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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 306003584
Report Date: 05/02/2025
Date Signed: 05/02/2025 12:33:24 PM

Document Has Been Signed on 05/02/2025 12:33 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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:PARAMOUNT LEARNING CENTERFACILITY NUMBER:
306003584
ADMINISTRATOR/
DIRECTOR:
MATHARU, ANITAFACILITY TYPE:
775
ADDRESS:6458 PARAMOUNT BLVD.TELEPHONE:
(310) 413-2723
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 27CENSUS: 38DATE:
05/02/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:03 AM
MET WITH:Program Director Gloria Patricia BallTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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On 5/02/25 Licensing Program Analysts (LPA) Villegas conducted an unannounced annual visit, LPA met with Program Director Gloria Patricia Ball as the purpose of today's visit was explained. The facility is licensed for a capacity of 27 non ambulatory developmentally disabled clients with restricted health conditions. There are 38 clients currently enrolled in the program: 23 clients in the morning of which 5 are remote, 15 clients in the afternoon of which 6 are remote. Clients are Harbor Regional center clients. The staff to client ratio is 1 staff to 3 clients. There is currently 1 clients that attends the morning program in person with a restricted health care conditions and utilize G- tube, and 1 client that attends the afternoon program in person with a restricted health care conditions and utilize colostomy and catheter. There is a LVN on site. Facility fees are current. Liability insurance active (exp. 09/22/25)

This is a day program located in one large building consisting of the following: Parking lot (drop off/pick up area), lobby area, 2 activity rooms, 1 large open activity area, Kitchen, Storage area (cubbies), 1 directors office, 1 nurses office, 2 bathrooms(men’s and women’s), computer area, outside shaded area, garden area, and gated driveway. LPA observed the following: walls and floors were in good condition, adequate lighting and fire extinguishers were properly charged. LPA observed plenty of storage space and chemicals were properly locked. The restrooms were clean and within Title 22 regulations. The kitchen area was clean, and a refrigerator was available for client use. The day program does not provide lunch nor snacks to clients. The first aid kit was available and fully stocked; Day program does not administer medication, walkways throughout the day program and all exits were clear of hazards and debris.

LPA reviewed 5 client records, 3 staff records. The last disaster drill was conducted 03/2025, the last visit conducted by LBFD was on 2/24/25, smoke alarms and carbon monoxide are hardwired and operational. A first aid kit was available and fully stocked. Deficiencies cited on 809D.

Exit interview conducted, appeal rights explained, and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Janae Hammond
NAME OF LICENSING PROGRAM ANALYST: Lizeth Villegas
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2025
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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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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Document Has Been Signed on 05/02/2025 12:33 PM - It Cannot Be Edited


Created By: Lizeth Villegas On 05/02/2025 at 12:01 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
, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PARAMOUNT LEARNING CENTER

FACILITY NUMBER: 306003584

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/02/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82066(a)(1-12)
The licensee shall ensure that personnel records are maintained on the licensee, administrator, and each employee. Each personnel record shall contain the following information:
Employee's full name.
Driver's license number if the employee is to transport clients.
Date of employment.
A statement signed by the employee that he/she is at least 18 years of age.
Home address and phone number.
Documentation of the educational background, prior and on-going training and/or experience.
Past experience, including types of employment and former employers.
Duties of the employee.
Termination date if no longer employed by the day program.
A health screening, as specified in Section 82065(g).
Tuberculosis test results, as specified in Section 82065(g)(1).
For employees that are required to be fingerprinted pursuant to Section 82019(a):
A signed statement regarding their criminal record history as required by Section 82019(d).
Documentation of either a criminal record clearance or exemption as required by Section 82019(e).




Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as Licensee/Administrator doe not have a LIC 501 nor a LIC 503 for LPA to review during visit which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/16/2025
Plan of Correction
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Licensee to audit all employee files to ensure all the required documentation is in the personnel file. Licensee to submit copy of LIC 501 and LIC 503 to LPA by POC due date.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Janae Hammond
NAME OF LICENSING PROGRAM MANAGER:
Lizeth Villegas
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2025


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 05/02/2025 12:33 PM - It Cannot Be Edited


Created By: Lizeth Villegas On 05/02/2025 at 12:09 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
, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PARAMOUNT LEARNING CENTER

FACILITY NUMBER: 306003584

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/02/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82066(d)(1)
82066 Personnel Records
All personnel records shall be maintained at the program site. The licensee shall be permitted to retain these records in a central administrative location provided that they are readily available to the licensing agency at the program site as specified in Section 82066(c).

Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as Licensee/Administrator did not have a physical personnel file on site for LPA to review, LPA was only able to review first aide certification, association status, and administrator certificate at the time of visit which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/16/2025
Plan of Correction
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Licensee/Administrator to ensure a copy of licensee/Administrator file is on site, and/or ensure file can be readily available to the licensing agency at the program site during licensing visit. Licensee/Administrator to submit a plan to LPA detailing how Licensee/Administrator will ensure program site will get into compliance with title 22 regulation(s).
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Janae Hammond
NAME OF LICENSING PROGRAM MANAGER:
Lizeth Villegas
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/02/2025


LIC809 (FAS) - (06/04)
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