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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020540
Report Date: 10/22/2021
Date Signed: 10/22/2021 01:08:43 PM

Document Has Been Signed on 10/22/2021 01:08 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LEARNING PLACE PRESCHOOLFACILITY NUMBER:
198020540
ADMINISTRATOR:SHAMALIE GOONERWARDENEFACILITY TYPE:
850
ADDRESS:2041 W. GLENOAKS BLVD.TELEPHONE:
(818) 319-3010
CITY:GLENDALESTATE: CAZIP CODE:
91201
CAPACITY: 30TOTAL ENROLLED CHILDREN: 26CENSUS: 24DATE:
10/22/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Shamalie Goonerwardene, LicenseeTIME COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Anomeh Eivazian, conducted an unannounced case- management inspection to the above facility on 10/22/2021 at 8:40 a.m.. Upon LPA's arrival LPA met with teacher, Melina Avakiankhanejoy and teacher assistant, Veronica Amador. At 9:30 a.m. Enereyda Flores, facility director arrived who guided this LPA on a tour of the facility. At 10:00 a.m. Shamalie Goonerwardene, licensee arrived to the facility. During this inspection there were total of 24 children present in the facility.

Upon LPA's arrival to the facility at 8:40 a.m. till facility director, Enereyda Flores arrival to the facility at 9:30 a.m., there were 22 children present in the facility with one fully qualified teacher, Melina Avakiankhanejoy and one teacher assistant, Veronica Amador. Licensee was observed not to operating within Title 22 Regulations required Teahcer-Child Ratio requirement between 8:40 a.m. to 9:30 a..m.

On 10/22/2021 during facility roster review LPA observed child#1 is an infant who is attending this school and will turn two years old in November 2021 and child#2 was enrolled 05/13/21 and turned two years old in September. This is a preschool program but licensee enrolled two children under two years old in the program.
The following are being cited in accordance to Title 22 of the California Code of Regulations. Please refer to 809D for cited deficiencies. Upon receipt of this report, the Licensee shall post the Notice of Site visit and any licensing report documenting a type “A” deficiency. The report and the Notice of Site visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent.
Exit interview was conducted with Enereyda FLores, director at 1:30 p.m.. Appeal Rights procedures explained.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2021
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 10/22/2021 01:08 PM - It Cannot Be Edited


Created By: Anomeh Eivazian On 10/22/2021 at 11:40 AM
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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: LEARNING PLACE PRESCHOOL

FACILITY NUMBER: 198020540

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/25/2021
Section Cited
CCR
101216.3(b)

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101216.3 (b)--Teacher-Child Ratio
The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.
This requirement was not met as evidenced by ...
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Per licensee, Shamalie Goonewardene, she will change her staff schedule effective Monday 10/25/2021 in order to meet Title 22 Regulations Teacher-child Ratio requirements and a written letter will be submit to LPA by plan of correction due date, 10/25/2021 via email.
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Upon LPA's arrival to the facility at 8:40 a.m. till 9:30 a.m. when facility director, Enereyda Flores arrived, there were 22 children present in the facility with one fully qualified teacher, Melina Avakiankhanejoy and one teacher assistant, Veronica Amador. This is an immediate health and safety risk to the children in care.
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Type A
10/25/2021
Section Cited
CCR101152(p)(2)(A)

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101152(p)(2)(A)--Definitions
preschool age children" means children who are enrolled in a child day care center licensed by the department and who are not enrolled in either an infant care center or a schoolage child day care center, etc...
This requirement was not met as evidence by...
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Per licensee, Shamalie Goonewardene she will disenroll child #1 effective Friday 10/22/2021 and she will not enroll any child(ren) under two years old in her program anymore.
A written declaration will be submitted to LPA by plan of correction due date 10/25/2021 via email.
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Based on LPA Eivazian observations during facility roster review on 10/22/21, LPA observed child#1 was under two years old and will turn two in November 2021 and child#2 was enrolled 05/13/2021 when was an infant and turned two years old in September 2021. This is an immediate health and safety risk to the 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:Christina Gabelman
LICENSING EVALUATOR NAME:Anomeh Eivazian
LICENSING EVALUATOR SIGNATURE:
DATE: 10/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/22/2021


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