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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191201596
Report Date: 07/18/2024
Date Signed: 07/18/2024 01:59:58 PM

Document Has Been Signed on 07/18/2024 01:59 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:BETHLEHEM LUTHERAN PRESCHOOLFACILITY NUMBER:
191201596
ADMINISTRATOR/
DIRECTOR:		KANDILIAN,MARYFACILITY TYPE:
850
ADDRESS:12227 BALBOA BLVD.TELEPHONE:
(818) 368-6947
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: DATE:
07/18/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:16 PM
MET WITH:Mary Kandilian, DirectorTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Laticia Thompson conducted an announced case management licensee-initiated inspection for the purpose of decreasing the capacity. The director is requesting to decrease their preschool license from 100 to 84. The facility is removing classroom# 7. Classrooms 1-4 and 6 will be dedicated to the preschool. The fire clearance is pending application and fees. The hours of operation are Monday - Friday 7:00AM – 6:00PM. LPA met with Mary Kandilian, Director and toured the on- limit areas of the facility. Upon arrival there were 93 children present.

Indoor Classroom measurements are

The Preschool Indoor total measurements contain a total of 2710.05 square feet which will accommodate a capacity limit of 77 preschooler.

Outdoor Play measurements are:

The Preschool Outdoor total measurements contain a total of 19,535.32 square feet, which will accommodate 260 preschoolers.

The following corrections are needed before the decrease will be considered,

Application, Fee's to decrease capacity and an updated facility sketch.

An exit interview was conducted with the above items discussed. A copy of appeal rights and this report was provided to the director. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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