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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191806530
Report Date: 03/21/2025
Date Signed: 03/21/2025 02:57:11 PM

Document Has Been Signed on 03/21/2025 02:57 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 INFANT CARE CENTERFACILITY NUMBER:
191806530
ADMINISTRATOR/
DIRECTOR:		LAURA HERNANDEZFACILITY TYPE:
830
ADDRESS:4601 SUNSET BOULEVARDTELEPHONE:
(323) 361-4601
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY: 27TOTAL ENROLLED CHILDREN: 23CENSUS: 7DATE:
03/21/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Laura Hernandez, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced POC (Plan of Correction) inspection to insured that the two (2) Type B deficiencies cited on 3/13/2025 have been cleared. LPA met with Director Laura Hernandez and Site Supervisor Marife Adriano, who guided analysts on a tour of the facility. Census was taken.

The following was observed:

- Mandated Reporter Training Certificates in staffs’ files

- Medication was removed from the premises.

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date- LPA issued POC clearance letter during the visit.

During this inspection, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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.

Exit interview conducted and report was reviewed with Director Laura Hernandez.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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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