Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493135
Report Date: 08/15/2019
Date Signed: 08/19/2019 02:41:50 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:EXPLORING MINDS MONTESSORI HAZELTINEFACILITY NUMBER:
197493135
ADMINISTRATOR:KARINA NAVAFACILITY TYPE:
850
ADDRESS:5128 HAZELTINE AVETELEPHONE:
(818) 465-3216
CITY:SHERMAN OAKSSTATE: CAZIP CODE:
91423
CAPACITY:24CENSUS: 9DATE:
08/15/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:12 PM
MET WITH:DOUHA ZOHBITIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analysts (LPA) Christopher Garlington met with DOUHA ZOHBI, owner for the purpose of conducting an unannounced Case Management Visit to inspect and measure the facility for the purpose of the pending capacity increase application. LPA toured the facility indoors and outdoors as identified per facility sketches.

The Los Angeles City Fire Department Fire Inspector verbally stated to LPA that he has approved the requested capacity of 28 children. Fire Inspector will forward the completed fire clearance report on 08/16/2019. The applicant is a licensed provider of another facility (license # 197410411). This facility will operate Monday through Friday, from 8:30 am to 4:00 pm.



The facility is converted residential property. It is comprised of two large classrooms that open to each other. Classroom # 2 (to the left of the property upon entrance from the main door) was measured to be: (29.6 x 17) - (3.5 x 8.10 - adult restroom area) = 503.2 - 28.35 = 474.85 sq. ft
The adult restroom adjacent to this room will be used by sick children as well.

Classroom # 1 was measured to be: (19.4 x 14.1) + (12.8 x 24.1) + (9.5 x 7.7) = 273.54 + 308.48 + 73.15 = 655.17 sq. ft. There is a fire place in this room that was made inaccessible by a fish tank placed inside.

The total indoor space of 1130.02 will allow a capacity of 32 preschoolers.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: EXPLORING MINDS MONTESSORI HAZELTINE
FACILITY NUMBER: 197493135
VISIT DATE: 08/15/2019
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There is a full size kitchen that will be used to prepare snacks. The kitchen is equipped with full size refrigerator and a sink with hot and cold running water. The kitchen is completely off limits to the daycare children and LPA observed child proof gates installed at both (2) entrances of the kitchen.

The office is located adjacent to classroom # 1; it will be used to isolate/rest sick children. Drinking water will be offered in the classrooms by a water dispenser.

There is a restroom that is accessible through Classroom # 1 as well as the yard. This will be used by the children. LPA observed 3 toilets and 3 sinks that will accommodate a total of 45 preschoolers.

The classrooms were observed to be set up with age appropriate toys and equipment. There are children's cubbies to store their belongings.

The backyard is completely fenced in and there are no bodies of water observed. The outdoor space was observed to be set up with different types of activities, and separated with short fence and ramp. There is a large play equipment with 2 large slides. One slide is covered. There are cushioning material under the play equipment and other parts of the yard. On the other side, there is a large stage set up for performances by the children. The back part of the property includes garbage cans and storage area with a detached/converted garage. These areas are completely off limits to the daycare children by an approximately 7 foot wooden fence and children will not be received from this end of the property.

There are large shade structures installed to provide shade on most part of the yard.

The outdoor space was measured to be: (61.3 x 31.5) + (35 x 29) = 1930.95 + 1015 = 2945.95 sq. ft. which will accommodate a total of 39 preschoolers. When outdoors, the children will be offered drinking water in pitchers.

The facility will be processed for the capacity of 28 children upon completion of the following:
Receipt of the Granted Fire Clearance.
SUPERVISOR'S NAME: Sharalyn Jenkins-SweetenTELEPHONE: (424) 301-3054
LICENSING EVALUATOR NAME: Christopher GarlingtonTELEPHONE: (424) 301-3056
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
LIC809 (FAS) - (06/04)
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