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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011080
Report Date: 05/25/2023
Date Signed: 05/25/2023 11:47:03 AM


Document Has Been Signed on 05/25/2023 11:47 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MONTERROSO FAMILY CHILD CAREFACILITY NUMBER:
198011080
ADMINISTRATOR:MARIA MONTERROSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 864-4278
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 2DATE:
05/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Licensee Maria Elena MonterrosoTIME COMPLETED:
11:50 AM
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On 5/25/23 Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted an unannounced case management inspection. LPAs met with Licensee Maria Elena Monterroso and informed her of the purpose for the visit. Upon arrival, LPAs observed two children in care with the Licensee.

The purpose of the visit is to obtain signatures and deliver an amended report.
No deficiencies were cited during today's visit.

Exit interview was conducted with the Licensee, Maria Elena. Copy of the appeal rights (LIC9058 01/16) were provided and explained. A copy of the report and the Notice of Site Visit were provided to the Licensee. The Notice of Site Visit shall be posted for thirty (30) consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
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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