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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011849
Report Date: 12/06/2023
Date Signed: 12/06/2023 03:54:50 PM

Document Has Been Signed on 12/06/2023 03:54 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 CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
198011849
ADMINISTRATOR:GONZALEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 232-4043
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 3DATE:
12/06/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Maria Gonzalez, LicenseeTIME COMPLETED:
04:15 PM
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A visit was conducted today by Licensing Program Analyst (LPA) Susann Sanchez for the purpose of reviewing an accusation to licensee. LPA observed 3 children present during the visit.

LPA met with Licensee with whom the accusation was discussed. The following documents were reviewed and confirmed to be received:
  • Statement to Respondent
  • Statutes
  • Accusation (License Revocation, Exclusion Action, and Civil Penalty Appeal Administrative Law Judge)
  • Notice to Respondent and/or Attorney of Record Regarding Statutes, Regulations, Written Directives, and Interim Licensing Standards
  • Confidential Names List
  • Request for Discovery
  • Notice of Defense (2)

A copy of the accusation was provided to the local Resource & Referral agency. Licensee was advised that any further communication should be directed to our Department’s Legal Division.

A Notice of Site Visit given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Maria Gonzalez.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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