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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197415896
Report Date: 11/19/2019
Date Signed: 11/19/2019 07:48:42 AM

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:ARTADI FAMILY CHILD CAREFACILITY NUMBER:
197415896
ADMINISTRATOR:ARTADI, ELOISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 832-7347
CITY:LOS ANGELESSTATE: CAZIP CODE:
90064
CAPACITY:14CENSUS: 2DATE:
11/19/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:15 AM
MET WITH:Eloise Artadi, LicenseeTIME COMPLETED:
07:50 AM
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On 11/19/2019 7:15am Licensing Program Analyst (LPA) Denise Miranda made a visit to the above facility for the purpose of delivering an amended version of a report that was provided on 9/19/2019. Licensee signed a hard copy of the amended version report of the complaint (30-CC20190910152114).

A copy of this report along with amended complaint report and notice of Site Visit were issued and explained to the Ms. Eloise Artadi, Licensee.

SUPERVISOR'S NAME: Jennie FerreiraTELEPHONE: (424) 301-3067
LICENSING EVALUATOR NAME: Denise MirandaTELEPHONE: (424) 301-3055
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
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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