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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806528
Report Date: 01/07/2026
Date Signed: 01/07/2026 04:10:15 PM

Document Has Been Signed on 01/07/2026 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)FACILITY NUMBER:
191806528
ADMINISTRATOR/
DIRECTOR:		LAURA HERNANDEZFACILITY TYPE:
850
ADDRESS:4601 SUNSET BOULEVARDTELEPHONE:
(323) 361-4601
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY: 89TOTAL ENROLLED CHILDREN: 62CENSUS: 43DATE:
01/07/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Director, Laura HernandezTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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On January 7, 2026, Licensing Program Analysts (LPA) Priscilla Ochoa conducted an unannounced case management inspection for the above facility. LPA was greeted by the Site Supervisor, S1 who guided LPA on a tour of the facility. The Director, Laura Hernandez, joined the inspection shortly after. The purpose of this inspection is to follow up on a self-reported incident that occurred at the facility on 12/17/2025. This is a preschool program with a toddler component which operates Monday through Friday from 6:30 am to 6:00 pm. Per director, there are 62 children enrolled, and LPA observed 43 children in care along with 8 staff members.

Brief summary of incident: Child #1 (C1) and Child #2 (C2) were in a classroom unsupervised.

During the course of this investigation LPA reviewed video footage of incident, interviewed Staff #1(S1) - Staff #5 (S5). LPA did not interview C1 and C2 as they are nonverbal.

LPA reviewed video footage of S4 in the P2 classroom providing supervision to 9 preschool aged children. The video footage displays S4 sitting on the carpet engaging with children in care. LPA did observe that children were scattered in the classroom. At 5:40 pm, it was seen that C1 and C2 wandered away into the children’s bathroom which is located at the far end of the classroom. The children’s bathroom is a passageway which can lead into the classroom next door, PreK. At 5:46, S2 was seen transitioning S4 out of the P2 classroom. At 5:58 pm, C1’s parent was seen walking up to P2 to pick up their child and was signaled by S2 that C1 was in a different classroom, P1. At 6:00 pm, C1's parent returned to P2 to inform them that C1 was not in P1. Then it was seen that S1 walked in P2 and went through the children's bathroom and entered PreK. At 6:01 pm, C1 and C2 were found by S1 playing in the classroom next door, PreK, unsupervised. C1 and C2 were left without supervision for approximately 20 minutes.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/07/2026
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)
FACILITY NUMBER: 191806528
VISIT DATE: 01/07/2026
NARRATIVE
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During interviews, S4 mentions that P2 is not their usual classroom and are not familiar with nor were they aware that the children had access to the classroom next door through the bathroom. Per S4, they were focusing on the front door and the children in their area as they were the only teacher in the classroom. S4 acknowledged that they did not realized that C1 and C2 had wandered into a different area while S4 was supervising the classroom. Per S2, when they walked into the classroom to relieve S4, both S4 and S2 counted 6 children, with one child being picked up, leaving a total of 5 children in care. Per S1, S2, S3 and S4, staff members are supposed to do a name to face count when a teacher is transitioning in or out of a classroom. Per S2, when they transitioned into the class, they counted 5 children in care and noticed that 2 children were still signed in. S2 assumed they were in the classroom next door, P1 or had gone home without being signed out. No verification was made of the whereabouts of C1 and C2 by a staff member until C1’s parent arrived to pick them up. Per S1, when S1 found the children, they were quietly playing and were unharmed in the PreK classroom.

Per S1 and director, they spoke with all of the staff who was present on 12/17/2025 and hosted an all staff meeting on 12/23/2025. In this meeting, administration went over supervision and provided staff resources demonstrating what is active supervision. The facility will also be purchasing child safety gates to install in the entry ways of the children’s bathroom from classroom P2 and PreK. This will prevent children from entering the classrooms without a staff member present.

LPA P. Ochoa informed director, Laura Hernandez that this report dated 1/07/2026 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA P. Ochoa informed the director to provide a copy of this licensing report dated 1/07/2026 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

The facility has experienced multiple incidents that resulted in Type A deficiency citations, with the most resent lack of supervision citation on 12/02/2025. Due to the resent repeat violation, the facility will also be issued immediate civil penalties.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the director, Laura Hernandez.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/07/2026 04:10 PM - It Cannot Be Edited


Created By: Priscilla Ochoa On 01/07/2026 at 03:20 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: CHILDREN'S HOSPITAL CHILD DEVELOPMENT CENTER (PS)
FACILITY NUMBER: 191806528

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/07/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/08/2026
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.
This requirement was not met as evidenced by:
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Director provided LPA agenda and sign in sheet of all staff meeting that was held on 12/23/25 discussing active supervision. Director will also send LPA pictures of installed child saftey gates by POC date 1/08/26.
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Based on video footage and interviews, S4 did not ensure supervision was maintained at all times which caused C1and C2 to wander to another classroom without supervision, which poses an immediate risk to the health, safety, and personal rights of 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.
Ana Chico
NAME OF LICENSING PROGRAM MANAGER:
Priscilla Ochoa
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 01/07/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/07/2026


LIC809 (FAS) - (06/04)
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