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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198004470
Report Date: 11/08/2023
Date Signed: 11/16/2023 04:35:42 PM


Document Has Been Signed on 11/16/2023 04:35 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. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:EGOAVIL FAMILY CHILD CAREFACILITY NUMBER:
198004470
ADMINISTRATOR:EGOAVIL, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 458-9021
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:13CENSUS: 4DATE:
11/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Maria Egoavil TIME COMPLETED:
01:45 PM
NARRATIVE
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Licensee Maria Egoavil.

The purpose of the inspection was to address the observations made during a prior inspection. During a prior inspection, it was observed that that the Licensee had an above ground jacuzzi/spa located in the backyard. According to the License the above ground jacuzzi/spa was installed around August of 2018. It was stated on a prior report on 10/11/2018 that the Licensee was planning on installing a fence around the jacuzzi/spa but the Licensee decided to not install the fence and instead use a pool cover. The entire backyard has been off limits since 2018 according to the Licensee.

During a prior inspection conducted on 10/27/2023, LPA observed that the top cover for the above ground jacuzzi/spa was not fitted securely which is an immediate risk to children in care. Please see the attached 809D for more information about the deficiency. Licensee stated that she will contact the vendor to order a new cover by the POC date.

While the cover for the spa/jacuzzi was not fitted securely, there was no actual water observed inside the jacuzzi. The entire backyard has been off limits to children since 2018 and there was no sign that children in care go out into the backyard during the inspection.

The notice of site inspection along with this report must remain posted for a period of 30 days during hours of operation. Failure to maintain postings for 30 days will result in a civil penalty of 100.00 dollars. Licensee was provided with LIC 9224 form during the inspection.

Exit interview conducted with Licensee Maria Egoavil. Appeal rights discussed and explained.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2023
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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Document Has Been Signed on 11/16/2023 04:35 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754


FACILITY NAME: EGOAVIL FAMILY CHILD CARE
FACILITY NUMBER: 198004470

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/13/2023
Section Cited
CCR
102417(5)

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All licensees shall ensure the inaccessibility of pools (in-ground and above-ground), fixed-in-place wading pools, hot tubs, spas, fish ponds and similar bodies of water through a pool cover or by surrounding the pool with a fence. This requirment was not met as evidenced by the fact that the
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Licensee stated that she will contact the vendor and order a new cover for the jacuzzi/spa by the POC date.
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pool cover for the above ground jacuzzi/spa located in the backyard was not securely installed. This is an immediete risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) -98-3391
LICENSING EVALUATOR NAME: Seung LeeTELEPHONE: (323) 981-3382
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2023
LIC809 (FAS) - (06/04)
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