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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005125
Report Date: 03/03/2025
Date Signed: 03/03/2025 12:37:36 PM

Document Has Been Signed on 03/03/2025 12:37 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:VARGAS & HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
198005125
ADMINISTRATOR/
DIRECTOR:
VARGAS, VIOLETAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 864-0757
CITY:LOS ANGELESSTATE: CAZIP CODE:
90026
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
03/03/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
12:36 PM
NARRATIVE
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Testing purposes
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: VARGAS & HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 198005125
VISIT DATE: 03/03/2025
NARRATIVE
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testing purposes
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Joanne Solorio Campos
LICENSING EVALUATOR SIGNATURE:

DATE: 03/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2