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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417363
Report Date: 02/14/2025
Date Signed: 02/14/2025 12:58:51 PM

Document Has Been Signed on 02/14/2025 12:58 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:STANLEY MOSK ELEMENTARY SCHOOL CSPPFACILITY NUMBER:
197417363
ADMINISTRATOR/
DIRECTOR:		FRIEDRICH, BARBARA N.FACILITY TYPE:
850
ADDRESS:7335 NORTH LUBAO AVENUE-RM 1TELEPHONE:
(818) 700-2020
CITY:CANOGA PARKSTATE: CAZIP CODE:
91306
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 12DATE:
02/14/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Rachelle Ratner, Principal TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Lilia Hernandez conducted an unannounced case management inspection due to a self-reported incident that occurred at the facility. LPA arrived at the facility at 8:35AM and met with Rachelle Ratner, Principal, who guided LPA on a tour of the facility. There were 12 children in care and 4 staff present upon arrival.

The incident that occurred on 02/04/2025, was reported to the Department on 02/05/2025, via telephone. The facility reported the Unusual Incident to the Department within the required 24 hours of occurrence.

Information reported to the Department indicated that Child #1 and Child #2 engaged in an activity that was not appropriate.

LPA conducted interviews and obtained documentation during today's visit.

Based on information received from the interviews conducted, it was determined that additional information is needed to determine if their were any deficiencies.

There were no deficiencies cited during today’s inspection.

The Notice of Site Visit was given and must remain posted for 30 days during the hours of operation after each site visit by a licensing representative.

Exit interview was conducted and report was reviewed with Rachelle Ratner, Principal.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 02/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/14/2025
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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