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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016339
Report Date: 07/21/2022
Date Signed: 07/21/2022 12:01:13 PM


Document Has Been Signed on 07/21/2022 12:01 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MAHER FAMILY CHILD CAREFACILITY NUMBER:
198016339
ADMINISTRATOR:CATHERINE MAHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 650-2359
CITY:LAKEWOODSTATE: CAZIP CODE:
90713
CAPACITY:14CENSUS: 0DATE:
07/21/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Licensee, Catherine MaherTIME COMPLETED:
12:10 PM
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On July 21, 2022 at 11:30 am, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced inspection at the facility noted above and met with Licensee, Catherine Maher. The purpose of the inspection was to conduct the Required 1 Year inspection however, upon arrival, the Licensee requested to be placed on inactive status. LPA did not observe any children present in the home. Per Licensee, child care has not been provided for about 2 years due to the pandemic.

During the inspection, LPA obtained a signed copy of the Request for Inactive Child Care License Status (LIC 9211). At the time of the inspection, the Licensee is current on their licensing fees. Licensee is requesting to be placed on inactive status until July 21, 2023. Licensee agreed to comply with all of the conditions noted on the LIC 9211 form.

Exit interview was conducted and a copy of this report was provided to Licensee, Catherine Maher.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Monique AyalaTELEPHONE: (323) 246-2016
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2022
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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