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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494634
Report Date: 08/14/2024
Date Signed: 08/14/2024 05:59:57 PM

Document Has Been Signed on 08/14/2024 05:59 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:TINY THINKERS PRESCHOOL CANOGA PARKFACILITY NUMBER:
197494634
ADMINISTRATOR/
DIRECTOR:		GOONEWARDENA, KAMANIFACILITY TYPE:
850
ADDRESS:7839 TOPANGA CANYON BLVD.TELEPHONE:
(818) 346-3035
CITY:CANOGA PARKSTATE: CAZIP CODE:
91304
CAPACITY: 85TOTAL ENROLLED CHILDREN: 85CENSUS: 61DATE:
08/14/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:23 PM
MET WITH: Director Rosa NepomucenoTIME VISIT/
INSPECTION COMPLETED:
06:00 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
On 8/14/2024, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced visit for the purpose of delivering findings regarding a complaint on the facility. LPA met with Director Rosa Nepomuceno.

Census: There were 61 children being supervised 10 staff.

Upon review of the Guardian Background Check System, Staff Silva Panchani does not have background clearance. Director Rosa disclosed Silva Panchani has been volunteering for 2 days starting 8/13/24 and today 8/14/24 for 1 hour a day. The director sent the volunteer away from the facility immediately to become into compliance.

As a result of today's visit, a Type A Deficiency was issued for regulation 101170(e)(1) Criminal Record Clearance. A Civil Penalty of $200.00 will be assessed today due to the volunteer not having a Criminal Record Clearance. See attached LIC 421BG.




Exit interview conducted and report was reviewed with Director Rosa Nepomuceno. A copy of this report was provided.  A Notice of Site Visit was given and must remain posted for 30 days. 
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
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 2
Document Has Been Signed on 08/14/2024 05:59 PM - It Cannot Be Edited


Created By: Jeanine Lipsey On 08/14/2024 at 05:39 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: TINY THINKERS PRESCHOOL CANOGA PARK
FACILITY NUMBER: 197494634

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/14/2024
Section Cited
CCR
101170(e)(1)

1
2
3
4
5
6
7
Criminal record clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section ... shall prior to.... volunteering in a licensed facility:
(1) Obtain a California clearance...
This requirement is not met by evidence by:
1
2
3
4
5
6
7
Staff left the facility immediately.
8
9
10
11
12
13
14
Based on record review, the licensee did not ensure Silva Panchani who worked 8/13/24 & 8/14/24 did not have background clearance which poses a potential health, safety, or personal rights risk to persons in care. A civil penalty of $200 has been assessed.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Betty Bell
LICENSING EVALUATOR NAME:Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE:
DATE: 08/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2