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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402656
Report Date: 05/21/2026
Date Signed: 05/21/2026 12:57:05 PM

Document Has Been Signed on 05/21/2026 12:57 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:
197402656
ADMINISTRATOR/
DIRECTOR:		NEGIN ZOMORODIFACILITY TYPE:
830
ADDRESS:3233 S SEPULVEDA BLVD.TELEPHONE:
(310) 915-5827
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 21DATE:
05/21/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:KASEY VICE, ASSISTANT DIRECTORTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 05/21/2026, Licensing Program Analyst (LPA) Lisa Clayton made an announced visit to UCLA Early Care & Education University Village Child Care Center for the purpose of conducting a case management – Licensee Initiated inspection. LPA observed 21 infants being supervised and cared for by 6 fingerprint cleared staff.

The facility is a single-story building with two connecting plots, both of which can be accessed from inside of the building. The applicant is requesting the license reflect the following:

· 25 infants, ages 2 months – 24 months

· 20 toddlers, ages 18 months – 36 months – in the Sea Otter classroom

The CCC currently provides care to infants, toddlers and preschool children. There are 2 classrooms dedicated to the pre-school program on the requested side of the campus. Facility operates Monday – Friday, 7:30 a.m. to 5:30 p.m. A fire safety inspection was conducted by the LA City Fire Department: Institutions Unit and approved by inspector Gabriel Lopez on 05/07/2026.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: UCLA EARLY CARE & EDUC. UNI. VILLAGE C.C.C.
FACILITY NUMBER: 197402656
VISIT DATE: 05/21/2026
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INDOOR ACTIVITY SPACE

LPA Clayton inspected the Sea Otter classroom and observed a fully charged 3A40 B:C Fire extinguishers and a pull fire alarm outside of the classroom door. LPA Clayton observed 2 working Carbon Monoxide detectors, the smoke detector is connected to the fire alarm and is tested yearly by the UCLA Fire inspector.

The required postings were observed in a prominent area for parents and visitors’ view.

LPA Clayton observed age-appropriate toys and furniture. Cubbies were observed for children’s belongings. Napping cots were observed.

Per assistant Kasey drinking water will be provided through filtered dispenser and is readily available both indoors and outdoors.

Windows were in good repair free of chipping paint, dirt, insects, or debris. Adequate lighting was observed. The classroom was clean in good repair.

No Fireplaces or open face heaters were observed. Storage for disinfectants and cleaning solutions and other toxins or poisons were made inaccessible to children in care, located in the kitchen under the sink in cabinet.

On 05/21/2026, the indoor activity space measured at 763.95 square feet divided by 35 square feet, for a capacity of 21 children.

RESTROOMS:
In the classroom, toddlers have access to a total of 2 toilets and 2 sinks. Trash cans used for solid waste were observed with tight fitting lids.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
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: UCLA EARLY CARE & EDUC. UNI. VILLAGE C.C.C.
FACILITY NUMBER: 197402656
VISIT DATE: 05/21/2026
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OUTDOOR ACTIVITY SPACE:
The outdoor play space designated for the toddler program is located outside of the requested classroom, fully enclosed with a white fence. LPA Clayton observed that the play structure in the proposed yard is designed for children ages 2 – 5 yrs old. LPA Clayton reminded Assistant Director Kasey that children under the age of 2 are not allowed to use the structure and she agreed and acknowledged understanding. LPA Clayton also observed the following:

Age-appropriate play structures, toys and equipment in good/new condition.

Shading and benches/chairs for resting.

The outdoor activity spaces are enclosed with a 4 foot or higher gate/wall.

All areas around and under high climbing equipment, swings, slides and other similar equipment are cushioned with material that absorbs falls and is in good/new condition.

Sand boxes are in new/good condition, and shall be inspected daily and kept free of hazardous foreign materials

There are no pools, ponds or bodies of water on the property. Director was reminded that all standing water should be removed immediately after each use.

On 5/21/2026 the outdoor activity space was measured at 1668.40 square feet divided by 75 square feet, equaling 22 children.

Based upon today’s inspection the facility is approved for the requested increase of 20 toddlers, ages 18 months – 36 months for a total of 45 infants and toddlers.

An exit interview was conducted, and this report was discussed and provided to assistant Director Kasey Vice.

LPA Clayton posted a notice of site visit which must remain posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2026
LIC809 (FAS) - (06/04)
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