<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021505
Report Date: 05/30/2025
Date Signed: 05/30/2025 10:35:58 AM

Document Has Been Signed on 05/30/2025 10:35 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 AT SOUTH FIGUEROAFACILITY NUMBER:
198021505
ADMINISTRATOR/
DIRECTOR:		SALGUERO, BRENDAFACILITY TYPE:
860
ADDRESS:515 S FIGUEROA ST SUITE 200TELEPHONE:
(323) 296-9720
CITY:LOS ANGELESSTATE: CAZIP CODE:
90071
CAPACITY: 139TOTAL ENROLLED CHILDREN: 55CENSUS: 27DATE:
05/30/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Brenda SalgueroTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On Friday May 30, 2025, Licensing Program Analysts (LPA’s) Joanne Solorio-Campos and Staicy Perry, conducted an unannounced Case Management-Incident Report visit pertaining to their infant license. LPA’s met with Director Brenda who guided LPA’s on a tour of the facility. LPA observed 27 children (18 infants) and 8 staff present during this visit. Present staff are fingerprint cleared. The department received an unusual incident report on 5/27/25 via phone for an incident that occurred on 5/20/25. Per Title 22 Regulations the report was not reported in a timely manner. Per director, a phone call was made on 5/21/25 to report the incident but the report was not documented day of due to a pending call from our office which was never made. LPAs reviewed title 22 regulations with director about Reporting Requirements and the many ways of submitting an Unusual Incident Report. Director understood.

During today’s visit, LPA’s conducted interviews with the staff present during the incident and with the director of the facility. LPA’s received declarations from staff on the details of the incident and what they observed.

LPA’s toured the facility and entered the classroom where the incident occurred. Staff #1 stated that as they were gathering the children for outdoor play, they opened the door and called on children to walk out and line up. As Child #1 was walking toward the exit, another child rolled a ball that crossed paths with C #1, causing C #1 to trip and fall hitting their forehead on the door frame. The event occurred quickly, and the staff was unable to prevent the fall. S #2 was in the classroom attending to other children at the time of the incident. Staff immediately responded, picked up Child #1 and administered first aid. The parent was notified and C #1 was picked up. Parent took child to seek medical attention. The child received two stitches on the forehead. The child returned to the facility May 22, 2025 with medical clearance stating no restrictions. Parents were provided with an incident report from the facility.

After a review of declarations submitted by staff, interviews, and observation, it was determined that staff were unable to get to the child on time to prevent the injury from happening however, there was at least one staff member who visually saw the incident occur; therefore, there is no preponderance of evidence to determine that a regulatory violation occurred, the incident was determined to be an accident. No deficiencies or civil penalties are being cited at this time.

Exit interview conducted and report reviewed with Director Brenda Salguero.

A notice of site visit was provided and appeal rights were provided and discussed.

NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Joanne Solorio Campos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2025
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 3
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)
Page: 2 of 3
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 AT SOUTH FIGUEROA
FACILITY NUMBER: 198021505
VISIT DATE: 05/30/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
After a review of declarations submitted by staff, interviews, and observation, it was determined that staff were unable to get to the child on time to prevent the injury from happening however, there was at least one staff member who visually saw the incident occur; therefore, there is no preponderance of evidence to determine that a regulatory violation occurred, the incident was determined to be an accident. No deficiencies or civil penalties are being cited at this time.

Exit interview conducted and report reviewed with Director Brenda Salguero.

A notice of site visit was provided and appeal rights were provided and discussed.

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

DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3