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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494391
Report Date: 05/21/2024
Date Signed: 05/21/2024 06:51:24 PM

Document Has Been Signed on 05/21/2024 06:51 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:GODOY FAMILY CHILD CAREFACILITY NUMBER:
197494391
ADMINISTRATOR/
DIRECTOR:		GODOY, MARIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 916-2806
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/21/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
06:10 PM
MET WITH:MONIQUE GONZALEZ, LICENSEETIME VISIT/
INSPECTION COMPLETED:
07:10 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 5/21/2024 Licensing Program Analyst (LPA), L. Phillips made an unannounced visit for the purpose of conducting a case management legal inspection. No children were present during visit. LPA met with the Licensee Monique Gonzalez to ensure Licensee received the Decision and Order dated 5/2/2024 effective on 5/13/2024.

Licensee stated she received the Decision and Order on 5/6/2024. Licensee stated the excluded individual has not worked for the FCCH since September 28, 2018.



LPA explained that Genesis Sinay (Respondent) is prohibited from employment in, presence in, and contact with clients of, any facility licensed by the Department, certified or approved by licensed foster family agency, or any resource family home, and from holding the position of member of the board of directors, executive director, or officer of the licensee of any facility licensed by Department, for the remainder of Respondent's life.

LPA provided a copy of Decision and Order to Licensee.

An exit interview was conducted and a copy of this report with Notice of Site Visit was provided to Licensee.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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