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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191225606
Report Date: 04/05/2023
Date Signed: 04/05/2023 04:06:25 PM

Document Has Been Signed on 04/05/2023 04:06 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:DANON FAMILY DAY CAREFACILITY NUMBER:
191225606
ADMINISTRATOR:RACHEL DANONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 818-9793
CITY:WOODLAND HILLSSTATE: CAZIP CODE:
91367
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/05/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:31 PM
MET WITH:Rachel DanonTIME COMPLETED:
04:15 PM
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On 04/05/2023 Licensing Program Analyst (LPA) Deborah Lowe arrived at facility to conduct an unannounced case management visit. LPA Lowe met with licensee Rachel Danon.
No children were observed at the facility.

On 12/15/2022 Licensee advised LPA Lowe the licensee intended to close the facility. Licensee stated they were no longer caring for children. LPA requested licensee to surrender their license and letter stating they have closed.

On 03/22/2023 LPA followed up with Licensee about the facility closure. Licensee stated they were closed and will send the letter and the license if they still have it. Licensee verified there were no children enrolled and care was not being provided.

On 04/05/2023 LPA arrived at facility to verify there were no children in care and review with Licensee about the licensee closing their facility. LPA requested a declaration from licensee. Licensee stated they would like to complete and mail into the Department.

Licensee stated they have officially closed the child care. LPA provided a LIC 855 Declaration form for licensee to complete and mail in.

LPA toured the facility and no children were observed to be in care.

Notice of site of visit was provided and appeal rights were provided.

Exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Deborah Lowe
LICENSING EVALUATOR SIGNATURE: DATE: 04/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/05/2023
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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