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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493925
Report Date: 10/04/2021
Date Signed: 10/04/2021 03:38:48 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:CCRC HEAD START - LOKRANTZFACILITY NUMBER:
197493925
ADMINISTRATOR:MARINE KARAQULYANFACILITY TYPE:
850
ADDRESS:19451 WYANDOTTE STREETTELEPHONE:
(818) 700-4419
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:40CENSUS: 0DATE:
10/04/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Marine KaraqulyanTIME COMPLETED:
12:30 PM
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Licensing Program Analyst, Margarit Sislyan, conducted an announced site visit and met with Noemi Tovar, Early Learning Supervisor and Marine Karaqulyan, Director. The facility is located on the Lokartz Elementary School. The applicant has applied to change the classrooms. All other terms of license remain the same. The current license capacity is 40 children.

The facility will utilize 3 classrooms.
The following measurements were taken:

Indoors: **** LENGTH x **** WIDTH = **** sq. ft. divided by 35 = *** children
Room 1
28 x 22 = 616 sq. ft divided by 35 = 17.6 children
Room 2
28 x 26 = 728 sq. ft divided by 35 = 20.8 children
Room 3
28 x 25 = 700 sq. ft divided by 35 = 20 children

Outdoors:
(68 x 50)/2 = 1700 divided 75 = 23
50 x 63 = 3150 divided 75 = 42
The facility will use the School library for preschool children for reading activities. The preschool children shall not be commingled with school age children.
The request of changing the classroom will be approved.

An exit interview was conducted.
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 10/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2021
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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