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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019171
Report Date: 03/06/2026
Date Signed: 03/06/2026 02:20:25 PM

Document Has Been Signed on 03/06/2026 02:20 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:BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTRFACILITY NUMBER:
198019171
ADMINISTRATOR/
DIRECTOR:		CECILE KEATLEYFACILITY TYPE:
850
ADDRESS:2215 E. ALCAZAR ST.TELEPHONE:
(323) 405-6400
CITY:LOS ANGELESSTATE: CAZIP CODE:
90033
CAPACITY: 84TOTAL ENROLLED CHILDREN: 68CENSUS: 66DATE:
03/06/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Cynthia Rosales, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
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On Friday March 3,2026 , Licensing Program Analyst (LPA) Staicy Perry conducted an unannounced case management- Incident inspection to follow up with an incident that was reported to the department. LPA Perry met with Cynthia, Director, who guided LPA Perry on a tour of the facility. Per Director there are currently 68 children enrolled at the facility. Census was taken and LPA Perry observed 66 children in care at the time of inspection.

During the investigation, interviews were conducted with staff, director and parents and pertinent documentation was reviewed and obtained regarding the incident with child #1. The incident was reported to the Department on 3/4/2026 for an incident that occurred on 3/3/2026 which is in within the required 24-hour period and written report (LIC624) was received by the Department on 3/4/2026. It was reported that Child #1 was left unsupervised in the classroom for about 20-30 minutes.

LPA conducted staff interviews. Staff #1 stated that Child #1 was sitting in the library area with another child prior to the class transitioning outside. Staff #1 reported that she conducted a name-to-face count prior to transitioning outdoors and was visually counting children, Staff#1 also stated that the classroom iPad needed to be charged. Staff #1 stated she believed she had the correct number of children in her care and transitioned the class outside without ensuring that Child #1 had followed the group. Staff #1 stated they later became aware that Child #1 remained inside the classroom when Staff #2 informed them that Child #1 had been found inside the classroom alone. Staff #1 immediately went to Child #1, hugged and consoled Child#1. Staff #1 stated that Child #1 was under their responsibility and that they take full accountability for the incident. Staff #2 stated that they located Child #1 inside the classroom while entering the classroom at approximately 3:15 PM to conduct a staff break.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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 03/06/2026 02:20 PM - It Cannot Be Edited


Created By: Staicy Perry On 03/06/2026 at 11:00 AM
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: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR
FACILITY NUMBER: 198019171

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/09/2026
Section Cited
CCR
101229(a)(1)

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Careand Supervision (a) The licensee shallprovide care and supervision as necessaryto meet the children's needs. (1) Nochild(ren) shall be left without the supervisionof a teacher at any time, except as specifiedin Sections ...
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Per facility director, Cynthia, a meeting was held with staff on 3/5/2026 and reviewed transition and name to face procedures. Classrooms will transition in whole groups with two staff when possiable to help ensure the transition is completed with sweeps and leaership team will check on transitions reguarly to ensure they are being completed properly.
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Supervision shall include visual observation. This requirement is not meet evidence by:
LPA Perry determined that Child #1 was left unsupervized for approximately 34 minutes.
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Additionally, The director will conduct daily supervision checks every 30 minutes and monitoring of classroom transitions for the next 30 days to ensure staff are following required supervision procedures via a form and send to LPA Perry daily by the end of the day. Declaration was obtained during viait.

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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.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Staicy Perry
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/06/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2026


LIC809 (FAS) - (06/04)
Page: 3 of 5
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: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR
FACILITY NUMBER: 198019171
VISIT DATE: 03/06/2026
NARRATIVE
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The Facility Director stated that she became aware of the incident when Staff #1 approached her and reported that Child #1 had been left inside the classroom for approximately 20 minutes. The Director stated that parents were notified immediately at pick-up time and again the following morning, and an incident report was provided to the parents. The Director provided a written declaration stating: “ Staff attended mandatory training on 3/5/26 to cover supervision requirements, policies, and procedures. Regional Manager, Meagan Garris, facilitated the training 3/5/26. Center leadership will be conducting additional observations of transitions to verify compliance. Outdoor schedules will be reviewed and adjusted accordingly to allow for appropriate transition time. We have rearranged rooms for maximum room supervision. Groups will transition with two teachers, when possible”. The Director further stated that Staff #1 has been placed on administrative leave pending further investigation.

LPA conducted child interview. Child #1 stated that on one occasion they were sitting in the classroom library area after a teacher told child#1 and friend to sit and wait while other children finished using the restroom. Child #1 stated another child was sitting with them initially but later left. Child #1 stated the class went outside and that no friends names were called, causing Child#1 to remain inside the classroom alone for a period of time. Child #1 stated another teacher later found them inside the classroom. Child #1 reported they felt sad. Child #1 also stated that they like their teachers, including staff#1.

During the investigation, LPA Perry obtained and reviewed the facility’s transition tracking policy. The transition report indicated Child #1 was signed out to the playground at 2:42 PM and signed back into the classroom at 3:17 PM. Staff #1 reported that a name-to-face count was conducted prior to transitioning outside. Based on the times documented, the child was left unattended for approximately 34 minutes, until Staff #2 located the child inside the classroom at approximately 3:15 PM. LPA also reviewed the facility’s employee handbook and supervision policies, which outline procedures for transition tracking and required room sweep procedures. The facility provided documentation of these policies to the Department. LPA discussed the facility’s progressive discipline procedures per their employee handbook with the Director. The Director stated that Staff #1 does not have a prior history of counseling notes or noncompliance documented in her personnel file. LPA reviewed Staff #1’s personnel file and confirmed that Staff #1 is a fully qualified teacher authorized to work in the classroom and had no history of non compliance. LPA advised the Director that the Department has previously addressed concerns related to responsibility for care and supervision at the facility. The facility has had prior incidents involving supervision and care provision requirements under Title 22 regulations, and a Non-Compliance Conference was held at the Monterey Park Regional Office on October 14, 2025, during which the Department reviewed expectations regarding compliance with care and supervision requirements. The Director acknowledged understanding of these expectations.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: BRIGHT HORIZONS @USC ALCAZAR CHILD DEV. CTR
FACILITY NUMBER: 198019171
VISIT DATE: 03/06/2026
NARRATIVE
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The Director also stated that facility staff have received additional training on supervision policies and procedures following prior incidents related to supervision that occurred on March 3, 2026, February 23, 2026, and April 16, 2025.

Based on interviews conducted, record reviews, and review of pertinent documentation, LPA determined that Child #1 was left unsupervised in the classroom for approximately 34 minutes. The following (1) TYPE A deficiency listed on the following page was observed by the LPA Perry and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D for citation. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt. Deficiencies that are being cited need to be cleared to protect the children’s health and safety. Civil Penalty is being assessed.

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 was conducted, and a copy of this report was provided to Cynthia, Director along with Appeal Rights.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2026
LIC809 (FAS) - (06/04)
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