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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700128
Report Date: 02/12/2024
Date Signed: 03/04/2024 02:00:55 PM

Document Has Been Signed on 03/04/2024 02:00 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:LEARNING HOUSE PRESCHOOLFACILITY NUMBER:
195700128
ADMINISTRATOR:ARBI DELKEOUKIANFACILITY TYPE:
850
ADDRESS:5317 TOPANGA CANYON BLVDTELEPHONE:
(818) 426-4446
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91364
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 0DATE:
02/12/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Arbi Delkeoukian, Applicant TIME COMPLETED:
11:37 AM
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An office meeting was held on 02/12/2024 at 10:00AM to discuss corrections needed to complete the Applicant's application. Present during this office meeting was, Licensing Program Analyst (LPA)Lilia Hernandez, and Arbi Delkeoukian, Applicant.

During this meeting the following was discussed:
• Corrections needed on the LIC200A(2/23) application: Items 1(Applicant name/Corporation), 10( 2yrs – Entry to 1st grade), 16 (Legal name of FCC/Facility Number)
• LIC309 - Item 10 - list all officer names – President, Vice President, Secretary, Treasurer
• By laws for Profit Corp. missing
• Lease Agreement with Profit Corp. is missing.
• Parent Handbook Revisions
• Personnel Policy/Procedures/Duty Statements
• Personnel Duty Statements missing for: Administrator and Volunteer
• Update LIC500 - Staffing hours should comply with regulations.
• Schedule - Define younger and older children's ages, and include a transition between staggered use of yard
• Qualifications for Designee - Zulakiha Nawabi (Identified as Director in your absence)

During the visit LPA failed to complete and have applicant sign Facility Evaluation Report. LPA called Applicant to explain this report will be furnished via email for review and signature. Also requesting that the signed report be returned to the CCLD office.

All signed original documents must be submitted to the Department along with all other corrections. Per Applicant, All corrections will be submitted by 02/23/2024.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2024
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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