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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493455
Report Date: 08/26/2024
Date Signed: 08/26/2024 03:40:58 PM

Document Has Been Signed on 08/26/2024 03:40 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:ATIDFACILITY NUMBER:
197493455
ADMINISTRATOR/
DIRECTOR:		MALI HEIFETZFACILITY TYPE:
850
ADDRESS:6037 FALLBROOK AVENUETELEPHONE:
(818) 703-0363
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 24TOTAL ENROLLED CHILDREN: 21CENSUS: 21DATE:
08/26/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH: Mali HeifetzTIME VISIT/
INSPECTION COMPLETED:
03:55 PM
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Licensing Program Analysts (LPA) Tatiana Bickham and Dawn Dowling conducted an unannounced annual inspection to the above facility on 08/26/2024.  LPA arrived at the facility at 1:30 PM, identified self and met with Mali Heifetz , License, who guided LPAs on a tour of the facility.  LPA provided Licensee with a copy of the LIC 125 Entrance Checklist to help facilitate the inspection. This is a preschool program which consists of 2 classrooms.  Facility operation hours are Monday to Thursday from 8:15 AM to 4:00 PM and Friday 8:15 AM to 2:00 PM.

All areas identified on the Facility Sketch were inspected.

There were 21 children and 4 staff present when LPAs arrived. The facility was observed to be within the license capacity and limitations.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Due to time constraints the Annual visit will be completed on a future date.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Mali Heifetz, Licensee.
SUPERVISORS NAME: Raul Navarro
LICENSING EVALUATOR NAME: Tatiana Bickham
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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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