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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020719
Report Date: 04/23/2025
Date Signed: 04/23/2025 02:32:35 PM

Document Has Been Signed on 04/23/2025 02:32 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:HOPE STREET FRIENDSFACILITY NUMBER:
198020719
ADMINISTRATOR/
DIRECTOR:
ANA MARTINEZFACILITY TYPE:
850
ADDRESS:330 S. HOPE ST STE# 3-010TELEPHONE:
(503) 872-1300
CITY:LOS ANGELESSTATE: CAZIP CODE:
90071
CAPACITY: 60TOTAL ENROLLED CHILDREN: 51CENSUS: 43DATE:
04/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:31 PM
MET WITH:Ana Martinez, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:40 PM
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On April 23, 2025, Licensing Program Analyst (LPA) Joanne Solorio-Campos conducted an unannounced case management inspection for the purpose of following up on an incident reported to the department on 4/22/25. Upon arrival LPA met with Director Ana Martinez. Director guided LPA on a tour of the facility. The purpose of the inspection was to obtain additional information from the facility regarding the incident with follow up measures were conducted to prevent further similar incidents. Census was taken and LPA observed 43 children and 8 staff at the time of inspection. Facility operation hours are Monday to Friday 7am-7pm. Per Director there are currently 51 children enrolled.

The department received an incident report from this facility on Tuesday, April 22,2025 for an incident that occurred at the facility on April 21,2025 involving a child who wandered away while in care.

During the visit LPA Solorio Campos observed the outdoor play yard as well as classroom exit/entrance doors where C#1 wandered away from. LPA conducted an interview with center Director. Director stated that the incident happened during pick up time at the end of the day. C#1 was in the play yard with S#1 when a parent picking up their child opened the door that leads into the play yard and C#1 was able to walk through parent’s legs and into the classroom. S#1 was standing right next to the door that the parent opened and she reached for C#1 but was unable to reach C#1 as he was too fast. Parent chased after C#1 and S#1remained outdoors with the remaining 8 children. Parent called out to Administrators that C#1 was running. C#1 was able to run through multiple doors reaching just outside facility entrance where a Staff member, along with parent, was able to get a hold of C#1 by his hands and bring him back into the facility. Facility is located inside an office building, so child remained indoors at all times and remained in view of adults. C#1s parents were immediately informed of incident and did state that C#1 does have tendency to wander at home.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/23/2025
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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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: HOPE STREET FRIENDS
FACILITY NUMBER: 198020719
VISIT DATE: 04/23/2025
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Per director, they have implemented new parent pick-up protocols. The parents will no longer enter the classrooms and are now picking up their child in a designated pick-up location where front office will communicate with teachers via walkie-talkies when parent is here and ready for pick up. Per director, they have written an action plan on new protocols for pick-up procedures and have sent out a notice to all families. Per director, they will be having an all staff meeting on 4/23/25 to discuss and review the new pick-up procedures. Director has also submitted a work order to mount a mirror in the front lobby for more visualization of the facilities hallway. LPA obtained and reviewed supporting documents at time of inspection: Written action plan, Staff meeting Agenda, Letter to parents, and work order submitted.

Based on observations, record reviews, and interviews LPA determined that C#1 was not in immediate health and safety risk as he was within view of an adult at all times and did not go out into the public streets. Facility responded immediately and created updates to policy within 24 hours of the incident to prevent further incidents of this nature.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025
LIC809 (FAS) - (06/04)
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