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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013939
Report Date: 10/15/2025
Date Signed: 10/15/2025 05:26:31 PM

Document Has Been Signed on 10/15/2025 05:26 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:PUEBLO DE ESPERANZA CHILD CARE CENTERFACILITY NUMBER:
198013939
ADMINISTRATOR/
DIRECTOR:
KAREN PINEDOFACILITY TYPE:
850
ADDRESS:1031 S. HOPE STREETTELEPHONE:
(323) 223-3313
CITY:LOS ANGELESSTATE: CAZIP CODE:
90015
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 23DATE:
10/15/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Maria Aguilar, Campus SupervisorTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Franchesca White arrived to the above facility for the purpose of an unannounced Case Management - Incident inspection. LPA White announced the purpose of the visit and was granted entry into the facility by Maria Aguilar, Campus Supervisor. There are 23 children present at the time of inspection. All staff have current criminal background clearance.

The purpose of today's visit is to follow up on an Unusual Incident Report received to he department on 10/13/2025. Child 1 (C1) was going from the slide to a little tunnel. He lost his balance and bumped the right side of his forehead on the edge of the tunnel.

LPA White toured the facility and outdoor play area to see the location of the incident. Interviews with staff and administration revealed that there were 11 children on the play yard, and 3 staff providing supervision in various areas of the yard. Immediate attention was given to the injured area, and parent was called. Upon return to school Monday, October 13, 2025, the parent stated that the child was taken to emergency and the wound was closed using medical adhesive Therefore, the injury that initially was considered a bruise, was actually a cut. C1 was not present at school today. Ms. Aguilar stated during the interview that the child was out ill and taken to the doctor for cold/flu symptoms and has a doctor's note not to return to school until 10/17/2025.

Based on a similar medical injury incident that occurred on 7/14/2024 where C2 broke his ankle running around the same play gym that C1 injured himself on 10/9/2025, it is evident that this play area poses a health and safety risk to children in care. Best practice recommendations were discussed with administration to consider increased safety measures and supervision of children in care. (Report Continues 1 of 2)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/15/2025
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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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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Document Has Been Signed on 10/15/2025 05:26 PM - It Cannot Be Edited


Created By: Franchesca White On 10/15/2025 at 03:10 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: PUEBLO DE ESPERANZA CHILD CARE CENTER

FACILITY NUMBER: 198013939

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
11/14/2025
Section Cited
CCR
101238.2e(1)(2)

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Outdoor Activity Space (e) ... areas around ...swings, slides... shall be cushioned with material that absorbs falls. (1) Sand, ... (2) The use of cushioning material other than that... installation.
This measurement was not met as evidenced by:

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Campus Supervisor Maria Aguilar states that they will review the report, and determine how to make the area safe to prevent further injury of the children on or before the plan of correction date, 11/14/2025.
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Facility did not have cushioning to prevent medical injury of one out eleven day care children which posed a potential risk to the health and safety 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.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Franchesca White
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/15/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: PUEBLO DE ESPERANZA CHILD CARE CENTER
FACILITY NUMBER: 198013939
VISIT DATE: 10/15/2025
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Based on today's observations, interviews and record review the following deficiency is cited on 809D. A plan of correction will be discussed and agreed upon at the conclusion of the visit.

Report was reviewed with facility representative, Maria Aguilar (Campus Supervisor).

A notice Site visit was given and must remain posted for 30 days. Failure to post will result in a civil penalty of $100.

A copy of the report and appeal rights was given to facility representative, Maria Aguilar (Campus Supervisor)

*Campus Supervisor Maria Aguilar was instructed by her manager, Anna Gamino (Education Coordinator) not to sign the report*

(Report Ends Here 2 of 2 Pages)
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2025
LIC809 (FAS) - (06/04)
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