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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495365
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:05:22 PM

Document Has Been Signed on 03/27/2024 12:05 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:LARINI FAMILY CHILD CAREFACILITY NUMBER:
197495365
ADMINISTRATOR:LORRAINE LARINIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 494-7168
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/27/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Lorraine LariniTIME COMPLETED:
12:15 PM
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On 03/27/2024 at 10:40am, Licensing Program Analyst (LPA) Sarah Garcia arrived at above mentioned facility to deliver an amended report that was generated on 03/22/2024. The amended report reflects correct layout of the dwelling. LPA met with applicant, Lorraine Larini. LPA observed no children in care.

Copy of report was provided and a Notice of site visit was given.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Sarah Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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