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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495117
Report Date: 07/21/2022
Date Signed: 07/21/2022 03:26:53 PM

Document Has Been Signed on 07/21/2022 03:26 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:ABC PRE SCHOOL HOUSEFACILITY NUMBER:
197495117
ADMINISTRATOR:SHAMALIE GOONEWARDENEFACILITY TYPE:
850
ADDRESS:4102-4104 VICTORY BLVDTELEPHONE:
(818) 319-3010
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 58TOTAL ENROLLED CHILDREN: 0CENSUS: 26DATE:
07/21/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:05 AM
MET WITH:Shamalie GoonewardeneTIME COMPLETED:
03:35 PM
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On 7/21/2022 at 8:05 a.m. Licensing Program Analyst (LPA) Deborah Lowe met with applicant, Shamalie Goonewardene. The purpose of the visit was an announce pre-licensing 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 26 children were present during this inspection. This is a change of ownership application is for 58 children, ages 2 years to entry into 1st grade. The child care center will operate Monday – Friday 7:30 a.m. – 6:00 p.m. The fire clearance was approved on 6/20/2022.

Facility is located on a corner lot of W Victory Boulevard and Evergreen Street. Facility has four buildings, three buildings are used for child care, 4th building located on building 1 front yard area is off limits to children and used for storage only. LPA observed building 4 (garage) with a pad lock on the roll up garage door making area inaccessible to children. There is a white gate dividing building 1 and building 2. Building 3 is located in the corner area of building 2 front yard outdoor space.

LPA Lowe toured and measured the on-limits areas and classrooms located at the facility. Children will have access to 4 sinks and 6 toilets.

Classroom measurements are:

Indoor total measurements: 1855.24 square (sq) feet (ft) divided by 35 sq ft = 53 children.

Outdoor Play measurements are:

Outdoor total measurements: 5275.52 sq ft divided by 75 sq ft = 70 children.

Facility was observed and measured with four outdoor activity spaces. Building 1 and Building 2 with a front yard and a back yard.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2022
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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