197494114-2-28-2020-30-CC-JCHR-BM8VH4-20200228152630

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197494114
Report Date: 02/28/2020
Date Signed: 02/28/2020 03:26:41 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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

FACILITY NAME:	STUDIO CITY CHILD CARE, INFANT CENTER		FACILITY NUMBER:	197494114
ADMINISTRATOR:	MOJABI, NASSIMA		FACILITY TYPE:	830
ADDRESS:	11544 VENTURA BLVD		TELEPHONE:	(818) 824-9133
CITY:	STUDIO CITY	STATE: CA	ZIP CODE:	91604
CAPACITY:	36	CENSUS: 22	DATE:	02/28/2020
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Nassima Mojabi, Licensee		TIME COMPLETED:	03:46 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) Jillinda Chandler and Associate Governmental Program Analyst (AGPA) Martha Vasquez conducted an unannounced case management annual continuation inspection to follow up on the facility's 1 Year Required inspection and do a file review for staff. Upon arrival to the facility, Department representatives were greeted by Licensee Nassima and Zia Mojabi the licensee's spouse. Department Representatives observed Staff # 8 who is associated and cleared to the facility as of 2/27/2020 and Staff # 9 who is not associated or cleared to the facility exiting the facility through the front entrance. Individuals were identified during a file review and observation of state issued identifications. Upon arrival 18 children were in attendance. Department Representatives tour the facility indoor and outdoor and observed the following: "Middle Room" off the entrance of the facility, Department representatives observed Staff # 1 and Staff # 2, 2 aids with 6 infants. "Cot Room" off the "Middle Room", Department representatives observed no infants in care and no staff present. "Back Room" to the left of the "Middle Room", Department representatives observed Staff # 3 and Staff # 4, 2 aids with 7 infants. "Food Room" to the left of the "Back Room", Department representatives observed Staff # 5, aid with 2 infants. "Crib Room" to the right of the "Back Room", Department representatives observed Staff # 6, unqualified teacher with 3 infants; 2 whom were awake and 1 who was asleep. (Continued)

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: STUDIO CITY CHILD CARE, INFANT CENTER	FACILITY NUMBER: 197494114
	VISIT DATE: 02/28/2020

NARRATIVE

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Outdoor play area, Department representatives observed no infants or staff members. Around 10:00 AM, Department Representatives observed Staff # 7, who was identified as center director (unqualified) arrived to the facility.

Department Representatives counseled and provided; the licensee and licensee's spouse regarding the following Title 22 regulations:

Staff qualifications:

101216.2
101416.3
101215.1
101415
101215.1
101416.2

Teacher/Child (infant) ratios:

101416.5

Personal Records:

101217

Department Representatives provided information regarding the departments Technical Support Program (TSP). Licensee stated the facility would be interested in a TSP Referral. AB 633 was discussed:
This bill requires that, upon receipt, a licensed child care facility shall provide to the parents or guardians of each child receiving services in the facility:

Copies of any licensing report that documents any Type A citation. This includes facility visits and substantiated complaint investigations.
Any licensing documents pertaining to a conference conducted by a local licensing agency management representative with the licensee in which issues of noncompliance are discussed.
Copies of a summary of an accusation indicating the Department’s intent to revoke the license, until that accusation is either dismissed or resolved through the administrative hearing process or stipulated agreement.
Copies of any of the above licensing documents that the licensee has received in the prior 12-month period shall be provided to the parents of newly enrolling child, upon enrollment. (Continued)

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: STUDIO CITY CHILD CARE, INFANT CENTER	FACILITY NUMBER: 197494114
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/28/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/28/2020 Section Cited	1 2 3 4 5 6 7	(a) In addition to Sections 101216.3 (c), (e), (g) and (h), and notwithstanding Sections 101216.3, (a), (b), (d) and (f), the following shall apply: (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and(B)Each aide is responsible for the direct care and supervision of a group of no more than four infants. This standard was not met as evidence by; There was not a fully qualified teacher
	8 9 10 11 12 13 14	or director present during todays inspection.LPA's observed 18 infants in care with no qualified infant teacher. This is an immediate risk to the health and safety of children in care. Civil Penalties may be assessed pending further review by the department.	8 9 10 11 12 13 14
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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.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: STUDIO CITY CHILD CARE, INFANT CENTER	FACILITY NUMBER: 197494114
	VISIT DATE: 02/28/2020

NARRATIVE

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The licensee shall require each recipient of a licensing report documenting a Type A citation resulting from a compliant investigation and any licensing document pertaining to a conference, and any summary of an accusation indicating the Department’s intent to revoke a license, to sign a statement indicating that he or she has received the documents and the date they were received. The licensee shall keep verification of receipt in each child’s file. Licensee was provided a LIC 9224 - Acknowledgment of Receipt of Licensing Reports during the conference.

The facility was cited for a Title 22 Regulation violation during this inspection. Civil Penalty may be assess upon further review by the Department. Please see LIC 809 D page of this report for further details. Appeal Rights were discussed. Exit interview conducted. Copy of this report provided.

SUPERVISOR'S NAME: Peter Flores	TELEPHONE: (424) 301-3077
LICENSING EVALUATOR NAME: Jillinda Chandler	TELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2020

LIC809 (FAS) - (06/04)

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