<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492775
Report Date: 03/30/2023
Date Signed: 04/05/2023 05:16:30 PM

Document Has Been Signed on 04/05/2023 05:16 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:ARDON FAMILY CHILD CAREFACILITY NUMBER:
197492775
ADMINISTRATOR:ARDON, CHANELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 422-9469
CITY:GARDENASTATE: CAZIP CODE:
90249
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
03/30/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Chanel ArdonTIME COMPLETED:
12:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On March 30, 2023 at 2:45pm, Licensing Program Analyst (LPA), Veronica Wheatley and conducted an Plan of Correction inspection and was met by Licensee, Chanel Ardon. The licensee's assistant, Staff #1 was present. LPA observed 6 children persent today. The children are supervised properly.

The purpose of the inspection is to verify the Plan of Corrections are completed. LPA observed the chemicals, and cleaning supplies inaccessible to children. LPA did not observe any candles on the premises.

LPA observed the carbon monoxide tested and working properly.

Licensee's daughter was re-fingerprinted and has relocated to another residence temporarily.

Based on LPA's observance the plan of correction is cleared.

Exit interview. A copy of this report will be provided to the licensee.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1