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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495061
Report Date: 10/03/2023
Date Signed: 10/03/2023 01:41:36 PM

Document Has Been Signed on 10/03/2023 01:41 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:DIXON FAMILY CHILD CAREFACILITY NUMBER:
197495061
ADMINISTRATOR:TABINA DIXONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 343-3990
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/03/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Tabina Dixon, LicenseeTIME COMPLETED:
12:30 PM
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On 10/03/2023, Licensing Program Analyst Adrian Risher conducted a case management visit for increased monitoring. LPA met with Tabina Dixon, Licensee. LPA explained the purpose of the visit. LPA observed 9 children in care with 1 staff.

LPA Risher observed 9 children in care preparing for naptime. Licensee was within the capacity limitations. Licensee's primary residence continues to be the family child care home.

Based on observations made by the LPA, no deficiencies will be cited today. LPA did not observe any violations during today's visit. Facility will continue to be under increased monitoring on a quarterly basis.

Exit interview was completed with Tabina Dixon, Licensee. Appeal Rights will be provided. A Notice of Site Visit will be provided.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Adrian Risher
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2023
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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