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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700040
Report Date: 05/03/2023
Date Signed: 05/03/2023 08:45:38 AM

Document Has Been Signed on 05/03/2023 08:45 AM - 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:MULHOLLAND MONTESSORI PRESCHOOLFACILITY NUMBER:
195700040
ADMINISTRATOR:DARLENE CABRERAFACILITY TYPE:
850
ADDRESS:23010 VENTURA BLVDTELEPHONE:
(323) 767-4517
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
05/03/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
07:58 AM
MET WITH:Noesh Nordagoda and Darlene CabreraTIME COMPLETED:
09:00 AM
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On 05/03/2023 Licensing Program Analyst (LPA) Deborah Lowe met with Applicant, Noesh Nordagoda and Director, Darlene Cabrera. The purpose of the visit was an announce pre-licensing inspection at the facility to ensure that health, safety and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. The child care center will operate Monday – Friday 7:00 a.m. – 6:00 p.m. The fire clearance was approved on 01/11/2023.

Facility is located on the corner unit of an outdoor business plaza.

On 02/10/2023 LPA Lowe conducted a pre-licensing visit at the facility. During the visit on 02/10/2023 LPA Lowe toured and measured the on-limits areas and classroom located at the facility.

On 05/03/2023 LPA Lowe conducted a 2nd pre-licensing visit due to applicant has made changes to the floor plan. LPA Lowe took new measurements of the on-limits areas.

Classroom measurements as of 05/03/2023 are:

Indoor total measurements: 1,427.63 square (sq) feet (ft) divided by 35 sq ft = 40 children.

Indoor Play measurements as of 05/03/2023 are:

Facility does not have outdoor space. Applicant has created two designed indoor play areas to be used for gross motor.

Indoor play area measurements: 1,253.38 sq ft.

Applicant has submitted an outdoor waiver request.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/03/2023
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
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: MULHOLLAND MONTESSORI PRESCHOOL
FACILITY NUMBER: 195700040
VISIT DATE: 05/03/2023
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An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Applicant, Noesh Nordagoda and Director, Darlene Cabrera. Final license determination will be made upon review by the Licensing Program Manager.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023
LIC809 (FAS) - (06/04)
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