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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016602
Report Date: 05/31/2023
Date Signed: 05/31/2023 04:17:42 PM


Document Has Been Signed on 05/31/2023 04:17 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:GUERRERO FAMILY CHILD CAREFACILITY NUMBER:
198016602
ADMINISTRATOR:GUERRERO, ESTELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 824-5665
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:14CENSUS: 5DATE:
05/31/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Licensee Estela GuerreroTIME COMPLETED:
04:30 PM
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At approximately 3:00PM LPA(s) Lilli Babcock and Mary Silva conducted an unannounced case management visit to inspect a room and bathroom to be added to the license. Licensee guided LPA(s) on a tour of the facility. During this visit five children were present and one staff. Licensee is requesting to add an additional room and restroom that will be used as a play/lesson room. The additional room is next to the living room separated by a glass door, the restroom is located inside the room being added. During this visit licensee provided an updated LIC 999 facility sketch to include the additional room and restroom. LPA(s) inspected the additional room and restroom to ensure it was adequate for the children in care. LPA(s) observed there was age appropriate toys,cabinets for art and craft supplies, a horse shoe table and chairs. There is an operable restroom inside the room. Based on the observation and inspection of the additional room and restroom. LPA(s) determined the space is suitable for children in care and will be added to the license.

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 the licensee, Estela Guerrero.

End of Report

SUPERVISOR'S NAME: Christina GabelmanTELEPHONE: (323) 981-3380
LICENSING EVALUATOR NAME: Mary SilvaTELEPHONE: (323) 558-2711
LICENSING EVALUATOR SIGNATURE:
DATE: 05/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/31/2023
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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