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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198005445
Report Date: 01/15/2025
Date Signed: 01/15/2025 05:55:38 PM

Document Has Been Signed on 01/15/2025 05:55 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ST. LINUS PRE-KINDERGARTENFACILITY NUMBER:
198005445
ADMINISTRATOR/
DIRECTOR:		AMANDA STEVERFACILITY TYPE:
850
ADDRESS:13913 SHOEMAKER AVENUETELEPHONE:
(562) 921-0336
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 19TOTAL ENROLLED CHILDREN: 19CENSUS: DATE:
01/15/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Claudia RamosTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On January 15, 2025, at 9:20pm, Licensing Program Analyst (LPA) A. Carter arrived at the above facility an attempted to conduct an Unannounced Annual/Random Inspection. Upon arrival, LPA met with facility representative (FR) Claudia Ramos. The facility does not have any children enrolled. The FR states that a request for inactive status along with payment was mailed to the department in August of 2024. LPA obtained a copy of the document sent to the department and will place facility on inactive status for the 24-25 school year. Dates range from August 18, 2024, through June 18, 2025.

Facility representative agrees to the following:


I. Will not provide childcare for which a license is required until license is reactivated.
II. Will continue to promptly pay the annual license fee.
III. Will inform Licensing office of any changes in the above dates prior to re-opening facility by submitting a new LIC 9211
IV. I will be in compliance with all licensing laws and regulations upon re-opening facility, including but not limited to:
· Ensuring all adult staff have criminal record clearances
· Maintaining current CPR and First Aid certifications
· Maintaining a current fire extinguisher and functioning smoke alarms

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

An exit interview was conducted with facility representative Claudia Ramos, Office Manager.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Andrea Carter
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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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