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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419593
Report Date: 02/28/2024
Date Signed: 02/28/2024 12:37:40 PM


Document Has Been Signed on 02/28/2024 12:37 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:TORRES FAMILY DAY CAREFACILITY NUMBER:
197419593
ADMINISTRATOR:KARINA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 438-5755
CITY:LOS ANGELESSTATE: CAZIP CODE:
90036
CAPACITY:14CENSUS: 11DATE:
02/28/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Karina Torres TIME COMPLETED:
01:15 PM
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On 02/28/2024, at 12:00 PM ,Licensing Program Analyst (LPA) Shushanik Safaryan conducted unannounced Case Management visit due to the licensee request to update off limit areas and request to use detached garage for children’s activities .LPA met with licensee , Karina Torres who guided LPA on a tour of the facility. Per licensee 12 children enrolled .

Fire clearance for detached garage received on 01/24/2024.

This is the one story house which consists of 3 bedrooms , 3 bathrooms , living room , dinning room ,kitchen , detached garage .

Children will have access to bedroom #3 and bathroom #3 located in the bedroom #3 , detached garage , backyard , front area .

Off limit areas will be living room , dining room , kitchen , bedroom #1, #2 , bathroom #1, # 2 .

LPA start touring from the main gate entrance which leads to the picnic area , where LPA observed 11 children with 3 staff members having lunch . Then LPA toured detached garage and observed toys , tables , chairs and some art supplies . LPA reminded licensee that children are not allowed to nap or eat in the garage . Per license children nap inside in the bedroom # 3 which is used as a part of the day care and eat either outside on the side yard or inside in bedroom #3 in case of the rain . After LPA toured bedroom#3 and bathroom # 3 .

All areas used by children were inspected for safety, comfort, cleanliness, telephone service, ventilation, and heating .

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Shushanik SafaryanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: TORRES FAMILY DAY CARE
FACILITY NUMBER: 197419593
VISIT DATE: 02/28/2024
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Updated sketch obtained from the licensee.

Detached garage will be used only for couple hours for activities only, children will not eat or sleep in the garage . Declaration obtained during the visit .

No deficiencies were observed or cited in accordance with Title 22 California Code of Regulations on this date.



The Notice of Site visit was issued , Appeal Rights explained and printed .

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee Karina Torres on 02/28/2024

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SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Shushanik SafaryanTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC809 (FAS) - (06/04)
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