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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414908
Report Date: 06/01/2022
Date Signed: 06/02/2022 01:20:01 AM

Document Has Been Signed on 06/02/2022 01:20 AM - It Cannot Be Edited

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:LEARNING GARDEN PRESCHOOL THEFACILITY NUMBER:
197414908
ADMINISTRATOR:NOURAYI-AGANGE, FATEMEH Z.FACILITY TYPE:
830
ADDRESS:2165 W. 236TH STREETTELEPHONE:
(310) 326-1361
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 9DATE:
06/01/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee Fatemeh Nourayi-Agange & Nassim Agange, AdministratorTIME COMPLETED:
06:00 PM
NARRATIVE
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On 6/1/2022 at 3pm, Licensing Program Analyst (LPA) V. Wheatley conducted a unannounced case management inspection and met with the Licensee Fatemeh Nourayi-Agange & Administrator Nassim Agange. LPA observed 9 infants being supervised within proper ratio. Staff #1 & Staff #2 were supervising 5 infants near the front entrance and Staff #3 was supervising 4 infants in the napping room. LPA V. Wheatley observed one infant Child #1 with a blanket over head and Child #2 with blanket in crib. See LIC 809D

Exit interview and report provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2022
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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Document Has Been Signed on 06/02/2022 01:20 AM - It Cannot Be Edited


Created By: Veronica Wheatley On 06/01/2022 at 05:20 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LEARNING GARDEN PRESCHOOL THE
FACILITY NUMBER: 197414908

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/01/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/02/2022
Section Cited
CCR
101430(a)(3)(D)

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101430 (a)(3)(D) Notwithstanding Section 101230, the following shall apply: (3) All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires.
(D) An infant's head shall not be covered while sleeping.
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Director agreed to review PIN 20-24-CCP Safe Sleep Regulations to ensure the facility is in compliance. Director will provide copies of PIN 20-24-CCP to staff to review and conduct a staff meeting regarding Safe Sleep. In addition, the Department videos regarding Safe Sleep will be reviewed. A plan of correction will be submitted to the Department with the meeting date.
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This requirement was not met as evidenced by:
LPA observed one infant Child #1 on a cot with their head covered with a blanket. In addition, another child Child #2 with a blanket on them in the crib. This is an immediate risk to the health and safety of children 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.
SUPERVISOR'S NAME:Maureen Neal
LICENSING EVALUATOR NAME:Veronica Wheatley
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2022


LIC809 (FAS) - (06/04)
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