198018225-3-4-2025-33-CC-SVAA-DEFRHW-20250304120301

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198018225
Report Date: 03/04/2025
Date Signed: 03/04/2025 12:03:07 PM

Document Has Been Signed on 03/04/2025 12:03 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:	PARA LOS NINOS HEAD START - HOLLYWOOD		FACILITY NUMBER:	198018225
ADMINISTRATOR/ DIRECTOR:	ANGELA CAPONE		FACILITY TYPE:	850
ADDRESS:	5000 HOLLYWOOD BLVD		TELEPHONE:	(213) 250-4800
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90027
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 44	CENSUS: 35	DATE:	03/04/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Vanessa Quezada, Site Supervisor		TIME VISIT/ INSPECTION COMPLETED:	12:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced Case Management inspection due to an incident that was reported to the Department on 2/27/2025. LPA met with Facility Representative, Vanessa Quezada, who guided LPA on a tour of the facility. Census was taken.

On February 27th, 2025, an incident was self-reported to the Department via Email by the facility who reported that Child #1 bit Child #2 on the cheek.

All reports were reported within the required 24 hours. The purpose of the inspection was to obtain additional information regarding the incidents reported to the Department.

During the inspection, LPA Valenzuela conducted interviews with staff. No disclosures were made by staff.

LPA obtained copy of incident report.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies cited.

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

Exit interview conducted and report was reviewed with facility representative, Vanessa Quezada.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2025

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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