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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197401937
Report Date: 04/11/2024
Date Signed: 04/11/2024 12:53:54 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 04/11/2024 12:53 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:HAND FAMILY DAY CAREFACILITY NUMBER:
197401937
ADMINISTRATOR:HAND, CYNTHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 709-1356
CITY:NORTHRIDGESTATE: CAZIP CODE:
91324
CAPACITY:12CENSUS: 0DATE:
04/11/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Cynthia Hand, LicenseeTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Elicia Calvillo conducted an unannounced annual required inspection to the above facility on 04/11/2024. LPA arrived at the facility at 11:45 AM, identified self and met with Cynthia Hand, Licensee, who guided analyst on a tour of the facility. There were 0 children present and 2 adults who live in the home at arrival.LPA provided Licensee with a copy of the LIC125 Entrance Checklist to help facilitate the inspection.

Licensee disclosed that they are considering closing the facility due to health issues and low enrollment. LPA provided licensing with information about unlicensed child care. As an unlicensed child care provider, licensee may take care of children related to the licensee or the children of one family unrelated to the licensee.

Licensee stated they would like to close the facility. Licensee completed a written statement indicating the facility license closure will be effective 04/11/2024 and provided LPA the facility license. LPA obtained the licensee signature and date on the back side of the facility license and the written statement.

If licensee cares for any additional unrelated children then licensee will be consider to be operating without a licence and the following Title 22 Health and Safety regulation will be applied.

102357 Operation Without a License
(a)If the Department has reason to believe that family child care is being provided without a license, the licensing agency shall:
(1)Conduct a site visit to:
(A) Determine whether the home is operating without a license.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Elicia CalvilloTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:
DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/11/2024
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HAND FAMILY DAY CARE
FACILITY NUMBER: 197401937
VISIT DATE: 04/11/2024
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102357 Operation Without a License

(B) Determine whether continued operation of the facility will be dangerous to the health and safety of the children in care.
(2)Notify the unlicensed provider in writing of the requirements for such licensure.
(3)Issue a Notice of Operation in Violation of Law if it is found and documented that continued operation of
the family child care home will be dangerous to the health and safety of the children. Situations endangering the health and safety of the children shall include, but not be limited to:
(A) Evidence of physical or mental abuse.
(B) Children left unattended or left with a minor.
(C) Clear evidence of unsanitary conditions.
(D) Fire safety/fire hazards.
(E) Unfenced or accessible pools or other bodies of water.
(F) Hazardous physical plant.
(4)Issue a Notice of Operation in Violation of Law if the unlicensed provider does not apply for a license within 15 working days from the date of notification.
(b)The Department shall have the authority to issue an immediate civil penalty pursuant to Section 102393 and Section 1596.891 of the Health and Safety Code which provides:
(1)A person who violates Section 1596.80 of the Health and Safety Code may be liable for an immediate assessment of civil penalties in the amount of two hundred dollars ($200) per day.
(2)The penalty specified in Section 102357(b)(1) shall be imposed if the operator of an unlicensed facility refuses to seek licensure or the operator seeks licensure and is denied but continues to operate.
(c)Section 102357 shall be applied pursuant to Section 1596.892 of the Health and Safety Code.
NOTE: Authority cited: Section 1596.81, Health and Safety Code. Reference: Sections 1596.80, 1596.81(b), 1596.890, 1596.891, 1596.892 and 1597.61, Health and Safety Code.

LPA provided a copy of the report to Cyntha Hand, Licensee.

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SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Elicia CalvilloTELEPHONE: (424) 301-3016
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024
LIC809 (FAS) - (06/04)
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