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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191805638
Report Date: 03/05/2025
Date Signed: 03/05/2025 09:39:15 AM

Document Has Been Signed on 03/05/2025 09:39 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ADAMS INFANT DEVELOPMENT PROGRAMFACILITY NUMBER:
191805638
ADMINISTRATOR/
DIRECTOR:		KAYACAN,GABRIELAFACILITY TYPE:
830
ADDRESS:2225 W. ADAMS BLVD.TELEPHONE:
(323) 735-1424
CITY:LOS ANGELESSTATE: CAZIP CODE:
90018
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
03/05/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gabriela KayacanTIME VISIT/
INSPECTION COMPLETED:
09:45 AM
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On 3/5/25 at 9:00 am Licensing Program Analysts (LPA) Claudia Kam conducted a case management visit at the above facility. The purpose of today's visit to follow up on status of license.

Upon arrival, LPA met with Gabriela Kayacan, director and provided LPA a tour of the facility. LPA observed proper care and supervision. Director has completed inactive request form



No deficiency was cited today 3/5/25. A notice of site visit was given and must remain posted for 30 days.


Exit interview conducted and report was reviewed with the facility representative, Gabriela Kayacan.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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