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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197606437
Report Date:
11/28/2023
Date Signed:
11/28/2023 10:32:52 AM
COMPREHENSIVE INSPECTION
Document Has Been Signed on
11/28/2023 10:32 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
WOODLAND HILLS S.RO
,
21731 VENTURA BLVD., STE. 250
WOODLAND HILLS
,
CA
91364
FACILITY NAME:
CHATEAU ENCINO CARE, INC.
FACILITY NUMBER:
197606437
ADMINISTRATOR:
DANIEL BRAVO
FACILITY TYPE:
740
ADDRESS:
17732 ERWIN STREET
TELEPHONE:
(818) 342-6388
CITY:
ENCINO
STATE:
CA
ZIP CODE:
91316
CAPACITY:
6
CENSUS:
0
DATE:
11/28/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
10:00 AM
MET WITH:
Daniel Bravo-Licensee
TIME COMPLETED:
10:40 AM
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On 11.28.2023 License Program Analysts (LPA) Leslie Ngo-Castaneda and Huma Rahimi was supposed to do an annual visit on the facility. Upon entering the facility LPAs was greeted by Daniel Bravo who is the licensee and advised was advised that they had ceased operation right now due to different priority. LPAs did a tour at 10:05 am and their are no residents in the facility. Licensee will continue to pay fees and does not know when will operate again. Exit interview was done and report was given.
SUPERVISOR'S NAME:
Nichelle Gillyard
TELEPHONE:
(818) 596-4370
LICENSING EVALUATOR NAME:
Leslie Ngo-Castaneda
TELEPHONE:
(818) 214-9900
LICENSING EVALUATOR SIGNATURE:
DATE:
11/28/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
11/28/2023
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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