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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197406043
Report Date: 07/26/2023
Date Signed: 07/26/2023 12:12:49 PM

Unsubstantiated


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
06/22/2023 and conducted by Evaluator Jillinda Chandler
COMPLAINT CONTROL NUMBER: 58-CC-20230622105921
FACILITY NAME:KADOSH FAMILY CHILD CAREFACILITY NUMBER:
197406043
ADMINISTRATOR:KADOSHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 703-1930
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY:12CENSUS: 10DATE:
07/26/2023
UNANNOUNCEDTIME BEGAN:
11:11 AM
MET WITH:Ada Kadosh - LicenseeTIME COMPLETED:
12:33 PM
ALLEGATION(S):
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 Allegation 1: Facility is over capacity
Allegation 2: Facility is not maintained clean and sanitary.
INVESTIGATION FINDINGS:
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On 7/26/2023 Licensing Program Analyst Jillinda Chandler and Sarah Garcia made an unannounced visit to the Kadosh Family Day Care for the purpose of delivering findings for complaint #58-CC-20230622105921; Operating out of the scope of the license and Physical Plant. During todays visit LPAs observed 9 day care children, Licensee Ada Kadosh, 3 assistants: Mirna Mejia, Sarah Pineda, and Edna Mersi, the licensee's spouse and adult daughter and 2 adults and a child touring the day care home.
During the course of this investigation LPA Chandler conducted interviews with staff, children and parents. Based on observations and interviews the following was determined:
Allegation #1- License: Facility is over capacity.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
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 2
Control Number 58-CC-20230622105921
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: KADOSH FAMILY CHILD CARE
FACILITY NUMBER: 197406043
VISIT DATE: 07/26/2023
NARRATIVE
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On 6/29/2023 and 7/26/2023 the home was found to be in compliance of Title 22, section 102416.5-Staffing Ratio and Capacity:(a)The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.
Allegation #2- Physical Plant: Facility is not maintained clean and sanitary. On 6/29/2023 and 7/26/2023, Observations disclosed the home was observed to be clean and sanitary.
It is determined that the above allegations are found to be unsubstantiated meaning, although the allegation could have happened or could (possibly) be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.”

An exit interview was conducted, this report was discussed with licensee. A copy of the report and appeal rights were provided to licensee Ada Kadosh.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Jillinda ChandlerTELEPHONE: (424) 301-3068
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2