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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419636
Report Date: 10/17/2019
Date Signed: 10/17/2019 03:37:44 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:NETAN ELI HEBREW ACADEMYFACILITY NUMBER:
197419636
ADMINISTRATOR:FAHIMEH KASHANIFACILITY TYPE:
850
ADDRESS:18043 TOPHAM STREETTELEPHONE:
(818) 345-6090
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY:37CENSUS: 0DATE:
10/17/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Fahimeh KashaniTIME COMPLETED:
12:00 PM
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Licensing Program Analyst, Margarit Sislyan met with licensee and toured the facility. Currently the school was closed due to Jewish Holiday. LPA observed some construction work was in progress in play yard.
Licensee is planning to expand the preschool.
Consultation was provided.

Licensee was advised to complete the construction before the school start date.

Exit interview
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019
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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