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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416908
Report Date: 02/13/2025
Date Signed: 02/13/2025 03:16:47 PM

Document Has Been Signed on 02/13/2025 03:16 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. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CCRC HEAD START - DENNIS P ZINE COMMUNITY CENTERFACILITY NUMBER:
197416908
ADMINISTRATOR/
DIRECTOR:		THERESA MILESFACILITY TYPE:
850
ADDRESS:21400 W. SATICOY STREETTELEPHONE:
(818) 456-4568
CITY:CANOGA PARKSTATE: CAZIP CODE:
91311
CAPACITY: 65TOTAL ENROLLED CHILDREN: 46CENSUS: 30DATE:
02/13/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Tamar Odasbashian- Center DirectorTIME VISIT/
INSPECTION COMPLETED:
03:20 PM
NARRATIVE
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On 02/13/2025 at 1:00p.m. Licensing Program Analyst (LPA)Doris Whitmore conducted an unannounced visit for conducting a Case Management Inspection follow up due to an incident that occurred on 09/26/2024. and was reported to the Regional Office. LPA met with Tamar Odabashian, Center Director and informed the nature of the visit. At the time of the visit there was only 30 children and 9.

On 01/21/2025 LPA Whitmore conducted the Case Management Incident and interviewed (C1) and ( S1) .(S1) stated that there was a total of 12 children the day of the incident. There were 3 teachers and that two teachers came in from another school to sub that day.(S1) stated that she saw two kids that were kind of playing. with toys and blocks. ( S1) saw (C1) mouth headed towards another child.(S1) stated that she moved the child from biting another child. After that ( C1) was sad and i told her that we do not bite at school.( S1) stated that she spoke to the parent. ( S1) stated that before the incident occurred ( C1) was sitting at the table playing with the blocks.( S1) stated during the interview and demonstrated that she gently moved ( C1) head back. During the demonstration LPA Whitmore observed( S1) hand placed in the middle of the forehead. ( S1) stated that it was a soft push where it was enough space to remove (C1) from biting. (S2) stated that it was her only day to provide support.( S2) stated during the interview on the phone that they were on the playground and one of the children she was sitting by. One of them tried to bite the other one. ( S2) stated that when she saw (S1) the teacher of the classroom slapped the girl in the face. When ( S2) heard the sound of the slap she turned to her side and ( S1) was scared like what did i do. The other teacher went to ( S1) and said be careful. ( S2) stated that she was standing in front of the door that goes to the playground. ( S2) stated that ( S1) touched the child cheeks. ( S2) stated that (S1) slapped ( C1) between the mouth and ear close to the mouth.

( S3) stated during the interview that she was working at Zine for a month. ( S3) stated that it was 3 teachers. ( S3) stated that it was almost towards the end of the day about 4:00p.m. We were outside and that there were children from class 01 and class 02.( S1) was passing water to the children.( S3) stated that she was holding a hand of one of the kids. We were waiting to go inside. We knew that one of the kids it is a

Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029
DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2025
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. 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: 02/13/2025
NARRATIVE
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little girl that bites all the time. We are aware that we have to look at what she is doing. ( C1) almost bit another child on the shoulder. ( S1) was close to the kids. We saw that ( C1) almost bit another child( S1) was close to the child. ( S1) thought it was a reaction to prevent the child from biting. ( S3) stated that ( S1) put her hand close to her mouth.( S3) stated that she did not see her pushing her mouth or face ( S1) screamed dont bite her. ( C1) did not cry. she drunk her water, ( C1) did not seen scared. The Center Director was not present the day of the incident,
Based on staff interviews and interview with ( C1) ( S1) stated during interview and demonstrated that she gently moved ( C1) head back. this is a violation of Personal Rights.

LPA Doris Whitmore informed that this report dated 02/13/2025 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care. Also, LPA (Doris Whitmore) informed the licensee Tamar Odabashian to provide a copy of this licensing report dated 02/13/2025 that documents any Type A citations to parents/guardians of all children currently enrolled by the next business day or next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report(LIC9224), or other written statement, must be placed in the child’s file for verification.

An exit interview was conducted and a copy of his report, appeal right, D- Page, was given to Center Director Tamar Odasbian.

SUPERVISOR'S NAME: Karren StarksTELEPHONE: (310) 740-3038
LICENSING EVALUATOR NAME: Doris WhitmoreTELEPHONE: 424-301-3029
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/13/2025 03:16 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/13/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/13/2025
Section Cited
CCR
101223(a)(1)(3)

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(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.
(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule.......
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Licensee has provided documentation of sign in sheets, powerpoint presentation and coaching plan for CCRC Dennis P Zine.
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This requirement is not met met as evidence
by: ( S1) during interview stated and demonstrated how she gently moved head back.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029

DATE: 02/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/13/2025

LIC809 (FAS) - (06/04)
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