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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890481
Report Date: 10/31/2024
Date Signed: 10/31/2024 04:26:25 PM

Document Has Been Signed on 10/31/2024 04:26 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PACOIMA EARLY EDUCATION CENTERFACILITY NUMBER:
191890481
ADMINISTRATOR/
DIRECTOR:		JENNIFER MOVSESSIANFACILITY TYPE:
850
ADDRESS:11059 HERRICK ST.TELEPHONE:
(818) 896-3722
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 27DATE:
10/31/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Jennifer Movsessian, Principal TIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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
Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection due to a self-reported incident that occurred at the facility. LPA arrived at the facility at 1:20PM and met with Jennifer Movsessian, Principal, who guided LPA on a tour of the facility. There were 27 children in care and 20 staff present upon arrival.

The incident that occurred on 10/29/2024, was reported to the Department on 10/30/2024, via email. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that on 10/29/2024, student restrooms stopped working. One adult restroom was available for use, students were using elementary school restrooms, and portable restrooms were delivered for use until the Office of Environmental Health and Safety (OEHS), a department with in the Los Angeles Unified School District (LAUSD), cleared the restrooms for use.

During today's inspection of the facility, LPA observed restrooms to be operable but inaccessible due to drains located in the restrooms identified as Tots, Girls, and Boys, that had water flowing back up from the drains. The Tots restroom has 3 toilets and 2 sinks that were inaccessible. The Girls restroom has 2 toilets and 2 sinks that were inaccessible. The Boys restroom had 1 toilet, 2 urinals, and 2 sinks that were inaccessible. Per LAUSD policy, the Principal did not have the authority to close the facility during repairs. Closure of the facility is only at the discretion of the Superintendent.

Regulation 101239(h) states based on the total licensed capacity, one toilet and one handwashing fixture shall be maintained for every 15 children. The facility is licensed for a capacity of 115 children. The facility had 2 portable toilets and 2 portable sinks accessible outdoors for children to use. The portable toilets and portable sinks were located on the property of the elementary school next to the fence that separates the licensed facility from the elementary school. ---Page 1 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PACOIMA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890481
VISIT DATE: 10/31/2024
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
Regulation 10239(i) states there shall be one toilet and one handwashing fixture, separate from and in addition to the number of toilets and handwashing fixtures required in (h) above, designated for use by children who are ill, for use by staff. Per Principal, the staff restroom located in the staff lounge was the only restroom available for both adults and children to use inside the facility.

LPA observed an additional portable toilet and portable sink located in the staff parking lot. Per Principal, the portable toilet and sink located in the staff parking was for adult use only. Principal also disclosed that the portable toilets and sink have been services daily. LPA observed the portable toilets and sinks being cleaned and services during the inspection.

Principal disclosed that the preschool restrooms located on the grounds of the adjacent elementary school were also being used. LPA measured the preschool restrooms and found restrooms to be inaccessible by a locked gate and located 177 feet away from the facility. Upon record review, LPA discovered that the preschool is a separate licensed facility.

During an interview with staff, disclosures were made regarding Child #1 who soiled there clothes due to the restrooms being inaccessible. LPA conducted an interview with Child #1's parent and parent clarified that Child#1 did not soil their clothes due to restrooms being inaccessible. Child #1 has had previous incidences of soiled clothing both at home and in care. Parent and staff had been working on supporting Child#1 prior to the incident reported.

Based on disclosures made by the Principal and observations made by the LPA, the following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.

A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.

A copy of the LIC 9224 - Acknowledgement of Receipt of Licensing Reports was provided during this visit.
---Page 2 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: PACOIMA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890481
VISIT DATE: 10/31/2024
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
The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Jennifer Movsessian, Principal.

---Page 3 of 3
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 10/31/2024 04:26 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 10/31/2024 at 03:39 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PACOIMA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890481

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/31/2024
Section Cited
CCR
101223(a)(2)

1
2
3
4
5
6
7
(a) The licensee shall ensure that each child is accorded the following personal rights...(2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs...

This requirement was not met evidenced by:
1
2
3
4
5
6
7
Per Principal, clearance from OEHS is pending and restrooms will be accessible tentatively 11/1/2024.
8
9
10
11
12
13
14
Based on observations and disclosures made by the Principal, the licensee did not comply with the section cited above in children did not have accessible toilets and sinks to meet their needs which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Request Denied
Type A
10/31/2024
Section Cited
CCR101239(h)

1
2
3
4
5
6
7
(h) Based on the total licensed capacity, one toilet and one handwashing fixture shall be maintained for every 15 children...

This requirement was not net evidenced by:
1
2
3
4
5
6
7
Per Principal, clearance from OEHS is pending and restrooms will be accessible tentatively 11/1/2024.
8
9
10
11
12
13
14
Based on observations and disclosures made by the Principal, the licensee did not comply with the section cited above in the facility only had 2 portable toilets and 2 portable sinks available outdoors for a capacity of 115 children to use which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 10/31/2024 04:26 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 10/31/2024 at 03:49 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PACOIMA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890481

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
10/31/2024
Section Cited
CCR
101239(i)

1
2
3
4
5
6
7
(i) There shall be one toilet and one handwashing fixture, separate from and in addition to the number of toilets and handwashing fixtures required... designated for use by children who are ill, for use by staff...
This requirement was not met evidenced by:
1
2
3
4
5
6
7
Per Principal, clearance from OEHS is pending and restrooms will be accessible tentatively 11/1/2024.
8
9
10
11
12
13
14
Based on observations and disclosures made by the Principal, the licensee did not comply with the section cited above in the staff restroom located in the staff lounge was the only restroom available for both adults and children to use inside the facility which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Request Denied
Type A
10/31/2024
Section Cited
CCR101161(a)

1
2
3
4
5
6
7
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement was not met evidenced by:
1
2
3
4
5
6
7
Per Principal, clearance from OEHS is pending and restrooms will be accessible tentatively 11/1/2024.
8
9
10
11
12
13
14
Based on observations and disclosures made by the Principal, the licensee did not comply with the section cited above in the facility was using restrooms that required removing children from the facility to the property of a different licensed facility which poses an immediate health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 10/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/31/2024


LIC809 (FAS) - (06/04)
Page: 5 of 5