<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890481
Report Date: 02/26/2025
Date Signed: 02/26/2025 12:21:57 PM

Document Has Been Signed on 02/26/2025 12:21 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 CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PACOIMA EARLY EDUCATION CENTERFACILITY NUMBER:
191890481
ADMINISTRATOR/
DIRECTOR:
JENNIFER MOVSESSIANFACILITY TYPE:
850
ADDRESS:11059 HERRICK ST.TELEPHONE:
(818) 896-3722
CITY:PACOIMASTATE: CAZIP CODE:
91331
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 61DATE:
02/26/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Sossy Chanakian, Teacher TIME VISIT/
INSPECTION COMPLETED:
12:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 02/26/2025 due to a self reported incidences that occurred at the facility. LPA arrived at the facility at 8:20AM and met with Sossy Chanakian, Teacher, who guided LPA on a tour of the facility. There were 61 children in care and 13 staff present upon arrival.

On 02/03/2025, LPA followed up on an incident that was reported to the Department on 01/30/2025, via email. LPA conducted interviews with the Principal, Witness #1, Witness #2, Staff #4, and Staff #5. LPA also interviewed Parent #1 and Child #2. Principal disclosed that Witness #1 observed Staff #2 hit Child #2 on the back while children sat at the table preparing for lunch. Principal disclosed that no marks were observed on Child #2's back. During an interview with Witness #1, Witness#1 stated that they did not verbally question Staff #2 as to why Staff #2 hit Child #2 on the back. Per Witness #1, Child #2 was not observed crying after Staff #2 hit Child#2 on the back and did not observe any marks on Child #2's back. LPA also interviewed Witness #2, who stated that while children sat at the table preparing for lunch, Witness #2 observed Staff #2 hit Child #2 on the back. Per Witness #2, Child #2 did not cry.

During an interview with Child #2, Child #2 disclosed that Staff #2 hit them on the back while sitting at the table. Child #2 stated that they did not cry and did not tell any other staff. Child #2 disclosed that they told Parent #1 about Staff #2 hitting then on the back.

During an interview with Parent #1, Parent #1 stated that Child #2 made disclosures of Staff #2 hitting them on the back. Parent #1 stated that no marks were observed on Child #2's back when the disclosure was made by Child #2.

During today’s inspection, LPA interviewed Staff #2 who denied any interactions with any children that would have violated their personal rights.
---Page 1 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: PACOIMA EARLY EDUCATION CENTER
FACILITY NUMBER: 191890481
VISIT DATE: 02/26/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based upon information received from the interviews conducted it was determined that Staff #2 violated the personal rights of Child #2 when Staff #2 was observed by Witness #1 and Witness #2 hit Child#2 on the back while in care.

On 02/11/2025 the facility reported an incident to the Department that occurred on 02/10/2025, via email. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #4 was observed by Principal alone in the outdoor area.

During today's inspection, LPA interviewed Staff #6 and Staff #7 who were responsible for the care and supervision of Child #4.

During the interview with Staff #6, Staff #6 disclosed that they recall Child #4 looking for something outdoors and could not recall how long Child #4 was outdoors alone. When interviewing Staff #7, Staff #7 was not able to recall what staff was responsible for Child #4 and could not recall how long Child #4 was outdoors alone.

Based upon information received from the interviews conducted it was determined that there was a lapse in care and supervision while Child #4 was in care and was observed outdoors alone.

The following deficiencies listed on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22.

The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Sossy Chanakian, Teacher.

---Page 2 of 2
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 02/26/2025 12:21 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 02/26/2025 at 11:44 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: PACOIMA EARLY EDUCATION CENTER

FACILITY NUMBER: 191890481

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/07/2025
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights...(3) To be free from corporal or unusual punishment, infliction of pain...

This requirement was not met evidenced by:
1
2
3
4
5
6
7
Principal shall ensure that each child is accorded their personal rights while in care. Principal will submit proof via email to LPA that Regulations of Personal Rights of children are reviewed with staff by the POC due date.
8
9
10
11
12
13
14
Based on interviews and disclosures made, it was determined that Staff #2 violated the personal rights of Child #2 when Staff #2 was observed by Witness #1 and Witness #2 hit Child#2 on the back while in care. which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
03/07/2025
Section Cited
CCR101229(a)(1)

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...
This requirement was not met evidenced by:
1
2
3
4
5
6
7
The Principal shall provide care and supervision as necessary to meet the children's needs. Principal will submit proof via email to LPA that Responsibility for Providing Care and Supervision regulations are reviewed with staff by the POC due date.
8
9
10
11
12
13
14
Based on interviews and disclosures made, it was determined that there was a lapse in care and supervision while Child #4 was in care and was observed outdoors alone which poses a potential health, safety or personal rights risk to persons in care.
8
9
10
11
12
13
14
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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2025


LIC809 (FAS) - (06/04)
Page: 3 of 3