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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419985
Report Date: 01/09/2025
Date Signed: 01/09/2025 09:23:52 AM

Document Has Been Signed on 01/09/2025 09:23 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:VILLAGRANA FAMILY CHILD CAREFACILITY NUMBER:
197419985
ADMINISTRATOR/
DIRECTOR:		VILLAGRANA, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 800-2610
CITY:VAN NUYSSTATE: CAZIP CODE:
91406
CAPACITY: 14TOTAL ENROLLED CHILDREN: 18CENSUS: 1DATE:
01/09/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:37 AM
MET WITH:Licensee Laura VillagranaTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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On 1/9/25 at 8:37 AM, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced case management visit for the purpose of obtaining signatures and delivering an amended report to correct the civil penalty sub code. LPA met with, Licensee Laura Villagrana.

Upon entry, LPA Lipsey observed 1 child, being supervised by licensee.

Exit interview conducted and report was reviewed with Licensee Laura Villagrana. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Jeanine Lipsey
LICENSING EVALUATOR SIGNATURE: DATE: 01/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/09/2025
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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