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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418156
Report Date: 01/08/2025
Date Signed: 01/08/2025 10:27:06 AM

Document Has Been Signed on 01/08/2025 10:27 AM - 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:JUAREZ FAMILY CHILD CAREFACILITY NUMBER:
197418156
ADMINISTRATOR/
DIRECTOR:		JUAREZ, SAN JUANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 836-4970
CITY:LOS ANGELESSTATE: CAZIP CODE:
90008
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
01/08/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Juana JuarezTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 01/08/2024 Program Analysts (LPA), Judy Laureano arrived at above mentioned facility at approximalty 9:05 a.m. to conducted an unannounced Annual 3 Year Required Inspection. LPA completed a complete walk through of the home.

Due to LPA's emergency LPA will need to continue this inspection at a later date.
Claudia EscobedoTELEPHONE: (424) 301-3044
Judy LaureanoTELEPHONE: 424-301-3060
DATE: 01/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/08/2025
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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