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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493535
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:17:52 PM


Document Has Been Signed on 11/30/2023 03:17 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:MUTUC FAMILY CHILD CAREFACILITY NUMBER:
197493535
ADMINISTRATOR:MUTUC,CATHERINE&CHARMAINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 308-6851
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:14CENSUS: 6DATE:
11/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:20 PM
MET WITH:Licensee, Charmaine Mutuc TIME COMPLETED:
03:30 PM
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On 11/30/2023, Licensing Program Analyst (LPA) Sarah Garcia arrived at above mentioned facility to deliver an amended report that was generated on 11/27/2023. Amended report reflects correct deficiency due to FAS error. LPA met with licensee, Charmaine Mutuc.

LPA observed 3 teachers and 6 children in care.

Copy of report was provided and a Notice of site visit was given.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:
DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/30/2023
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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