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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019171
Report Date: 04/17/2026
Date Signed: 04/17/2026 03:09:46 PM

Document Has Been Signed on 04/17/2026 03:09 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: 61DATE:
04/17/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Cynthia Rosales, DirectorTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
NARRATIVE
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On Friday April 17, 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 61 children in care at the time of inspection.

During the investigation, interviews were conducted with staff, director, children and parents and pertinent documentation was reviewed and obtained regarding the incident with child #1. The incident was reported to the Department on 4/7/2026 for an incident that occurred on 4/7/2026 which is in within the required 24-hour period and written report (LIC624) was received by the Department on 4/9/2026.

The Department received a report via phone regarding an incident involving child#1 who had reportedly fell, outside in the yard to the ground after losing balance, resulting in a bump/red mark on the left side of the upper eyebrow and a small cut with bleeding to the inside of the upper lip. Additionally, the LIC 624 Unusual Incident Report indicates that child #1 fell outside on the yard while preparing to transition indoors, resulting in redness and a bump to the left side of the forehead and a cut to the left upper lip and inside of the mouth.

It was also reported by the facility that the parents were contacted and informed at 11:47am that child #1 had fallen while sitting on a bench outside the yard. Per parents of child#1, Parent of child #1 later returned that day to pick up additional items for child #1 and was then informed by Regional Manager, Megan that child #1 may have been running, fell, and hit them self. Additionally, it was indicated that Staff #1 observed the child after they had already fallen, while Staff #2 was present on the playground was reportedly organizing items on the opposite side of the yard and did not observe the incident.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2026
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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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: 04/17/2026
NARRATIVE
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LPA conducted staff interviews. Staff interviewed stated that neither staff #1 nor staff #2 observed child #1’s incident. Both staff indicated that they became aware of the incident after observing the child following the incident. Staff #1 was conducting a sweep of the upper deck playground and staff #2 was gathering children and had counted 19 children and staff #2 turned away to observe the other 2 children who were by the drinking fountain when staff #2 turned back that’s when staff#2 noticed child#1 bleeding from the mouth and observed the surrounding areas, bench and around the bench to have blood In which teachers stated that they assumed child #1 was sitting on the bench and fell since the incident was not observed.

LPA Perry interviewed children. All children interviewed stated that Child #1 fell on the concrete while running. Child #7 stated that Child#1 was sad and staff #1 wiped child#1 mouth for the blood. Child #1 stated that they received an owie when they fell while running on the concrete. Child #1 additionally stated that it still hurts and they are sad. Child #3 stated that teachers seen Child #1 after child #1 fell and that staff#1 gave ice and towels.

The Facility Director clarified that after doing an internal investigation it was determined that staff had assumed child was sitting on the bench since there was blood on the bench and around the bench.

During the investigation, LPA Perry obtained and reviewed the medical record from the Emergency Room. Child #1 was taken by the parent to seek emergency medical attention at a local emergency room following the incident. According to the medical documentation provided, the child sustained a 1 cm laceration to the upper lip involving the vermilion border, which required three sutures. The medical report further indicates the child was provided with pain medication for treatment. Additionally, the child sustained an abrasion to the left eyebrow.

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.

Based on interviews conducted, record reviews, and review of pertinent documentation, LPA determined that no staff saw Child #1’s incident, in which child #1 sustained an injury requiring medical attention in which child#1 sustained a 1 cm laceration to the upper lip involving the vermilion border, which required three sutures, which poses an immediate danger to the health and safety of the children in care. The following (1) TYPE A deficiency listed on the following page was observed by the LPA Perry and is being cited in

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

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC809 (FAS) - (06/04)
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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: 04/17/2026
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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. Deficiency that are being cited need to be cleared up 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: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/17/2026 03:09 PM - It Cannot Be Edited


Created By: Staicy Perry On 04/17/2026 at 02:11 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 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: 04/17/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/20/2026
Section Cited
CCR
101229(a)(1)

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Care and Supervision (a) The licensee shallprovide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specifiedin Sections ..
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Facility will be conducting a staff meeting on 4/30/2026 and will provide LPA Perry with sign in and out sheets and copies meeting itinary. Facility will create an outdoor supervision plan and provide to LPA. Facility will ensure that when children are outside on the preschool yard they will go out in smaller groups, half the number of total children for that day will go outside at a time.
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Supervision shall include visual observation. This requirement is not meet evidence by:
No staff saw Child #1’s incident, in which child #1 sustained an injury requiring medical attention in which child sustained a 1 cm laceration to the upper lip involving the vermilion border, which required three sutures, which poses an immidtae risk to the health and safety of the 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.
Brandi VanOosten
NAME OF LICENSING PROGRAM MANAGER:
Staicy Perry
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/17/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/17/2026


LIC809 (FAS) - (06/04)
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