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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197700338
Report Date:
12/16/2021
Date Signed:
12/17/2021 12:30:20 PM
COMPREHENSIVE INSPECTION
Document Has Been Signed on
12/17/2021 12:30 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
CCLD Regional Office
,
300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO
,
CA
90245
FACILITY NAME:
GARCIA FAMILY CHILD CARE
FACILITY NUMBER:
197700338
ADMINISTRATOR:
GARCIA, TANYA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(323) 337-6511
CITY:
GRANADA HILLS
STATE:
CA
ZIP CODE:
91344
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
0
CENSUS:
0
DATE:
12/16/2021
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
08:30 AM
MET WITH:
TIME COMPLETED:
09:00 AM
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SUPERVISORS NAME
:
Karren Starks
LICENSING EVALUATOR NAME
:
Deborah Lowe
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/16/2021
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/16/2021
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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