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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402404
Report Date: 02/26/2025
Date Signed: 02/26/2025 09:06:47 AM

Document Has Been Signed on 02/26/2025 09:06 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ONEGENERATIONFACILITY NUMBER:
197402404
ADMINISTRATOR/
DIRECTOR:		ADENA AMALIANFACILITY TYPE:
830
ADDRESS:17400 VICTORY BLVD.TELEPHONE:
(818) 708-6377
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: 74TOTAL ENROLLED CHILDREN: 58CENSUS: DATE:
02/26/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:07 AM
MET WITH:Director- Adena AmalianTIME VISIT/
INSPECTION COMPLETED:
09:15 AM
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This is an amendment of an original report created on 1/22/25.  The report has been amended to correct the deficiency type.

On 2/26/25 at 8:07 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management visit for the purpose of obtaining signatures and delivering an amended report. LPA met with Director- Adena Amalian and toured the facility.

Upon entry, LPA Lipsey observed thirty three children, being supervised by fourteen staff members.

Lady Bug class age 0-14 months 5 children, 3 teachers
Butterfly class age 12-24 months 8 children, 3 teachers
Caterpillar class age 0-14 months 3 children, 2 teachers
Dragon Flies class age 0-14 months 4 children, 2 teachers
Busy Bee class age 12-24 months 13 children, 4 teachers

Exit interview conducted and report was reviewed with Director- Adena Amalian. A copy of this report and a Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2025
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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