306003584-6-15-2026-11-AS-GCAO-DV3S6E-20260615133551

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306003584
Report Date: 06/15/2026
Date Signed: 06/15/2026 01:36:07 PM

Document Has Been Signed on 06/15/2026 01:36 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 CENTER		FACILITY NUMBER:	306003584
ADMINISTRATOR/ DIRECTOR:	MATHARU, ANITA		FACILITY TYPE:	775
ADDRESS:	6458 PARAMOUNT BLVD.		TELEPHONE:	(310) 413-2723
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY: 27		CENSUS: 23	DATE:	06/15/2026
TYPE OF VISIT:	Required - 1 Year	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:24 AM
MET WITH:	Pat Ball, Director		TIME VISIT/ INSPECTION COMPLETED:	01:45 PM

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Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced annual inspection and met with Pat Ball, Director, to discuss the purpose of the visit.

The program provides services to developmentally disabled adults ages 18 to 59 and is licensed to serve 27 non-verbal clients with developmental disabilities and restrictive health conditions. At the time of the inspection, 23 clients were participating in the program. Surveillance cameras were observed in the exterior areas of the facility. The facility does not handle or store client medications, including PRN medications.

The program operates in a single-story building consisting of two (2) offices, including a nurse's office; two (2) bathrooms; one (1) large activity room with a kitchen area utilized for cooking classes; and three (3) additional rooms designated for physical therapy, relaxation activities, and creative activities.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools during the inspection and observed the following:

Personnel Records

Five (5) staff files were reviewed and included criminal background check clearances, educational qualifications, required training certificates, CPR/First Aid certifications, and TB screenings. All records reviewed were found to be compliant at the time of the inspection.

Client Records

LPA reviewed seven (7) client files. Records reviewed included Admission Agreements, Individual Program Plans (IPPs), Needs and Services Plans, and TB documentation. During the review, LPA noted that IPPs were not available for Clients C1, C3, C6, and C7. All other records reviewed were found to be compliant.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Gabriela Castro
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

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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Document Has Been Signed on 06/15/2026 01:36 PM - It Cannot Be Edited

Created By: Gabriela Castro On 06/15/2026 at 01:07 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: 06/15/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

82087(a)

Buildings and Grounds

(a) The program site shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above the annex building was observed to have cracked flooring, unfinished furniture, and an open, exposed air conditioning duct in the ceiling, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/31/2026
	Plan of Correction
1 2 3 4	The licensee shall provide photographs verifying that the corrections have been completed by the POC due date.

Type B

Section Cited

CCR

82068.2(d)(1)

Needs and Services Plan

(d) If the client has an existing needs appraisal or individual program plan (IPP) completed by a placement agency, or a consultant for the placement agency, the Department may consider the plan to meet the requirements of this section provided that: (1) The needs appraisal or IPP is not more than one year old. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in 4 out of 7 client files reviewed (C1, C3, C6, and C7). IPP's were more than one year old and or were not available for review at the time of the inspection.which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/17/2026
	Plan of Correction
1 2 3 4	Licensee shall submit copies of current Individual IPP's for Clients C1, C3, C6, and C7 to the Department. If the IPPs have been requested but not yet received from the regional center, the licensee shall provide documentation of the request and a written plan describing how the facility will ensure current IPPs are obtained and maintained for all clients moving forward. Proof of correction shall be submitted by the 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.

	David Sicairos
NAME OF LICENSING PROGRAM MANAGER:

	Gabriela Castro
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/15/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

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
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: PARAMOUNT LEARNING CENTER	FACILITY NUMBER: 306003584
	VISIT DATE: 06/15/2026

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Activities / Client Participation

Staff reported that clients participate in group activities, community outings, and interactive programming designed to promote socialization, engagement, and skill development.

Food Service

Refrigerators and freezers were maintained at proper temperatures, with refrigerators observed at or below 40°F and freezers at 0°F. The facility maintained a sufficient supply of at least two (2) days of perishable foods and seven (7) days of non-perishable foods. An additional refrigerator located in the garage was observed to contain additional food.

Health-Related Services & Records:

Client files were not maintained at the facility and were found to be incomplete at the time of the inspection.

LPA reviewed two (2) client medications. Medications were observed to be centrally stored in a locked hallway cabinet and appropriately labeled. MARs were current at the time of the inspection.

Disaster Preparedness:
Last fire/earthquake drill was conducted April 05, 2026, with logs available. LIC 610D Emergency Disaster Plan was posted in living room area. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was observed and appeared current.

Personnel Records & Training:
Personnel files were incomplete and were not maintained at the facility at the time of the inspection. The Administrator Certificate for Tiera Terry was reviewed and found to be current, with an expiration date of August 1, 2026.

Surety Bond & Insurance:
The facility's Surety Bond was reviewed and observed to be current and valid at the time of the inspection.

An exit interview was conducted with Administrator Tiera Terry. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. The Administrator was advised of the nature of the deficiency, the regulatory basis, and the required Plan of Correction (POC). The Administrator agreed to submit proof of correction by the due dates specified. A copy of this report, LIC 809D/809C, and appeal rights will be provided via email.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Gabriela Castro
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/15/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026

LIC809 (FAS) - (06/04)

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