191806530-7-22-2025-33-CC-BVON-DKK6D3-20250814204229

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191806530
Report Date: 07/22/2025
Date Signed: 07/22/2025 04:33:57 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/21/2025 and conducted by Evaluator Saul Valenzuela

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20250721145604

FACILITY NAME:	CHILDREN'S HOSPITAL INFANT CARE CENTER		FACILITY NUMBER:	191806530
ADMINISTRATOR:	LAURA HERNANDEZ		FACILITY TYPE:	830
ADDRESS:	4601 SUNSET BOULEVARD		TELEPHONE:	(323) 361-4601
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90027
CAPACITY:	27	CENSUS: 19	DATE:	07/22/2025
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Laura Hernandez, Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Facility staff did not ensure hand sanitizer was inaccessible to infants

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced initial inspection of a complaint investigation. Upon arrival at 9:20 a.m., LPA was met by Site Supervisor Marife Adriano, to whom the purpose of the inspection was explained. At 11:00 a.m. Director Laura Hernandez arrived to the facility. Tour of the facility was provided. There were 19 children present during the time of inspection.

During the course of the investigation, Interviews were conducted with four (4) staff. LPA was unable to interview child due to child's speaking ability. LPA obtained documentation included but not limited to Children Roster (LIC 9040), Personnel Report (LIC 500), incident report and declaration form.

According to the allegation, Facility staff did not ensure hand sanitizer was inaccessible to infants

REPORT CONTINUES PAGE 1 of 3

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 4

Control Number 33-CC-20250721145604

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 INFANT CARE CENTER	FACILITY NUMBER: 191806530
	VISIT DATE: 07/22/2025

NARRATIVE

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During interviews, staff disclosed that they observed Child #1 take a sip out of a paper cup that contained hand sanitizer. According to staff that hand sanitizer was placed on top of the shed that Child #1 had access to. According to Staff #3 that they observed Child #1 grab the cup and take a sip out of the cup. According to Staff #3 and Staff #4 that they observed Child #1 spit out the hand sanitizer out of their mouth and observed the child to be "gagging". Per Staff #3 that they went towards Child #1 to ensure the child's safety. Staff #3 stated that they were unaware what was inside the cup until they smell the contents of the cup and realized it was hand sanitizer. Per Staff #3 they disposed the cup in the trash can and took the child inside of the facility for further guidance by the school's leadership. Per Staff #1 that they called Poison Control for guidance to ensure that symptoms are being monitored for intoxication due to the hand sanitizer being "62%" alcohol. According to Staff #1 and Staff #4, that hand sanitizer was placed in the paper cup on top of the shed, due to the facility running out of individual hand sanitizer bottles for outdoor play time. Per staff Child #1 did not have any symptoms.

Based on interviews conducted by the LPA and the staffs’ own statements, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & chapter 1), are being cited on the attached LIC 9099D.

LPA Saul Valenzuela informed facility representative Laura Hernandez that this report dated 7/22/2025 document(s) 1 Type A citation(s) 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 Saul Valenzuela informed the facility representative to provide a copy of this licensing report dated 7/22/25 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.

REPORT CONTINUES PAGE 2 of 3

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 33-CC-20250721145604

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 INFANT CARE CENTER	FACILITY NUMBER: 191806530
	VISIT DATE: 07/22/2025

NARRATIVE

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

Failure to comply with posting requirements shall result in an immediate civil penalty of
$100.

An exit interview conducted, and the report was reviewed with Facility Representative, Laura Hernandez.

END OF REPORT PAGE 3 of 3

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 33-CC-20250721145604

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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 INFANT CARE CENTER	FACILITY NUMBER: 191806530
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/22/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/29/2025 Section Cited CCR 101238(g)	1 2 3 4 5 6 7	101236 Buildings and Grounds (g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement is not met as evidenced by:	1 2 3 4 5 6 7	Per Director, that anything that is toxic to children to never place it out of its original container, and keeping it away from the children. We will create an agenda and submit to LPA by POC due date.
	8 9 10 11 12 13 14	Based on interviews it was disclosed that staff did not ensure that hand sanitizer was inaccessible to children, resulting in C1 ingesting hand sanitizer. This is an immediate risk for the health and safety of children in care.	8 9 10 11 12 13 14
	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.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 07/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025

LIC9099 (FAS) - (06/04)

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