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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019171
Report Date: 02/23/2026
Date Signed: 02/23/2026 11:44:15 AM

Document Has Been Signed on 02/23/2026 11:44 AM - 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: 66CENSUS: 57DATE:
02/23/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Director Cynthia TIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
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On Monday, February 23, 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 66 children enrolled at the facility. Census was taken and LPA Perry observed 57 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 2/13/2026 which is in within the required 24-hour period however, written report (LIC624) was not received by the Department as of today, 2/23/2026, which poses a potential risk to the health and safety of the children in care.

On 2/13/2026, the Department received an Unusual Incident Report (UIR) regarding Child #1 being left in the classroom during a parent event on 02/13/2026 under the supervision of another parent, in which child #1 was confirmed to be signed in to the facility. It was reported that Parent #1 signed Child #1 into care at 8:04 AM, admitting the child into the facility’s care and supervision. During a parenting event held at the facility that day, 2/13/2026, Parent #1 left the premises and left Child #1 in the care of Parent #2 in the classroom without notifying facility staff in which who was outside with another group of children.

LPA Perry interviewed staff #1. It was disclosed staff #1 did communicate to parent to bring child #1 outside once they were leaving and that once staff #1 became aware that Parent #1 had left the premises, staff#1 communicated it to the facility director Cynthia contacted Parent #1 and informed them that they should have communicated that they were leaving since child was signed into the facility. LPA Perry did communicate to director and staff #1 the facility assumes responsibility for care and supervision regardless of whether a parent remains on site for a special event due to the child #1 being signed in. Staff #1 additionally stated that child #1 was not under direct visual supervision of a staff member or herself.

NAME OF LICENSING PROGRAM MANAGER: Brandi VanOosten
NAME OF LICENSING PROGRAM ANALYST: Staicy Perry
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2026
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 6
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 02/23/2026 11:44 AM - It Cannot Be Edited


Created By: Staicy Perry On 02/23/2026 at 09:40 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: 02/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/24/2026
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a) The licensee shall provide 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 specified in Sections...
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Per facility director sign in and out sheets have been moved from the front office to each classroom to ensure ratios and supervision is being met and that staff are aware of who is in their care at all times. Director did send out an email to all staff on friday 2/20/2026 remininding all staff to maintain accurate attendance records.
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Supervision shall include visual observation. This requirement is not met as evidence by:

LPA Perry determined that Child #1 being left in the classroom during a parent event on 02/13/2026 under the supervision of another parent, in which child #1 was confirmed to be signed in to the facility., which poses an immediate risk to the health and safety of the children in care.
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In addition facility will review title 22 regulation with all staff on Responsibility for providing care and supervision and have staff sign and date the form to ensure they understand. Facility wil send via email to LPA Perry by POC date.

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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: 02/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/23/2026 11:44 AM - It Cannot Be Edited


Created By: Staicy Perry On 02/23/2026 at 11:03 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: 02/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/24/2026
Section Cited
CCR
101212(d)(2)

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101212 Reporting Requirements...(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the...... In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
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Facility Director will review Title 22 regulations on Reporting requirements that was printed by LPA Perry and once reviewed and read the director will email a signed and dated copy of the regulation as well as a declaration of undestaning the steps of the LIC624 form once an incident has been submitted.
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This requirement is not met as evidenced by:

Based on interviews and record review, the licensee did not comply with the section cited above as the facility did not submit to the department the LIC624 written report within the required 7 days hich poses a potental 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: 02/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/23/2026


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: 02/23/2026
NARRATIVE
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Director Cynthia indicated on a declaration form “I was told by Staff #1 on 2/13/2026 that while outside on the yard she saw a preschool child, Child#1, opening the door to the yard at 8:15am. Staff #1 asked Child #1 where Mom was. Another parent #2 said her Mom left. Staff #1 explained to me that during the Friendship Breakfast at about 8:10am she told 2 families, one of which was Child#1 and their Mom, that Staff #1 was taking the group outside and to please come and join them when done. The parents agreed.” Director Cynthia also stated corrective measures will include and as stated on declaration, “Parents are being reminded that they need to communicate with teachers at drop off and pick up. During events the class will remain together. Parent sign in and out sheets will move from the office back to the classrooms so that teachers have visibility into families signing in and out, as well as encouraging families to have verbal communication.

LPA Perry discussed Title 22 Regulations with the Director Cynthia regarding Responsibility for Providing Care and Supervision and that the licensee shall provide care and supervision as necessary to meet the children’s needs. Care and supervision includes visual observation. As well as children should be supervised at all times and included in ratio when signed into care. LPA Perry informed the Director that once a child is signed in, the facility maintains full responsibility for supervision and accountability of that child, regardless of whether a parent remains on the premises for a special event. Allowing another parent to supervise a signed-in child in a classroom without staff knowledge is an immediate risk to the health of safety of the children in care. LPA Perry also checked child#1’s LIC700 form, Identification and Emergency Information Child Care Centers / Family Child Care homes form and did not observe P#2, who child was left with, name to be listed as an emergency contact person although the care and supervision is still under the facility. LPA Perry also did check Employee Handbook which indicates that, “Supervision of Children Maintaining proper supervision for the health and safety of children is our primary concern. When supervising children, you are required to: Keep children within sight and sound supervision at all times; Maintain employee/child ratios set by Bright Horizons and licensing at all times, and never leave a child unattended; Be aware of the number of children in your care at all times, and implement transition tracking and roll-call procedures; Learn and implement Bright Horizons policies and procedures regarding feeding, diapering, and toileting children; and Secure children's health and safety by learning, following, and implementing individualized feeding, nutrition, allergies, medication, and hygiene requirements.” It further goes to state that employees will be provided with progressive counseling to provide general guide to address unacceptable conduct, or improper conduct either in or outside the workplace. In addition, Supervisors utilize the Employee Conference Memo as a tool to provide performance coaching and progressive counseling. Per review and interview with Director Cynthia and staff#1 it was stated that staff #1 was not provided Progressive counseling and or the Employee Conference Memo. Per director staff #1 was provided a verbal conversation to address the incident.

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

DATE: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: 02/23/2026
NARRATIVE
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LPA advised the Director Cynthia that the Department has previously addressed concerns related to Responsibility for Providing Care and Supervision. Additionally, the facility has had prior incidents involving supervision requirements under Title 22 regulations. Additionally, a Noncompliance 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. Director acknowledged understanding.

Based on interviews conducted, records review and review of pertinent documentation LPA Perry determined that Child #1 was signed into care and under the responsibility of the facility at the time Parent #1 left the premises. Facility staff were not aware that Parent #1 had left the premises due to staff #1 being outside with another group of children and Child #1 was not under direct staff supervision at all times while signed into care. 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. Facility is also being cited (1) TYPE B deficiency for reporting requirements 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 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: 02/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/23/2026
LIC809 (FAS) - (06/04)
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