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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494398
Report Date: 11/27/2019
Date Signed: 11/27/2019 02:34:17 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:OAKRIDGE INFANT CARE CENTERFACILITY NUMBER:
197494398
ADMINISTRATOR:PETROV, MITHELLEFACILITY TYPE:
830
ADDRESS:10433 TOPANGA CANYON BLVDTELEPHONE:
(818) 424-3415
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:23CENSUS: 9DATE:
11/27/2019
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Michelle PetrovTIME COMPLETED:
10:00 AM
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Licensing Program Analyst, Margarit Sislyan, conducted an announced site visit for a pre-licensing evaluation. The applicant has submitted an application for change of ownership. LPA met with Applicant, Michelle Petrov.
The facility will be licensed with a toddler option.
LPA toured the facility and observed there is separate crib area, infant room and toddler room.

Below are the indoor and outdoor measurements:

Indoor:
Infant room: 23 x 16 + 3 x 8 = 368 + 24 = 392 divided 35 = 11.2 children

Toddler room: 19.5 x 18.5 + 11 x 4 + 6 x 3 = 360.75+44 +18 = 422
422 divided 35 = 12 children

The indoor will accommodate total = 23 children.
Outdoor:
28.5x29 +13x4.5 + 15x4 = 826.5+ 58.5 + 60 = 945 divided 75 = 12.6

The indoor and outdoor measurements allow licensing the facility for 13
infants/toddlers.

Licensee shall apply for a waiver to share outdoor area for the toddlers with infants. The waiver shall be approved by the department before the license will be approved.

For additional information and forms visit our website at: www.ccld.ca.gov
Exit interview was conducted
SUPERVISOR'S NAME: Mary RuizTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (424) 430-3049
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2019
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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