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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191600650
Report Date: 12/07/2021
Date Signed: 12/07/2021 11:30:02 AM

Document Has Been Signed on 12/07/2021 11:30 AM - It Cannot Be Edited

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:STEPHEN S. WISE TEMPLE PRE-SCHOOLFACILITY NUMBER:
191600650
ADMINISTRATOR:JENNIFER SHANKMANFACILITY TYPE:
850
ADDRESS:15500 STEPHEN S. WISE DR.TELEPHONE:
(310) 889-2248
CITY:LOS ANGELESSTATE: CAZIP CODE:
90077
CAPACITY: 298TOTAL ENROLLED CHILDREN: 298CENSUS: 156DATE:
12/07/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Jennifer Shankman, LicenseeTIME COMPLETED:
11:30 AM
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On 12/07/2021 at 10:40 AM, Licensing Program Analyst (LPA) Sabrina Martinez made an announced visit to Stephen S. Wise Temple Preschool for the purpose of conducting a licensee-initiated request to add two additional classrooms and a bathroom to the existing licensed spaces. An approved fire clearance was granted on 11/23/2021 by the Valley Fire Prevention Bureau.

LPA met with Licensee Jen Shankman and a tour of the facility was conducted. The rooms to be added were Classroom 52, Classroom 54, and one bathroom. LPA Martinez inspected the rooms for health and safety compliance, there were no hazardous conditions or concerns regarding the classroom. The classrooms were equipped with standard fire extinguishers, carbon monoxide detectors and age appropriate furniture in good repair. LPA inspected the bathrooms and observed 3 toilets and 2 sinks available for the children.
LPA measured the classrooms and it can accommodate a capacity of 34 children. The facility’s capacity will remain at 298.


An exit interview was conducted, and a copy of this report was provided to Licensee Jen Shankman.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sabrina Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2021
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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