197416908-4-8-2024-30-CC-KSTS-D49PAM-20240412110859

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197416908
Report Date: 04/08/2024
Date Signed: 04/08/2024 01:51:42 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 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
02/21/2024 and conducted by Evaluator Doris Whitmore

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20240221093636

FACILITY NAME:	CCRC HEAD START - DENNIS P ZINE COMMUNITY CENTER		FACILITY NUMBER:	197416908
ADMINISTRATOR:	THERESA MILES		FACILITY TYPE:	850
ADDRESS:	21400 W. SATICOY STREET		TELEPHONE:	(818) 456-4568
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91311
CAPACITY:	65	CENSUS: 23	DATE:	04/08/2024
		UNANNOUNCED	TIME BEGAN:	12:51 PM
MET WITH:	Tamar Odabashian- Center Director		TIME COMPLETED:	01:55 PM

ALLEGATION(S):

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Personal Rights- Staff did not make prompt arrangements for obtaining medical treatment for a child
Reporting Requirements- Staff not notify parent of child's serious injury in a timely manner

INVESTIGATION FINDINGS:

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On 02/27/2024 at 9: 05.LPA Whitmore initiated the complaint investigation and met with Center Director Tamar Odabashian. LPA toured the facility indoors and outdoors, observing proper teacher/child ratios with a total of 37 children and 9 teachers. LPA obtained a copy of the 2125 Participant List, Personnel Report, Copies of Confidential Medical Referral and Follow up Form, Unusual Incident/Injury Form, Policy & Procedure on Care and Supervision Plans & Child Accidents and Medical Emergencies, Head Injury Information, & Sign-in Sheets. LPA reviewed 1 file. LPA interviewed staff, director, & children. At the time of this visit, the allegation(s) require further investigation.
On 04/8/2024 at 12:51 PM LPA Whitmore conducted a visit to complete the investigation and deliver findings. LPA Whitmore met with the Center Director Tamar Odabashian. LPA toured the facility indoors and outdoors, observing proper teacher/child ratios with 23 total children in care and 12Teachers.
The Department conducted a full investigation, which included staff interviews, and interviews with relevant parties, as well as a record review, including documentation related to the allegation. LPA did not observe,
nor was information provided via interviews that provided sufficient evidence to substantiate the allegations

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024

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-20240221093636

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CCRC HEAD START - DENNIS P ZINE COMMUNITY CENTER	FACILITY NUMBER: 197416908
	VISIT DATE: 04/08/2024

NARRATIVE

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of Personal Rights - Staff did not make prompt arrangements for obtaining medical treatment for a child. Reporting Requirements - Staff did not notify parent of child’s serious injury in a timely manner. Therefore, the allegations are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris Whitmore	TELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024

LIC9099 (FAS) - (06/04)

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