS:2215 E. ALCAZAR ST.TELEPHONE:
(323) 442-3333
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY:48CENSUS: 39DATE:
05/06/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Center DirectorTIME COMPLETED:
12:00 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) Tran arrived at the above facility to conduct a case management incident that occurred on 03/29/19 in regard to center staff failed to follow the proper bottle check procedures and misfed a child bottle of breast milk that was intended for another child.

LPA completed files review for staff and children. LPA obtained personnel report, children's roster and documents.

Based on the interview conducted during today's inspection, staff admitted that they failed to follow the protocols for feeding on 03/29/19 and gave C1 another child's bottle of break milk. This was result in the Title 22 regulation violation for personal rights. Type A deficiency was cited. POC cleared during visit. Training materials obtained for the record.

LPA discussed AB633 and informed the center director that, upon receipt of a Type A deficiency, the facility shall post and provide copies of this licensing report to parent/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

An exit interview was conducted.

Due to experiencing replication situation, handwriting 809 report had been provided to the noted person. This report generated at RO and sent this copy to licensee on 5/15/19 along with appeal rights, no signature is required.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR.
FACILITY NUMBER: 198019174
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/06/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/06/2019
Section Cited
CCR
101427(5)(c)
1
2
3
4
5
6
7
Infant care food service. The infant shall be fed inaccordance with the individual plan.
Based on interviews record staff admitted they failed to follow proper feedign protocol abd mis-fed C1 with another child's bottle.
1
2
3
4
5
6
7
Director showed proof training conducted on 4/1/19 in regard to infant feeding procedure and protocol.

POC cleared during visit.
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
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 CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Tiffanie TranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2