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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191890279
Report Date: 10/04/2024
Date Signed: 10/04/2024 03:12:45 PM

Document Has Been Signed on 10/04/2024 03:12 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ARMINTA STREET EARLY EDUCATION CENTERFACILITY NUMBER:
191890279
ADMINISTRATOR/
DIRECTOR:
VIKEN KAZARIANFACILITY TYPE:
850
ADDRESS:7911 GOLL AVE.TELEPHONE:
(818) 765-4312
CITY:NORTH HOLLYWOODSTATE: CAZIP CODE:
91605
CAPACITY: 115TOTAL ENROLLED CHILDREN: 115CENSUS: 44DATE:
10/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Barry Rubenstein, Head Teacher TIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection on 10/04/2024 to follow up on an incident that was reported to the Department. LPA arrived at the facility at 1:00PM and met with Barry Rubenstein, Head Teacher, who guided LPA on a tour of the facility. There were 44 children and 11 staff present upon arrival.

The incident that occurred at the facility on 09/17/2024, was reported to the Department on 09/17/2024, via telephone. The facility made the report to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #1 bit Child #2 and Staff #2 while in care.

During todays inspection, LPA obtained a copy of the facility roster. LPA also conducted an interview with Head Teacher who is the personnel responsible for the care of Child #1.
During the interview, Head Teacher disclosed that at no time was Child #1 and Child #2 left unsupervised. Head Teacher stated that the facility is currently working with Child #1's parents to obtain resources for Child #1. Further information is needed to ensure the facility is able to meet the needs of Child #1 while in care.

There were no deficiencies cited during today’s inspection.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Barry Rubenstein, Head Teacher.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2024
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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