<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
197495010
Report Date:
01/12/2024
Date Signed:
01/18/2024 07:40:52 AM
Document Has Been Signed on
01/18/2024 07:40 AM
- 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:
POSTERNAK FAMILY CHILD CARE
FACILITY NUMBER:
197495010
ADMINISTRATOR:
HAGAR POSTERNAK
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(818) 297-9265
CITY:
TARZANA
STATE:
CA
ZIP CODE:
91335
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
DATE:
01/12/2024
TYPE OF VISIT:
Case Management - Deficiencies
UNANNOUNCED
TIME BEGAN:
09:53 AM
MET WITH:
TIME COMPLETED:
12:00 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
SUPERVISORS NAME
:
Karren Starks
LICENSING EVALUATOR NAME
:
Doris Whitmore
LICENSING EVALUATOR SIGNATURE
:
DATE:
01/12/2024
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
01/12/2024
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