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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198010952
Report Date: 04/08/2022
Date Signed: 04/08/2022 04:03:17 PM


Document Has Been Signed on 04/08/2022 04:03 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, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754



FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
198010952
ADMINISTRATOR:GARCIA, NOEMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 945-4737
CITY:WHITTIERSTATE: CAZIP CODE:
90606
CAPACITY:14CENSUS: 4DATE:
04/08/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Licensee, Noemi GarciaTIME COMPLETED:
04:15 PM
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Licensing Program Analysts (LPA’s) Lilli Babcock and Roxana Lopez conducted an unannounced POC (plan of correction) inspection to insured that the Technical Violations and Type B deficiencies cited on 3/25/22 have been cleared. LPA’s met with Noemi Garcia, licensee who guided analysts on a tour of the facility. There were 4 children present during this inspection. The following was observed:

- At 2:10 pm, LPA’s observed alarms on both bedroom windows leading to the pool. Alarm was tested and was operable in spare bedroom. Master bedroom, closest to the bathroom has an alarm but window is unable to be opened to test alarm.

- Fire extinguishers were observed to have a service tag with a date of 3/28/22

- All children’s files are complete

- A security knob was placed on both bedroom doors making them inaccessible

- Immunizations for licensee and assistant are on file

Licensee requested to make spare bedroom (bedroom furthest from the bathroom) accessible to children now that alarm is on the window. LPA’s inspected the bedroom and with the alarm on the window, the bedroom is safe for children in care.

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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2022
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 198010952
VISIT DATE: 04/08/2022
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Licensee submitted a declaration on this day, to LPA’s, regarding supervision of children while in the swimming pool. Declaration states that the children will be supervised constantly by either Licensee or assistant while children are in the swimming pool. If for some reason, licensee or assistant need to leave the pool area, licensee or assistant will remove all children from the pool, so that children are constantly supervised.

LPA’s advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA’s cleared deficiencies on this date and provided a copy of the Licensing Report to Noemi Garcia, licensee. LPA’s issued POC clearance letter during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.


A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Noemi Garcia.


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SUPERVISOR'S NAME: Brandi VanOostenTELEPHONE: (323) 981-3365
LICENSING EVALUATOR NAME: Lilli BabcockTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2022
LIC809 (FAS) - (06/04)
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