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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197402404
Report Date: 03/04/2024
Date Signed: 03/04/2024 04:29:08 PM

Document Has Been Signed on 03/04/2024 04:29 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:ONEGENERATIONFACILITY NUMBER:
197402404
ADMINISTRATOR:VARDANYAN, KRISTINEFACILITY TYPE:
830
ADDRESS:17400 VICTORY BLVD.TELEPHONE:
(818) 708-6377
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
03/04/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:09 AM
MET WITH:Adena Amalian, DirectorTIME COMPLETED:
04:45 PM
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On 03/04/2024 Licensing Program Analyst (LPA’s) Laticia Thompson and Jillinda Chandler met with Adena Amalian. The purpose of the visit was an announce case management – licensee-initiated inspection at the facility to ensure that health, safety and personal rights as requires by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were 39 infants present during this inspection. This is an application for a room addition in preparation for an increase in capacity of the infant program ages 6 weeks to 24 months. The child care center will operate Monday – Friday 7AM-6:00PM. The fire clearance was approved on 10/5/2023

Licensee requested to remove classroom 5 from the preschool license (197402403) and requesting approval to add room to the infant license. The facility has an application to increase infant capacity. Licensee is requesting usage of this room in preparation of the capacity change. Based on inspection the facility is authorized to care for infants ages 1-2 years of age in Room #5. The visit for a capacity increase will be scheduled for a later date.

An exit interview was conducted with the director. LPA provided director with appeal rights, site visit (LIC 9213) and a copy of this report.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2024
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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