197495117-2-11-2025-58-CC-LSTN-DDSVZ6-20250211155212

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197495117
Report Date: 02/11/2025
Date Signed: 02/11/2025 03:52:27 PM

Document Has Been Signed on 02/11/2025 03:52 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 HOUSE		FACILITY NUMBER:	197495117
ADMINISTRATOR/ DIRECTOR:	NINELIE RATAVOSSIAN		FACILITY TYPE:	850
ADDRESS:	4102-4104 W VICTORY BLVD		TELEPHONE:	(818) 934-0049
CITY:	BURBANK	STATE: CA	ZIP CODE:	91505
CAPACITY: 53	TOTAL ENROLLED CHILDREN: 53	CENSUS: 50	DATE:	02/11/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:32 AM
MET WITH:	Shamalie Goomewardene, Owner		TIME VISIT/ INSPECTION COMPLETED:	04:05 PM

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On 2/11/2025 Licensing Program Analysts (LPA) Laticia Thompson met with Shamalie Goonewardene, Owner. The purpose of the visit was an announced pre-licensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were 50 children present during this inspection. This is an emergency wildfire capacity increase application for 66 children ages 2 to entry into the first grade. The child care center will operate Monday – Friday 7:30 a.m. – 6:00 p.m. The fire clearance was approved on 09/11/2024. LPA toured and measured the on-limits areas. The facility has a total of 4 classrooms. Children will have access to 6 sinks and 6 toilets.

Classroom measurements are:

The indoor measurements contain a total of 2,087.63 which will not accommodate Licensee request for 66 children. Based on today’s measurement the facility capacity limit for indoor space is 59 preschool children.

Outdoor Play measurements are:

The outdoor activity space was previously measured during the Prelicensing visit which came to a total of 5275.52 and will accommodate Licensee’s request for 59 preschoolers.

Indoor/Children’s Area:

The following was observed.

Parents will enter and exit through the gate that requires a security code located on the side of the facility.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 HOUSE	FACILITY NUMBER: 197495117
	VISIT DATE: 02/11/2025

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Parents will sign in and out electronically under the Procare application. LPA advised facility there should be a plan in place on how such records will be immediately printable upon request for inspection and audit by program staff. For best practice purposes, facilities should have a plan in place on how records would be backed up, and how they would be made available in the event of a power failure or disaster. LPA reference director to review PIN 18-03.1-CCP.

Water is provided to children through a Brita type water picture for outdoor and indoor activities. There are operable carbon monoxide detectors located in rooms 1 and 3.

LPA observed First aid kit with the required materials including a handheld digital thermometer. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. Tables and chairs were observed to meet the needs of the children. There are cots mats for napping. All play equipment and materials used by children were observed to be age-appropriate. There are cubies and hooks for storage of children clothing and personal belongings. There is a refrigerator located in the kitchen that requires a thermostat to regulate the temperature.
The classrooms have central air or units for heating and cooling. The classrooms were clean in good repair. Windows were in good repair free of chipping paint, dirt, insects or debris. Classrooms have adequate lighting. The facility is equipped with landline telephones service located in the office. Medication is stored in classroom #1 in a cabinet inaccessible to children. Medication that requires refrigeration will be stored in the kitchen refrigerator inaccessible to children. The required postings are posted in the directors office were parents and visitors to review. Each licensee shall have a disaster and mass casualty plan of action. Ill children will use the directors office for and staff restroom for isolation. LPA observed fire extinguishers with inspection dates of 3/14/2024. LPA observed trash cans with fitted lids. LPA did not observe any bodies of water on the premises. Owner stated there are no bodies of water the premises.

The owner stated disinfectants, cleaning solutions, and other items that are dangerous to children are stored in a closet the restroom located next to classroom #1 inaccessible to children.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 HOUSE	FACILITY NUMBER: 197495117
	VISIT DATE: 02/11/2025

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The program provides snacks and parents provide lunch. The kitchen and food-preparation storage areas were observed to be clean and free of litter and rubbish. Menus are in writing and are posted in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request.

Outdoor

The entire outdoor activity grounds are enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. The surface of the outdoor activity space has artificial grass and rubber chips for cushioning to prevent injury from falls. The outdoor activity space was observed to be maintained in a safe condition and is free of hazards. There is adequate shade in the outdoor activity area. LPA observed shade for resting.

The following items were discussed:

The owner was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA reviewed with Owner the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 HOUSE	FACILITY NUMBER: 197495117
	VISIT DATE: 02/11/2025

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). Owner stated lead testing has been completed.

This facility provides Incidental Medical Services – IMS.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

The Owner was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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 HOUSE	FACILITY NUMBER: 197495117
	VISIT DATE: 02/11/2025

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The following corrections are needed

Place a protectant around water spigots located in outdoor activity space.
Place a thermostat in refrigerator.

Corrections are due by 02/28/2025

An exit interview was conducted with plan of corrected items discussed. LPA provided Shamalie Goomewardene with appeal rights and a copy of this report. Final license determination will be made upon review by the Licensing Program Manager and corrections.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Laticia S Thompson
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

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