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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700292
Report Date: 08/28/2024
Date Signed: 08/28/2024 01:56:10 PM

Document Has Been Signed on 08/28/2024 01:56 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MELGAR CANO FAMILY CHILD CAREFACILITY NUMBER:
195700292
ADMINISTRATOR/
DIRECTOR:		DELFINA MELGAR CANOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 392-0317
CITY:LOS ANGELESSTATE: CAZIP CODE:
90035
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:30 AM
MET WITH:Delfina Melgar Cano/ApplicantTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On today's date, an unannounced Case Management visit was conducted by Licensing Program Analysts (LPA) Silva Garibyan to the residence of Delfina Melgar Cano, Applicant at 1632 South Wooster Street, Los Angeles, CA 90035 to ensure that the operation of the unlicensed child care has been ceased. Upon arrival, LPA met with applicant who assisted with the visit. Applicant was present with her adult daughter. No children were present at the time of the visit. Per applicant, they ceased the operation the day the unlicensed care allegation was substantiated. The applicant understands that they cannot start caring for children for more than one family until the department approves their Family Child Care Home license. LPA did not observe any children or other child care activities in the home.


Exit interview was conducted and report was given to Delfina Melgar Cano/Applicant.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Silva Garibyan
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2024
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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