197493810-4-9-2021-30-CC-MRUZ-C23MYK-20210414100141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197493810
Report Date: 04/09/2021
Date Signed: 04/09/2021 01:46:17 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
02/25/2021 and conducted by Evaluator Margarit Sislyan

PUBLIC

COMPLAINT CONTROL NUMBER: 30-CC-20210225163457

FACILITY NAME:	SCHWARZKOPF FAMILY CHILD CARE		FACILITY NUMBER:	197493810
ADMINISTRATOR:	SCHWARZKOPF, ZOHAR		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 798-8774
CITY:	TARZANA	STATE: CA	ZIP CODE:	91335
CAPACITY:	14	CENSUS: 12	DATE:	04/09/2021
		UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Zohar Schwarzkoff		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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License - Facility is operating over capacity

INVESTIGATION FINDINGS:

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Margarit Sislyan, Licensing Program Analyst (LPA) conducted tele-visit on 4/9/2021 at 11:15 AM to deliver the investigation findings of the above allegations.
LPA spoke with Zohar Schwarzkoff, Licensee.
There were 12 children present at the facility along with licensee and 2 assistants.
During the investigation LPA interviewed parties relevant to the above allegation. Based on LPA's observation interviews conducted and preponderance of evidence the above allegations are unsubstantiated, means 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.
Licensee has been advised that an email shall be sent with the report attached, which has been reviewed during the Tele-Visit and a read receipt via email shall be considered an acknowledgement that they are in receipt of this form.

Exit interview

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Ruiz	TELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit Sislyan	TELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:	DATE: 04/09/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2021

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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