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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006954
Report Date: 01/03/2025
Date Signed: 01/03/2025 11:08:07 AM

Document Has Been Signed on 01/03/2025 11:08 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:BUSTAMANTE FAMILY CHILD CAREFACILITY NUMBER:
192006954
ADMINISTRATOR/
DIRECTOR:
BUSTAMANTE, MARTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 448-8406
CITY:SOUTH EL MONTESTATE: CAZIP CODE:
91733
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
01/03/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Wendy Abasta, AssistantTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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At 8:50 am Licensing Program Analyst (LPA) Roxana Lopez conducted an unannounced annual random inspection to the above facility. LPA met with Gwendolyn Abastas (Wendy), facility representative (assistant/daughter) that led analyst into the facility. Licensee, Martha Bustamante was not present. There are 14 children that are currently enrolled. A current children’s roster was available for review. There were 5 children present upon arrival- 3 being infants. The department received and updated application to add Gwendolyn Abastas to the license.

The Facility Representative states that 3 adults currently live in the home. Facility currently have 2 assistants. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. Facility Representative states that there are no weapons stored in the home.

This is a one story home which consists of 3 bedrooms, 2 bathrooms, kitchen, living room, daycare room, front yard and backyard (fenced). The children have access to the day care room which is located in the back of the house, 1 bathroom and backyard for play. Per licensee, areas off limits to children and parents include: 3 bedrooms, 1 bathroom, kitchen, living room and front yard. Areas inaccessible were observed to be locked,

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via cellphone that stays at the facility during operation hours. There is ventilation and heating. The following was observed and reviewed during this inspection.------------------------------------- pg. 1 of 4 -----------------------------------------
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Roxana Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2025
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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