Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419340
Report Date: 04/25/2018
Date Signed 04/25/2018 01:01:50 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6167 BRISTOL PARKWAY #400
CULVER CITY, CA 90230
FACILITY NAME:MONARCH CHRISTIAN SCHOOL-INFANTFACILITY NUMBER:
197419340
ADMINISTRATOR:DIAZ, AMANDAFACILITY TYPE:
830
ADDRESS:22280 DEVONSHIRE STREETTELEPHONE:
(818) 882-8023
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY:14CENSUS: 9DATE:
04/25/2018
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Brittany HanonTIME COMPLETED:
11:00 AM
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Margarit Sislyan, Licensing Program Analyst (LPA) arrived to the facility and met with facility director, Brittany Hannon. The visit was initiated by the licensee. Licensee had submitted an application for increase of capacity and adding a toddler option to the license.

The room that will be utilized for the toddler option currently licensed under the preschool license (License #107418341).

Licensee was informed that the capacity of the preschool license will be decreased in order to utilize the above mentioned preschool room for the toddler option.

After considering her options, licensee made a decision to withdraw the application.

Exit interview conducted.

SUPERVISOR'S NAME: Sharon GreeneTELEPHONE: (310) 337-4313
LICENSING EVALUATOR NAME: Margarit SislyanTELEPHONE: (310) 337-4346
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2018
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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