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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197494327
Report Date: 01/10/2024
Date Signed: 01/10/2024 02:05:11 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 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
11/01/2023 and conducted by Evaluator Suzette Ornelas
PUBLIC
COMPLAINT CONTROL NUMBER: 58-CC-20231101113306
FACILITY NAME:EMUNAH HEBREW ACADEMYFACILITY NUMBER:
197494327
ADMINISTRATOR:MOJGAN (SARA) YASHARPOURFACILITY TYPE:
850
ADDRESS:1518 S ROBERTSON BLVDTELEPHONE:
(310) 777-7888
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY:117CENSUS: 65DATE:
01/10/2024
UNANNOUNCEDTIME BEGAN:
11:08 AM
MET WITH:MOJGAN (SARA) YASHARPOURTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff did not prevent day care child from being injured by another child in care

INVESTIGATION FINDINGS:
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On 1/10/2024, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced follow up complaint inspection for the purpose of delivering the findings for the above-mentioned allegation. Upon arrival, LPA were greeted and let into the facility by Director, MOJGAN (SARA) YASHARPOUR, to whom the reason for the inspection was announced. LPA toured the facility and observed 65 daycare children and 13 staff.

Throughout the course of the investigation, LPA Ornelas made observations, reviewed documents in the form of pictures and conducted interviews with the Reporting Party (RP) and 3 Staff.

-Pertaining to the allegations that - Staff did not prevent day care child from being injured by another child in care
According to the reporting party (RP) child sustained injuries while in care on more than one ocassion.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 58-CC-20231101113306
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: EMUNAH HEBREW ACADEMY
FACILITY NUMBER: 197494327
VISIT DATE: 01/10/2024
NARRATIVE
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According to Staff 1 (S1), Staff 2 (S2) and Staff 3 (S3), child sustained injuries while in care and staff took immediate once observed. Appropriate actions have since been taken to ensure children’s safety is prioritized.

Based on the information obtained through observations and interviews, the allegation is substantiated. A substantiated finding means that the complaint is substantiated and the allegation is valid because the preponderance of the evidence standard has been met.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of their appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, .
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 58-CC-20231101113306
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: EMUNAH HEBREW ACADEMY
FACILITY NUMBER: 197494327
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/10/2024
Section Cited
CCR
101223(a)(2)
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101223 Personal Rights
(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 is not met as evidence by:
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Per Director, staff have provided more focused supervision between specific children to ensure that injuries do not continue to occur. DIrector has also notice for teachers to ensure that they know how to handle the situation.
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Based on observations, interviews, staff did not ensure child did not sustain injuries while in care on more than one occasion, which poses an potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2024
LIC9099 (FAS) - (06/04)
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