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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197403612
Report Date: 12/06/2023
Date Signed: 12/06/2023 02:16:38 PM

Document Has Been Signed on 12/06/2023 02:16 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:TAYLOR FAMILY DAY CAREFACILITY NUMBER:
197403612
ADMINISTRATOR:SHAUNTE TAYLORFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 937-2777
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
12/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:49 PM
MET WITH:SHAUNTE TAYLOR - LicenseeTIME COMPLETED:
02:30 PM
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On 12/6/2023, Licensing Program Analysts (LPAs) Suzette Ornelas and Jeanine Lipsey conducted an unannounced case management visit. LPAs met with SHAUNTE TAYLOR - Licensee. LPAs toured the facility and observed 8 children in care being supervised by 3 staff.

The Purpose of the visit was to provide Licensee with a copy of the amended report.

Exit interview was conducted and a copy of this report was provided to SHAUNTE TAYLOR - Licensee.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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