191890457-10-1-2021-30-CC-KSTS-C7HRZQ-20211005132820

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191890457
Report Date: 10/01/2021
Date Signed: 10/01/2021 02:58:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/08/2021 and conducted by Evaluator Dalicia Adkins

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210708161923

FACILITY NAME:	TOLUCA LAKE EARLY EDUCATION CENTER		FACILITY NUMBER:	191890457
ADMINISTRATOR:	KAZARIAN, VIKEN		FACILITY TYPE:	850
ADDRESS:	4915 STROHM AVE		TELEPHONE:	(818) 980-0925
CITY:	NORTH HOLLYWOOD	STATE: CA	ZIP CODE:	91601
CAPACITY:	119	CENSUS: 38	DATE:	10/01/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Office Manager,		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Classroom's air conditioning system is in disrepair

INVESTIGATION FINDINGS:

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On 10/1/2021 Licensing Program Analyst (LPA) Dalicia Adkins conducted unannounced complaint investigation and met with Office Manager, John Ngo. LPA disclosed the purpose of the visit and director provided LPA with tour of the facility.

The Purpose of today's visit is to deliver finding of the above mentioned allegation.
In classroom #1 there were 17 children, 2 Teachers and 3 Aides. In Classroom # 2 there were 9 children, 1 teacher and 3 aides. In classroom #3 there were 12 children, 2 teachers and 1 aide.

LPA Adkins interviewed staff and collected Children's Roster.
LPA observed the facility to be well ventilated and operating at a comfortable room temperature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 30-CC-20210708161923

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: TOLUCA LAKE EARLY EDUCATION CENTER	FACILITY NUMBER: 191890457
	VISIT DATE: 10/01/2021

NARRATIVE

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LPA observed a operable air conditioning system throughout the facility, all classrooms maintained a comfortable temperature. Addition to the main air conditioning system, classrooms also have portable air conditioning units and fans.

Based on interviews, observations, file reviews, and supportive documents/records it was determined that the above mentioned allegation to be unsubstantiated.

Unsubstantiated – A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

In accordance with California Code of Regulations, Per Title 22 Division 12 Chapter 3,of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted, a copy of this report and notice of site visit provided.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Dalicia Adkins	TELEPHONE: (424) 301-3064
LICENSING EVALUATOR SIGNATURE:	DATE: 10/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2021

LIC9099 (FAS) - (06/04)

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