198020719-10-11-2023-33-CC-CRES-CWJ297-20231011171129

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198020719
Report Date: 10/11/2023
Date Signed: 10/11/2023 05:11:35 PM

Document Has Been Signed on 10/11/2023 05:11 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	HOPE STREET FRIENDS		FACILITY NUMBER:	198020719
ADMINISTRATOR:	ELVIA RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	330 S. HOPE ST STE# 3-010		TELEPHONE:	(503) 872-1300
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90071
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 34	DATE:	10/11/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Elovia Rodriguez		TIME COMPLETED:	05:25 PM

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Licensing Program Analysts (LPAs) Cynthia Reyes and Staicy Perry conducted a case management inspection due to two incidents that came into the office on 10/02/23 and incidents occurred on 05/14/2023 and 09/29/23. LPAs met with Administrator Elvia Rodriguez. Elvia guided the analyst on a tour of the facility inside and out. LPAs observed that there were 34 preschool children and 5 teachers present during the time of inspection.

The first incident that occurred on 05/14/2023 is regarding staff #1 who observed staff #2 grab child #1 on the arm while transitioning to nap time and used a stern tone while speaking to the child. Per interviews with staff, there was no disclosures other then staff #1 of this incident occurring. The department has found that a technical advisory will be given for not being consistent with staff on how this incident was handled.

The second incident that occurred was on 09/29/2023 where staff #3 and staff #4, disclosed they witnessed staff #5, holding child #2 by the wrist while walking the child to another class room and child #2 was pulling away from staff #5 during the transition. Per interviews with staff and children it was disclosed that staff #5 did pull child by the hand in an inappropriate manner. Citation is being given on this date. See 809D

LPAs conducted interviews with staff and children, made observations by touring the facility and obtained documentation during this inspection.

The facility self reported these incidents and followed all proper procedures per the parent handbook/admission agreement, incident reports were called in and sent in properly and timely and parents notified.

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SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: HOPE STREET FRIENDS	FACILITY NUMBER: 198020719
	VISIT DATE: 10/11/2023

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The deficiency listed is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809D. Deficiency that is being cited needs to be cleared to protect the children’s health & safety. Technical Advisory was also given on this date.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Upon receipt of this report, the licensee shall post any licensing report documenting a type “A” citation. This must remain posted for 30 days during hours of operation. In addition to posting this report, the licensee will also provide copies of this report to the parents of children enrolled and to any parents of newly enrolled children in care for up to one year. Parents are required to sign the LIC 9224 Acknowledgement of Receipt of Licensing Reports, and a copy must be placed in children's files. A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided.

Exit interview was conducted with Director Elvia Rodriguez. Appeal rights explained & provided.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/11/2023 05:11 PM - It Cannot Be Edited

Created By: Cynthia Reyes On 10/11/2023 at 04:09 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: HOPE STREET FRIENDS	FACILITY NUMBER: 198020719
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/11/2023 Section Cited CCR 101223(a)(3)	1 2 3 4 5 6 7	101223 Personal Rights(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat,......... to physical functioning. This requirement is not met as evidenced by interviews conducted from staff and children determined that the incident regarding	1 2 3 4 5 6 7	Director state she had an all staff trainnng on 10.9.2023 regarding Mandated Reporting and Positive Child Guidance. Director provided the department wth the training agenda and copies of the staff who attened sign in and out sheets of who attended trainings
	8 9 10 11 12 13 14	Child #2, was pulled by the wrist in an inapproperiate way while being transitioned to another classroom, by a staff member. This is an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	Staff member involved was terminated from facility.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Christina Gabelman

LICENSING EVALUATOR NAME:

Cynthia Reyes

LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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