197607866-1-9-2025-31-AS-NRED-DCRP6E-20250109100213

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197607866
Report Date: 01/09/2025
Date Signed: 01/09/2025 10:04:08 AM

Document Has Been Signed on 01/09/2025 10:04 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.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME:	MCLENNAN M. MANOR II		FACILITY NUMBER:	197607866
ADMINISTRATOR/ DIRECTOR:	LALAINE P. MORENO		FACILITY TYPE:	740
ADDRESS:	8839 MCLENNAN AVENUE		TELEPHONE:	(818) 830-5857
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91343
CAPACITY: 5	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	01/09/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Melanie Baltazar		TIME VISIT/ INSPECTION COMPLETED:	10:00 AM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

At 9:30 a.m. on 01/09/25 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced case management visit. LPA met with Staff #1 (S1) from McLennan M. Manor (197602537) and disclosed the reason for the visit.

Today’s case management visit was conducted as a closure visit to ensure no clients or belongings remained in the facility. On 01/06/25, the licensee emailed the Department with a request to surrender their license. LPA and staff toured the facility at 9:35 a.m. today. No clients or staff were present. No staff were providing care and supervision. S1 informed LPA that no clients have resided in the facility in over a year. LPA obtained the facility license.

Exit interview conducted. Copy of report provided.

Naira Margaryan	TELEPHONE: (818) 596-4368
Nicholas Reed	TELEPHONE: (818) 669-8178
	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)

Page: 1 of 1