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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014901
Report Date: 08/23/2022
Date Signed: 08/23/2022 03:42:07 PM

Document Has Been Signed on 08/23/2022 03:42 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GRACIAN FAMILY CHILD CAREFACILITY NUMBER:
198014901
ADMINISTRATOR:GRACIAN, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 865-6546
CITY:HAWAIIAN GARDENSSTATE: CAZIP CODE:
90716
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 14DATE:
08/23/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Patricia Gracian, LicenseeTIME COMPLETED:
04:00 PM
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 THIS INSPECTION WAS CONDUCTED IN SPANISH
Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced case management inspection to the above facility. LPA met with Patricia Gracian, Licensee, who guided analyst on a tour of the facility. There were 14 children present including 1 infant and 4 school age children. Also present was Guillermo Gracian and Maria Morales, Assisting with childcare. All adults present have obtained the required background clearance, The facility is observing capacity limitation.

The purpose of today's inspection was to obtain signatures on an amended report.

There were no deficiencies cited during today's inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 daysduring the hours of operation.

Exit interview was conducted with Patricia Gracian, Licensee,
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2022
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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