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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009597
Report Date: 02/23/2023
Date Signed: 02/23/2023 03:29:44 PM

Document Has Been Signed on 02/23/2023 03:29 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BONILLA FAMILY CHILD CAREFACILITY NUMBER:
198009597
ADMINISTRATOR:LILLIAN BONILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 923-1430
CITY:DOWNEYSTATE: CAZIP CODE:
90241
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
02/23/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Lillian BonillaTIME COMPLETED:
03:45 PM
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About 12:25PM. Licensing Program Analyst (LPA) T. Tran arrived at Bonilla Family Childcare to deliver a finding for a Case Management incident that was self-reported on 09/27/2022 regards a personal rights concern for a child in care.

Upon arrival, LPA met with licensee, Lillian Bonilla. While touring the home, LPA observed four children were napping. No concerns with the level of care and supervision.

Children files review were conducted. LPA interviewed the children. Based on record reviewed and interview conducted, none of the interview parties shared any concerns that licensee had violated any of the children in care personal rights. There were no police records found related to this incident. Based on the available information it does not appear this incident was the result of a Title 22 violation for Personal Rights.

No deficiency was cited at this time. 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, Lillian Bonilla.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2023
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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