198022147-8-13-2026-33-CC-CGRN-DWWU2W-20260813151238

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198022147
Report Date: 08/13/2026
Date Signed: 08/13/2026 03:12:57 PM

Document Has Been Signed on 08/13/2026 03:12 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	FIREHOUSE SCHOOL PASADENA		FACILITY NUMBER:	198022147
ADMINISTRATOR/ DIRECTOR:	ANDREASYAN, GAYANE		FACILITY TYPE:	860
ADDRESS:	1041 N ALTADENA DR		TELEPHONE:	(626) 524-6477
CITY:	PASADENA	STATE: CA	ZIP CODE:	91107
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 0	CENSUS: 39	DATE:	08/13/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Gayane Andreasyan		TIME VISIT/ INSPECTION COMPLETED:	03:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Page 1 of 5: On 08/13/2026 at 10:00 am, Licensing Program Analysts (LPAs), Crystal Green, Elka Chavez, and Stephanie Li conducted an announced pre-licensing inspection to a toddler program to the existing license which will be consolidated into a new Single License. . Upon arrival, LPAs met with Applicant Representative, Catherine Marcelline, Gayne Andreasyan, and Perla Zavala. The Applicant, Weerasekera LLC., is requesting to be licensed for 48 children: (20) infants from age 0- 24 months in the Infant Room and (28) preschoolers from ages 2 until entry into kindergarten. This location is currently licensed to operate an infant program 198021090 with a capacity of 18 serving ages 0-24 months and a preschool program 198021091 with a capacity of 28 serving ages 2 until entry into Kindergarten. Hours of operation will be Monday to Friday from 7:00 am to 6:00 pm. This facility is located on the premises of Pasadena Church of the Bretheren. All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed Applicant Representative that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications were on site, Applicant Representative stated that they would be in a locked cabinet located within the Director’s office. A fully equipped first aid kit is located in within each classroom. There is an operational carbon monoxide detector on site located throughout the facility. All required licensing documents were posted in the front office area. Children will be signed in and out at the front office.

Belinda Devall
Crystal Green
	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FIREHOUSE SCHOOL PASADENA	FACILITY NUMBER: 198022147
	VISIT DATE: 08/13/2026

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LPAs continued to tour the facility and measured all indoor and outdoor activity space. Total infant indoor activity space measured 640.40 square footage, which can only accommodate 18 infant children. Total toddler indoor activity space measured 1003.92 square footages, which can accommodate (28) toddler children.

LPAs observed all indoor activity space to be complete with age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, cribs, bookshelves, and other activity supplies for the children. Toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water will be available in the classrooms via filtered water dispensers and igloo water jugs. LPAs observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 07/27/2026.

Feeding tables have broad-based legs, plastic seats are in good repair and trays lock onto chairs. Changing tables have at least 1” padding covered with moisture-resistant, washable material. Sides of the changing table are at least 3” high and the changing table is within arm’s reach of a sink. Licensing staff observed a changing table located within the infant classrooms. Licensing staff informed applicant representative that diapering sink is not used for meal preparation or dishwashing. Licensing staff observed there to be a sink with 2 sides, however there was no distinguish between which side is used for dishwashing sink or diapering sink.

Cribs were observed to meet regulatory requirements. There were 10 cribs observed. Crib area is separated from activity space via plexiglass wall. This barrier is at least four feet high, made of sound absorbing material and allows for supervision of napping children. Sleep logs will be kept within the Infant classroom. Needs and Services Plans and Sleep Plans will be kept within the Infant classroom.

There was a total of (2) sinks and (2) toilets available for infant children’s use, which can accommodate their requested capacity. The toddler children will have access to a total of (2) sinks and (2) toilets, which can accommodate their requested capacity. LPAs observed a changing table located within arm’s reach of a sink located within the toddler classroom. There is a separate staff restroom equipped with a toilet and a sink located near the staff lounge. The isolation area for children who are ill will be located in the director’s office.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FIREHOUSE SCHOOL PASADENA	FACILITY NUMBER: 198022147
	VISIT DATE: 08/13/2026

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Facility will provide AM/PM snacks for the toddler children and Parents will provide lunch. Parents of children enrolled in the infant program will provide their snacks, formulas, and lunch. The kitchen area currently includes refrigerator, microwave, and food prep counter. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. Hazardous items in kitchen are inaccessible to children via a locked door.

The facility currently has a (2) fully fenced playground area designated as the Infant and Toddler Yard. Fencing is made of concrete walls and wood at least four feet high. The total square footage for the Infant yard measured 661.16 square footage, which can only accommodate 8 children at one time. There is an approved waiver on file that allows for the staggered use of the infant yard in order to obtain their licensed capacity. The total square footage for the toddler yard measured 4138.97 square footages, which can accommodate the requested toddler children. LPAs observed there to be sufficient outdoor age-appropriate toys and play equipment available on the infant playground. The toddler yard was observed to have climbing dome play equipment that was observed to not be fully secured to the ground. LPAs observed an unmaintained planter garden located within the toddler yard. The fencing located in the northwest corner of the toddler yard was observed to be 3 feet 3 inches tall, which does not meet the fencing height requirement of 4 feet. Licensing staff observed in the southeast corner of the toddler yard to have a sandbox surrounding a tree which allows access to the fencing which was also observed to be under 4 feet in height. Per Applicant Representative, they make the area inaccessible. Drinking water will be available via filter water jug and child’s personal water bottle. Applicant was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

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 childcare 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). Please note that if your building was constructed after 1/1/10 you are not required to test for lead. However, you must provide proof of the construction date to the regional office.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FIREHOUSE SCHOOL PASADENA	FACILITY NUMBER: 198022147
	VISIT DATE: 08/13/2026

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Applicant representative 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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, available at: http://www.ada.gov/childqanda.htm
LPA discussed the safe sleep regulations with the applicant representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed the applicant importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Applicant representative was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare 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.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: FIREHOUSE SCHOOL PASADENA	FACILITY NUMBER: 198022147
	VISIT DATE: 08/13/2026

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The following corrections are needed prior to the issuance of the license:

The Applicant must label both sides of the dual sink located within the infant room as either for diaper changing only or dish washing only.
The Applicant must remove or secure the climbing dome play structure located within the toddler yard.
The Applicant must remove or replace the planters garden located within the toddler yard.
The Applicant must place a barrier around the tree located in the southeast corner of the toddler yard
The Applicant must waiver a request to obtain the infant requested capacity of 18 due to their designated outdoor yard can only accommodate 9 at one time.

During this inspection, LPA Green discussed the waiver request requirements with the applicant representative. This request is intended to meet the requirements of Title 22, Section 101238.2(a), which mandates at least 75 square feet of outdoor activity space per child based on the total licensed capacity. The Applicant Representative was advised that the waiver request will be reviewed by the Regional Office for final approval.

Once the above corrections are received, Applicant understands that the facility may be issued a provisional license while the waiver request is under review with the Regional Office. A provisional license will be issued for (48) children: (20) infant children from ages 0-24 months and (28) toddler children from ages 18 to 36 months.

Exit interview conducted and report was reviewed with the Applicant Representatives, Catherine Marcelline, Gayne Andreasyan, and Perla Zavala.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Crystal Green
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026

LIC809 (FAS) - (06/04)

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