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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402655
Report Date: 01/23/2025
Date Signed: 01/23/2025 02:49:39 PM

Document Has Been Signed on 01/23/2025 02:49 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:UCLA EARLY CARE & EDUC. UNI. VILLAGE C.C.C.FACILITY NUMBER:
197402655
ADMINISTRATOR/
DIRECTOR:		NEGIN ZOMORODIFACILITY TYPE:
850
ADDRESS:3233 S SEPULVEDA BLVDTELEPHONE:
(310) 915-5827
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 58DATE:
01/23/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:NIKKI ZOMORODI, DIRECTORTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 01/23/2025 Licensing Program Analyst (LPA) Lisa Clayton arrived at the UCLA Early Care & Educ. Uni. Village Child Care. Center unannounced, to conduct a Case Management – Incident inspection. LPA Clayton was greeted by Director Nikki Zomorodi. LPA Clayton observed 58 children in care being supervised and cared for by 18 fingerprint cleared staff.

Incident details: This is a temporary location for the student and staff because of the evacuation. Lead Director called to inform the Department that Child #1 went to the restroom and informed teacher #1 that her private part hurt and that someone had hurt her. She did not disclose who the someone was. Teacher #1 informed Teacher #2 which is the closing staff. Teacher #2 informed the Lead Director.

LPA Clayton interviewed staff present during the incident.



Based on the information obtained, and LPA observations, further investigation is required.

Exit interview conducted and report was reviewed with Nikki Zomorodi.

LPA Clayton posted Notice of Site visit which to the remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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