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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700312
Report Date: 12/10/2024
Date Signed: 12/10/2024 02:30:28 PM

Document Has Been Signed on 12/10/2024 02:30 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:CITY OF BEVERLY HILLS-HORACE MANN PRESCHOOLFACILITY NUMBER:
195700312
ADMINISTRATOR/
DIRECTOR:		SHAKINA CAMPBELLFACILITY TYPE:
860
ADDRESS:8701 CHARLEVILLE BLVDTELEPHONE:
(310) 285-6853
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90210
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: DATE:
12/10/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Adrine Ovasapyan, Recreation ManagerTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 12/10/2024 Laticia Thompson conducted a plan of corrections visit. LPA met with Shakina Campbell, Director, Adrine Ovasapyan, Recreation Manager and Lisa Crespo, Assistant Administrator. LPA observed that all corrections have been completed with the exception to cots/mats. LPA confirmed program is a half day program based on hours of operation therefore not required by regulations to have a napping period/equipment. License currently pending waivers and outstanding incomplete documents.

An exit interview was conducted with facility representatives. LPA provided recreation manager with a copy of this report and appeal rights.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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