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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197411823
Report Date:
11/29/2023
Date Signed:
12/04/2023 04:35:05 PM
Document Has Been Signed on
12/04/2023 04:35 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:
GALSTON FAMILY CHILD CARE
FACILITY NUMBER:
197411823
ADMINISTRATOR:
GALSTON, ELVIRA JEAN
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(818) 288-7563
CITY:
WOODLAND HILLS
STATE:
CA
ZIP CODE:
91364
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
0
DATE:
11/29/2023
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
10:30 AM
MET WITH:
Elvira Galston, Licensee
TIME COMPLETED:
11:15 AM
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SUPERVISORS NAME
:
Valarie Cook
LICENSING EVALUATOR NAME
:
Dayna Chambers
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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