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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494575
Report Date: 08/12/2020
Date Signed: 05/03/2021 07:34:24 AM

Document Has Been Signed on 05/03/2021 07:34 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:DEVONSHIRE INFANT CENTERFACILITY NUMBER:
197494575
ADMINISTRATOR:MARIAN RATNAYAKEFACILITY TYPE:
850
ADDRESS:21203 DEVONSHIRE STREETTELEPHONE:
(818) 700-2821
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 43TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/12/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 PM
MET WITH:Marian Ratnayake & Dharshana Ratnayake/OwnersTIME COMPLETED:
10:30 PM
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Licensing Program Analyst (LPA) Silva Garibyan met with owner/applicants Marian Ratnayake and Dharshana Ratnayake to conduct a pre-licensing/Change of Ownership inspection. The applicants submitted application for 43 infants . Applicants provided a tour of the facility at 9:00 p.m. on 08/12/2020. The facility will operate an infant program in rooms #1, #2, #3, #4, #5, and #6. The fire department has granted the fire clearance for the capacity of 43 infants. Fire Clearance granted on 07/29/20 by Inspector Cindy Struck, LA City Fire Application was submitted for a Preschool license ( Facility # 197494574)and for Infant license. All programs will be measured and considered for licensing today. Control of property was verified with a copy of the Commercial Lease Agreement.
LPA toured the facility inside and outside. There are six classrooms assigned for the infant program.
The following are the measurements:
Infant Indoor:
Classroom #1 10.8 x 17.8 = 192.24 sq.ft.
Classroom #2: 44.1 x 10.3 = 454.23 sq. ft
Classroom #3: 27.5 x 13.7 = 376.75 sq. ft.
Classroom #4: 12.7 x 9.3 = 118.11 sq. ft.
Classroom #5: 23.1 x 14.3 = 330.33 sq. ft.
Classroom #6: 16.8 x 10.3 = 173.04 sq. ft.
Total indoor measurement for preschool : 1,644.7 sq ft. / 35 = 46 infants

Infant outdoor measurement:

Preschool outdoor: 47.9 x 40 = 1,916 sq. ft./75= 26 infants
Continued
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2020
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: DEVONSHIRE INFANT CENTER
FACILITY NUMBER: 197494575
VISIT DATE: 08/12/2020
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The infant yard will be enclosed by fences to restrict the areas to Infant use only. The yards contain infant age appropriate play equipment.
The crib area contains 4 cribs. The classroom contains a changing table within arms reach of a sink. there is a refrigerator for Infant milk and meal storage. Crib bedding will be washed by the center daily. Labels will identify each child's crib.
Parents will provide lunch, baby food or milk for infants enrolled in this program. Also facility provides AM and PM snacks, for older infants. Medications will be stored in a medication box in the kitchen. First aid supplies are available in infant classroom. Sign in/out procedures will be implemented at the entrance of the facility. The classroom will have a list of infants signed in for the day. There is water readily available in infant classroom.
Director understands that Infant Teachers must have Infant units. Minimum staffing ratios are 1 teacher to every 4 infants. 1 teacher and 1 aide may supervise up to 8 infants. Applicant is also aware of Infants Needs and Services Plans and the requirement to conduct meetings as needed with infant families to update the Needs and Services Plans. Logs will be kept in the classroom for staff to document Infant feedings and diaper changes.
Furniture/Equipment/Toys/Books
There are plenty of toys and material for children in care to utilize.

Napping Area/Equipment
The program will be open from 6:30am to 6:00pm. The center has appropriate napping equipment.
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: DEVONSHIRE INFANT CENTER
FACILITY NUMBER: 197494575
VISIT DATE: 08/12/2020
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Medication
Medication if administered is to be properly labeled and stored in the original container. Director advised that children should be screened every morning for illness and unusual marks. First Aid supplies are stored in the classrooms.
Sign In/Out
Director is to ensure that parents sign in and out daily using their full and legal signature.
Safe Sleep Links:
AAP: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx
NIH: https://safetosleep.nichd.nih.gov/safesleepbasics/environment/room/text_alternative

Safe to Sleep Campaign: https://safetosleep.nichd.nih.gov/materials

Safe sleep for your baby pamphlet and what does safe sleep look like wall flyer provided to applicant. Safe Sleep new flyer (5/23/2019) also given to applicant.


SIDS & SHAKEN BABY SYNDROME INFORMATION: LPA discussed safe sleep for infants with applicant: Infants must be placed on their backs and must be physically checked every 15 minutes to gauge temperature and ensure they are breathing. Applicant reviewed both items provided and understands the guidance of safe sleep practices. LPA discussed flyer given today (Never Shake a Baby) Applicant reviewed flyer and understands the preventive practices of shaken baby syndrome and abusive head trauma.
Licensure is pending the following:

1) Outdoor waiver approval.

An exit interview was conducted and a copy of this report will be provided via email to licensee. .
SUPERVISORS NAME: Mary Ruiz
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
LIC809 (FAS) - (06/04)
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