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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408298
Report Date: 01/08/2025
Date Signed: 01/08/2025 05:07:27 PM

Document Has Been Signed on 01/08/2025 05:07 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:BEVERLY HILLS PRESCHOOL PROGRAM, THE CITY OFFACILITY NUMBER:
197408298
ADMINISTRATOR/
DIRECTOR:		ADRINE OVASAPYANFACILITY TYPE:
850
ADDRESS:624 NORTH REXFORD DRIVETELEPHONE:
(310) 285-6822
CITY:BEVERLY HILLSSTATE: CAZIP CODE:
90210
CAPACITY: 60TOTAL ENROLLED CHILDREN: 52CENSUS: 40DATE:
01/08/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Recreation Services Manager Adrine Ovasepyan & Senior Recreation Supervisor Lisa Crespo & TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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An unannounced Case Management-licensee-initiated inspection was conducted by Licensing Program Analysts (LPAs) Amelia Morales and Silva Garibyan on this date in order to inspect and measure an additional classroom, which licensee wanted to add on to their existing license. Due to an emergency, LPA Garibyan left at 10:00 am and Licensing Program Manager Emiko Bell arrived at 11:00 am.

Upon arrival at 08:11 am, LPAs were greeted by Head Teacher Pamela Trank. Senior Recreation Supervisor Lisa Crespo arrived at 11:00 am. Census was taken at 11:00 am, as children do not arrive until 09:00 am.

Census: Room #150: there were 11 children with 3 staff; room #151: 15 children with 3 staff, and room #159: 14 children with 3 staff.

In reviewing the associations, it was noted that Claudia Rodriguez was not associated to the facility; however, she has fingerprint clearance. A Type B citation is being issued.


During the walk through of the facility, it was observed that the facility moved classrooms from room #140 to room #159. The previous Licensee did not notify the Department. However, fire clearance was received on 08/02/2024 for the rooms that are being in use which are Room #150 (NEW ROOM), Room #151, and Room #159. A citation has been issued due to the Department not being notified of the change of classrooms.

Continued on 809-C
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE: DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
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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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: BEVERLY HILLS PRESCHOOL PROGRAM, THE CITY OF
FACILITY NUMBER: 197408298
VISIT DATE: 01/08/2025
NARRATIVE
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On 1/08/2025, measurements were taken of the following rooms and outdoor area:

Room #150 (NEW ROOM) total measurement : 710 sq. ft

Room #159(NEW ROOM), total measurement: 689.88 sq. ft.

Room #151, total measurement: 653. 23 sq. ft


Outdoor area:
MAIN PLAY AREA- Measurements: 3,109 sq. ft.

BIKE AREA- Measurements: 2,342 sq. ft.

BENCH AREA- Measurements: 273 sq. ft.

Based on measurements taken today the maximum indoor capacity for Room #150 (NEW ROOM) is 20 children, Room #159(NEW ROOM) is 19 children and Room 151 is 18 children. The maximum outdoor capacity for the playground is for 77 children. However, the main playground has a capacity of 42 children, the bike area has a capacity of 31 children, and bench area has a capacity of 3 children.


Notice of Site visit was given and must remain posted for 30 days.

Exit interview was conducted with Recreation Services Manager Adrine Ovasapyan.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Amelia Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/08/2025 05:07 PM - It Cannot Be Edited


Created By: Amelia Morales On 01/08/2025 at 01:21 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: BEVERLY HILLS PRESCHOOL PROGRAM, THE CITY OF
FACILITY NUMBER: 197408298

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/08/2025
Section Cited
CCR
101770(e)(2)

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CRIMINAL RECORD CLEARANCE
All individuals subject to a criminal record review...shall prior to working...request a transfer of a criminal record clearance as specifed...


This requirement is not met as evidenced by
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*Corrected during the visit.*
LPA was provided with form LIC 9182 Criminal Background Clearance Transfer Request and a copy of Claudia Rodriguez's CDL.
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This requirement is not met as evidenced by: Based on record review, facility did not request a transfer of a criminal record clearance for Claudia Rodriguez prior to her date of hire in August 2024.
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This poses a potential health, safety, or personal rights risk to the children in care.
Type B
01/17/2025
Section Cited
CCR101161(a)

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LIMITATIONS ON CAPACITY
A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.
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This has been corrected during todays visit, LPAs measured rooms 150, 151 and 159 and the outdoor playground and a fire clearance was received 08/02/25. An updated LIC 200A and facility sketches need
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This requirement is not met as the Center changed from room 140 to room 159. This poses a potential health, safety, or personal rights rsk to the children in care.
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to be submitted to the Department by Friday, January 17. Forms can be submitted via email, though the LIC 200A will also need to be submitted via mail.
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:Amelia Morales
LICENSING EVALUATOR SIGNATURE:
DATE: 01/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/08/2025


LIC809 (FAS) - (06/04)
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