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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401262
Report Date: 07/03/2019
Date Signed: 07/03/2019 07:53:33 PM

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:C & E MERDINIAN ARMENIAN EVANGELICAL SCHOOLFACILITY NUMBER:
197401262
ADMINISTRATOR:MARIJAN KEVORKIANFACILITY TYPE:
850
ADDRESS:13330 RIVERSIDE DRIVETELEPHONE:
(818) 907-8149
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY:57CENSUS: 0DATE:
07/03/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marijan KevorkianTIME COMPLETED:
12:00 PM
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Licensing Program Analyst, Margarit Sislyan, conducted an announced site visit for a pre-licensing evaluation. The Licensee has applied for increase of capacity to 77 preschoolers. The current capacity is 57.
A new classroom will be added to the existing school.

The following measurements were taken:

Indoors, Added classroom:

18.5 x 33 = 610.5 sq. ft. divided by 35 = 17.4 children

Outdoors:
92 x 35 + 9 x 18 + 68 x 10 = 3220 + 162 + 680 = 4062 sq. ft. divided by 75 sq. ft. = 54 children

There are 10 sinks, 6 toilets and 2 urinals for the children’s exclusive use. A staff restroom and isolation area are also available. The indoor square footage, sinks and toilets allow for 74 children. The outdoor square footage allows 54 children. Applicant will need to request a waiver to share the playground with two sessions. A schedule needs to be submitted indicating the times each group will be using. The center has appropriate furniture, play and napping equipment indoors and outdoors. There is adequate shade for the children when occupying the outdoor space.

The following items are needed before licensure:
1. A waiver for the playground needs to be approved and granted.

An exit interview was conducted, and licensing forms were given to applicant.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (424) 302-3048
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: ((42) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2019
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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