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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419915
Report Date: 11/07/2019
Date Signed: 11/07/2019 06:50:02 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:31ST DISTRICT PTSA CREATIVE KIDSFACILITY NUMBER:
197419915
ADMINISTRATOR:KENIS MONTIELFACILITY TYPE:
840
ADDRESS:17551 MIRANDA STREETTELEPHONE:
(818) 360-4203
CITY:ENCINOSTATE: CAZIP CODE:
91316
CAPACITY:55CENSUS: 0DATE:
11/07/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Natalie TashjianTIME COMPLETED:
11:00 AM
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Margarit Sislyan, Licensing Program Analysts (LPA) conducted a Case Management visit for the purpose of a capacity increase evaluation. LPA met with Natalie Tashjian, Director and toured the facility inside and outside on 11/07/2019. Licensee is applying for a capacity increase from 55 to 72 children. No children were in care and staff were not present. Current facility license includes classrooms #16, and #19. Classroom #17 will be added to the program. All classrooms are part of the school operated under the LAUSD and available to the 31st District PYSA Creative Kids program from 2:30pm 6: 30 PM Monday thru Friday; on Tuesdays from 1:30 PM to 6:30 PM. The school is exempt from usual activity space requirements per Title 22 Regulation 101538.3 as it "is located on a functioning public school site, the site is exempt from square-footage requirements for child care centers per Title 22, Section 101538.3(c)(1) and Health and Safety Code Section 1596.806(a)." Also, the outdoor activity space per Title 22, Section 101538.2(c)(1) and Health and Safety Code Section 1596.806(b) is exempt from square footage requirements. There is a restroom in the classroom #1 with one sink, one toilet, and one urinal. The children also utilize the restrooms on campus, girls and boys have separate restrooms.
A staff restroom and isolation area are also available.

Capacity increase will be granted.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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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