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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197750106
Report Date: 11/29/2023
Date Signed: 11/29/2023 12:17:56 PM

Document Has Been Signed on 11/29/2023 12:17 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
PALMDALE CC RO, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:DELPHI ACADEMY OF LOS ANGELESFACILITY NUMBER:
197750106
ADMINISTRATOR:DANIELLE WOLFSONFACILITY TYPE:
840
ADDRESS:11341 BRAINARD AVETELEPHONE:
(818) 583-1070
CITY:LAKE VIEW TERRACESTATE: CAZIP CODE:
91342
CAPACITY: 126TOTAL ENROLLED CHILDREN: 126CENSUS: 0DATE:
11/29/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Danielle Wolfson, DirectorTIME COMPLETED:
11:01 AM
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On Wednesday, November 29, 2023 at 10:00 am., Licensing Program Analyst (LPA) Mayra Rivera made an attempt visit to conduct an annual inspection and met with director Danielle Wolfson. During this visit, director Danielle stated, the school-age program has not been operating for more than a year due to no enrollment and was under the impression that the school-age program was inactive status. LPA Rivera contacted the Palmdale Regional office to confirm if the facility is inactive. Office assistant stated, the facility is active and the fees have been paid in full. LPA asked director if she would like to go inactive. Director stated yes and LPA Rivera printed LIC 9211 Request for Inactive Child Care License Status form. LPA provided the form, and director completed and signed the form requesting to go inactive as of November 29, 2023 to November 29, 2024 and stated will complete an application to reduce capacity.

LPA received the completed and signed LIC 9211 Request for Inactive Child Care License Status form. LPA will submit to Palmdale Regional Office to process the request.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting as required will result in a $100.00 civil penalty. Exit interview conducted and report and appeal rights were reviewed with director Danielle Wolfson.
SUPERVISORS NAME: Lady King
LICENSING EVALUATOR NAME: Mayra Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
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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