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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000715
Report Date: 01/26/2023
Date Signed: 01/26/2023 02:29:25 PM

Document Has Been Signed on 01/26/2023 02:29 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LYCEE INTERNATIONAL DE LOS ANGELESFACILITY NUMBER:
198000715
ADMINISTRATOR:CLAUDETTE CHOURBAIRFACILITY TYPE:
850
ADDRESS:4155 RUSSELL AVE.TELEPHONE:
(323) 665-4526
CITY:LOS ANGELESSTATE: CAZIP CODE:
90027
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 13DATE:
01/26/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Claudette ChourbairTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Cynthia Reyes conducted an unannounced case management licensee initiated inspection to inspect the preschool facility for decrease in capacity determination. Licensee is requesting to decrease the capacity of their existing preschool license from a capacity of 45 to 30.

Due to COVID- 19 precautionary measures were taken. Licensing staff met with Administrator, Claudette Chourbair. who guided the LPA on a tour of the facility on this date. Their is a Kindergarten program on the premises that will take over class room #3 that is being removed from the license. There are no shared areas between the preschool and kindergarten program. The facility hours of operation are Monday - Friday 8 AM - 5 PM.

LPA was provided a tour of the facility’s existing two licensed classrooms #1 and 2. and class room #3 that will be removed from the preschool license. LPA inspected all the rooms and observed a bathroom between class room 1 and 3 and has 2 toilets (Cap 30) and 2 sinks (Cap 30) and will not be used by the kindergarten class room #3. Another bathroom is located between room #1 and the outdoor play yard, with 3 toilets (Cap. 45) and 2 sinks (Cap. 30).

There are age appropriate furniture and toys that were observed to be clean and safe. During this inspection, LPA observed cots for napping.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LYCEE INTERNATIONAL DE LOS ANGELES
FACILITY NUMBER: 198000715
VISIT DATE: 01/26/2023
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There is adequate shade in the outdoor play area. The play equipment was observed to be in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Outdoor previously licensed for a capacity of 45 will allow for the decrease of capacity 30 preschool children. Class room #1 and 2 has a door that leads directly to the outdoor play yard.

Helpful Resources:
Access forms, regulations and quarterly updates on the Child Care Licensing website at: www.ccld.ca.gov. Reporting Unusual Incidents: MPROIncidentReports@dss.ca.gov. CCL Resources for Parents & Providers: https://ccld.childcarevideos.org/ Provider Information Notices (PINs): https://www.cdss.ca.gov/inforesources/community-care-licensing/policy/provider-information-notices/child-care

At this time, the facility was observed to be operating in compliance with California Title 22 Regulations. Based on facility file review and observations of the facility’s existing two licensed classrooms and the preschool outdoor play yard, the capacity for the preschool program will be decreased to the requested capacity of 30 (Thirty) preschool children.



Exit interview conducted and report was reviewed with Administrator, Claudette Chourbair . A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Cynthia Reyes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC809 (FAS) - (06/04)
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