Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401142
Report Date: 03/03/2017
Date Signed 03/06/2017 08:42:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:ME'RAJ CORPORATIONFACILITY NUMBER:
197401142
ADMINISTRATOR:MARIAM AHMADYARFACILITY TYPE:
850
ADDRESS:11070 OLD SANTA SUSANA PASS RDTELEPHONE:
(818) 886-5831
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:25CENSUS: 22DATE:
03/03/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Ghada El MasriTIME COMPLETED:
03:15 PM
NARRATIVE
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Margarit Sislyan, Licensing Program Analyst (LPA) met with Ghada El Masri (Office Administrator) for the purpose of an Annual/Random visit. LPA Sislyan toured the facility per facility sketch were inspected, the following was observed.

A review of the sign in/out sheet was conducted to verify the current census of children. Currently there are 22 children present. Facility is operating within capacity limitations. 2 teachers were present. Classrooms were found to be clean and free from any potential hazards.

A record of teacher’s names was checked against current facility roster. Staff is currently associated to the facility.

Furniture was found to be in good repair and age appropriate. There is adequate heating, lighting and ventilation. Drinking water is readily available in each classroom. Director states that the isolation area for sick students is the teacher’s room located between the kindergarten classrooms. There is a separate toilet/sink for ill children.

The bathroom areas were inspected. Toilets flush properly. Toilets and sinks are reachable by the children in care. The bathrooms have adequate toilet paper and paper towels available. The bathrooms were found to be clean. There is adequate lighting/ventilation in the bathrooms.

Parents provide lunch and sacks for children in care. Napping equipment was inspected there is adequate mats and bedding for the children in care
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: ME'RAJ CORPORATION
FACILITY NUMBER: 197401142
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/03/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/03/2017
Section Cited
101212(b)
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Reporting Requirements. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence shall be reported to the Department with in 10 days of a change.
Facility failed to report to CCLD the name if the new director
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Licensee shall report the name of new director to CCLD within 10 days.

POC date 03/13/2017
Type B
03/03/2017
Section Cited
101215.1(b)
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101215.1 Child Care Center Directors Qualifications and Duties
(b) All child care centers shall have a director.

LPA observed that the facility DIrector, Kaya Rodriguez did not meet the director qualifications.
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Licensee shall hire a new director, who will meet the Title 22 requirements for Child Care Center Director. Licensee shall report the change of director and submit the proof of qualifications to CCLD.
POC (Plan of correction) date 03/13/17
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME: ME'RAJ CORPORATION
FACILITY NUMBER: 197401142
VISIT DATE: 03/03/2017
NARRATIVE
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Incidental Medical Services (IMS) were discussed.
This facility does not provide Incidental Medical Services – IMS.

Inspection of the outdoor play area was conducted. Climbing structures, swings, slides and other large play equipment are found to be securely anchored with adequate resilient cushioning material underneath and around the perimeter. Drinking water is readily available on the play yard. There is adequate shade for the children in care. Playground is free from miscellaneous debris such as tree branches, trash, leaves, etc.

Children records were reviewed for completeness. Records were found to be complete.
Staff records were reviewed for completeness. Records were found to be complete. (CPR/First Aid expire 08//2015). Director advised that records for all children and staff must be maintained for 3 years after separation from the facility.

Licensee was cited Type B deficiencies according to California Code of Regulations Title 22 See 809D report for deficiencies.

Exit Interview Conducted

For additional information and forms visit our website at: www.ccld.ca.gov
SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3