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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191501766
Report Date: 07/02/2024
Date Signed: 07/02/2024 09:18:17 AM

Document Has Been Signed on 07/02/2024 09:18 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GOOD SHEPHERD CHILDREN'S CENTER, THEFACILITY NUMBER:
191501766
ADMINISTRATOR/
DIRECTOR:		BROWN, LINDAFACILITY TYPE:
850
ADDRESS:400 W. DUARTE ROADTELEPHONE:
(626) 447-1249
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 23DATE:
07/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Cindy Ostry - Office ManagerTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Nolan Tcheng conducted an unannounced Case Management-Other inspection for the purpose of obtaining signatures for an amended report. Upon arrival at 8:30am, LPA met with Office Manager Cindy Ostry, to whom the purpose of the inspection was explained. Tour of the facility was provided. There were children present during the time of inspection.

Census was taken. There were 23 children with 7 staff members.

During today's inspection, LPA delivered an amended report to remove narrative information of a citation that received appeal approval from the Department. Signature was obtained.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Office Manager Cindy Ostry, at 9:20am. Copy of Report provided.

END OF REPORT

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Nolan Tcheng
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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