198400177-8-3-2021-54-CC-WBIS-C5JSMC-20210803135944

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198400177
Report Date: 08/03/2021
Date Signed: 08/03/2021 01:59:53 PM

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:	BONILLA FAMILY CHILD CARE		FACILITY NUMBER:	198400177
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 6	DATE:	08/03/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Catalina Bonilla		TIME COMPLETED:	02:15 PM

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Licensing Program Analyst (LPA) Warren Birks conducted a follow up Case Management inspection in regards to a capacity increase request. The purpose of today's inspection is to observe a wooden gate and a baby gate that was installed. The gates were installed to prevent access to various items on the side of the home and the air conditioning unit.

LPA observed the newly installed gates to be in good condition and good repair. The gates observed were sturdier than previous plastic barricades. They will be useful for preventing access to the side of the home and the air conditioning unit.

LPA once again discussed PIN 2024 CCP regarding safe sleep and discussed capacity and ratio requirements for a Large Family Child Care.

Based on inspection and documentation, LPA Birks will recommend that Licensee Catalina Bonilla be approved for a Large Family Child Care License (12 to 14 children). The Capacity increase application will be submitted to management for review and final approval. Once licensed, a Licensee is required to adhere to the terms and limitation as stated on the license.

Exit interview was conducted with Licensee Bonilla. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

SUPERVISOR'S NAME: Karen Chambers	TELEPHONE: (323) 980-4934
LICENSING EVALUATOR NAME: Warren Birks	TELEPHONE: 323-981-3373
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2021

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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