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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012390
Report Date: 05/15/2024
Date Signed: 05/15/2024 03:10:33 PM

Document Has Been Signed on 05/15/2024 03:10 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:ABC LITTLE SCHOOL STUDIO CITY, LLCFACILITY NUMBER:
198012390
ADMINISTRATOR/
DIRECTOR:		JENNIFER PEREZFACILITY TYPE:
850
ADDRESS:11728 MOORPARK STREETTELEPHONE:
(818) 766-5557
CITY:STUDIO CITYSTATE: CAZIP CODE:
91604
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: DATE:
05/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:DIrector / Jacqueline BatresTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On 5/15/24, at 12:15PM, Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced Case Management Visit to this facility. Upon arrival, LPA met with Preschool Director / Jacqueline Batres,
who guided LPA on a tour of the facility. There were 65 children with 9 staff observed present in the preschool program. LPA explained the purpose of today's visit is to follow-up on an incident that was reported to Community Care Licensing (CCL) on 5/13/24.

The incident that occurred on 05/13/24, was reported to the Department on 05/13/24, via telephone. The
facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

During today's visit, LPA Katrdzhyan conducted interviews, obtained surveillance footage of the incident involving Child 1 and obtained copies of the children's and staff roster and other pertinent documentation.

Based on the information gathered, this incident will need further investigation.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with Jacqueline Batres.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Joe Katrdzhyan
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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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