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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492895
Report Date: 09/15/2023
Date Signed: 09/15/2023 02:52:46 PM

Document Has Been Signed on 09/15/2023 02:52 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:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
197492895
ADMINISTRATOR:GARCIA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(747) 264-0502
CITY:PANORAMA CITYSTATE: CAZIP CODE:
91402
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
09/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Maria Garcia, LicenseeTIME COMPLETED:
03:00 PM
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On 09/15/2023, Licensing Program Analyst (LPA) Risher conducted a case management visit for the purpose of delivering an amended report. LPA met with Maria Garcia, Licensee. LPA observed 9 kids in care.

A copy of this report and the amended report was provided.

An exit interview was completed and report was provided. Appeal rights were provided to Licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2023
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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