566216094-3-25-2021-17-CC-FPEA-BZFLVT-20210325090604

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 566216094
Report Date: 03/24/2021
Date Signed: 03/25/2021 09:06:30 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	PARTNERS IN LEARNING PRESCHOOL AND KINDERGARTEN		FACILITY NUMBER:	566216094
ADMINISTRATOR:	BISHAN SENEVIRATNE		FACILITY TYPE:	830
ADDRESS:	5251 CHESEBORO ROAD		TELEPHONE:	(310) 420-8480
CITY:	AGOURA HILLS	STATE: CA	ZIP CODE:	91301
CAPACITY:	24	CENSUS: 4	DATE:	03/24/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Lorelle Stevens		TIME COMPLETED:	11:00 AM

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This is a change in ownership for the previous facility number 197420010 effective 03/01/2021.

On March 23, 2021 at 10:15 am, Licensing Program Analyst (LPA) conducted a pre-licensing change of ownership inspection. LPA met with owner Bishan Seneviratne and facility Director Lorelle Stevens. LPA advised them the purpose of the inspection. Due to COVID-19 and the Department of Public Health guidelines, a tele-inspection was completed via Facetime. LPA was provided a tour of the facility inside and out. The center hours are Monday – Friday 7:00 am – 6:00 pm. Currently the facility is on a modified schedule due to Covid -19 Monday – Friday 8:00 am – 5:00 pm. There were four (4) children in care at the time of the inspection. This is a combination center with a preschool component.

LPA observed required licensing notices posted prominently on the wall in the office. The facility will be using five (5) classrooms for children in care. The classroom had age appropriate toys and furnishings. LPA observed one sink with a changing table within one arm reach readily accessible. LPA observed cribs for infants and mats available for the older infants that do not use cribs. Food and milk will be stored in refrigerator and/or freezer located in the classroom. LPA advised Administrator to ensure the food and milk is appropriately labeled with the child's name and date. LPA advised Administrator to ensure every infant has an updated needs and services plan for care. LPA did not observe any toxins/hazardous items accessible to children in care. That facility has two (2) outdoor recreation yards for the infant component. LPA observed age appropriate structures and play equipment readily accessible to children in the outdoor recreation area. The facility has ample amount of shade. The facilities RAST inspection was completed on 08/26/2020. The Incident Medical Services policy was discussed. Currently the facility does not have any children that require (IMS).

Continued on 809-C

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: PARTNERS IN LEARNING PRESCHOOL AND KINDERGARTEN	FACILITY NUMBER: 566216094
	VISIT DATE: 03/24/2021

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Facility Measurements:

Indoor – 1,761 square footage meets the requirement for 24 children.

Outdoor – 4,260 square footage meets the requirement for 24 children.

The center meets Title 22 Division 12 requirements.

License will be effective today, March 24, 2021 for 24 infant children.

A copy of this report was reviewed and provided Director Stevens. Director agreed to receive a copy of report via email and voiced understanding that the read receipt confirmation from email will be in lieu of her signature once she receives the report. LPA requested Director send a signed copy of the report to licensing for records.

THE NOTICE OF SITE VISIT WAS POSTED AS REQUIRED BY H&S CODE SEC. 1596.817. THE NOTICE OF SITE VISIT MUST REMAIN POSTED FOR 30 DAYS OR A CIVIL PENALTY OF $100.00 WILL APPLY.

SUPERVISOR'S NAME: George Mingle	TELEPHONE: (805) 562-0410
LICENSING EVALUATOR NAME: Francisco Pedroza	TELEPHONE: (805) 689-4212
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2021

LIC809 (FAS) - (06/04)

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