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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414245
Report Date: 07/17/2024
Date Signed: 07/17/2024 01:23:47 PM

Document Has Been Signed on 07/17/2024 01:23 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MANUEL FAMILY CHILD CAREFACILITY NUMBER:
197414245
ADMINISTRATOR/
DIRECTOR:		MANUEL, GIULIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 200-0582
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:58 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
01:35 PM
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On 7/17/2024 LPA Laureano arrived at above mentioned facility for the purpose of observing the Notice of TSO being posted and non-operation of family child care. TSO was served on 6/27/2024.

LPA observed the Notice of Temporary Suspension Order posted on the door.

LPA Laureano knocked and was greeted by Licensee's minor child who stated Licensee
was not currently home. Licensee's son contacted Licensee via telephone. LPA Laureano spoke to G. Manuel, licensee, via telephone who confirmed that she was out and not operating.

LPA Laureano did not observe any noises coming from the residence. No adults or children were observed around the home. LPA Laureano was not able to inspect the inside of the home due to no adults being available.


LPA left a copy of the report in the mailbox for Licensee's reference.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/17/2024
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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