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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004352
Report Date: 01/29/2025
Date Signed: 01/29/2025 02:27:40 PM

Document Has Been Signed on 01/29/2025 02:27 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
192004352
ADMINISTRATOR/
DIRECTOR:		GARCIA, HERMELINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 258-1314
CITY:LOS ANGELESSTATE: CAZIP CODE:
90042
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
01/29/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Natalie Medina, AssistantTIME VISIT/
INSPECTION COMPLETED:
03:10 PM
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On January 29, 2025, Licensing Program Analysts (LPAs) Monique Ayala and Mariah Aguirre conducted an unannounced Plan of Correction (POC) visit at the above facility. LPAs met with licensee's assistant Natalie Medina who guided LPAs on a tour of the facility. LPAs observed 3 children in care. Licensee, Hermelinda Garcia arrived shortly after. The purpose of this inspection is to ensure that the facility is in compliance with Title 22 Regulations and the deficiencies cited on 01/07/2025 were corrected. Inspection was conducted in Spanish.

Licensing staff observed and reviewed the following:
  • LIC282 were completed
  • LIC9227 was completed
  • LIC995A were completed
  • 15 minute sleep logs were completed
  • Fire extinguisher is services as of 01/14/2025
  • Firearm(s) are following Title 22 Regulations
  • Uncleared adult son who is not fingerprint cleared is no longer living at the facility.


Licnesee provided a declaration stating, prior to her adult son returning to live in her home, fingerprint clearance must be obtained from the department.

Letters of Deficiencies Citations Cleared were provided for deficiencies corrected.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00

An exit interview was conducted, and a copy of this report was provided to licensee, Hermelinda Garcia along with Appeal Rights.

SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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