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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011849
Report Date: 04/15/2024
Date Signed: 04/15/2024 01:09:30 PM

Document Has Been Signed on 04/15/2024 01:09 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/
DIRECTOR:		GONZALEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 232-4043
CITY:PARAMOUNTSTATE: CAZIP CODE:
90723
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/15/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Maria Gonzalez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analysts (LPAs) Susann Sanchez conducted a case management visit for the purpose of the increased monitoring plan as determined on the Non-Compliance Conference held on 07/12/23. LPA did not observe any children in care during visit. Licensee gave LPA tour of the facility. Per Licensee, hours of operation will be Monday through Sunday, 6:00 am to 11:00 pm and does not to exceed 24 hour care at one time. Also present was Licensee adult son, who is fingerprint cleared.

The home is a one story, 3-Bed, 2-Bath home. There is a dwelling in the backyard. Per Licensee dwelling is the same address and no one lives in the back. The following areas are used for day-care: 2 bedrooms, bathroom next to the kitchen, living room (as a walk way to the kitchen), dining room, and backyard area. Off limit areas include: Licensee’s bedroom & bathroom, dwelling, laundry area in the and front yard. LPA also inspected the bathroom near the kitchen and is free of hazards.

Roster was reviewed and there are currently 11 children enrolled. Roster reflected the past 3 years. Facility conducted a disaster drill on 02/02/24. CPR & 1st Aid expires on 01/27/25. Mandated Reporter expires 10/13/2024. Fire extinguisher was purchased on 03/16/24.

Exit interview was conducted with the Licensee, M. Gonzalez. A signature was obtained for this report. Licensee was provided a copy of this report. A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Susann Sanchez
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2024
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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