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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012589
Report Date: 03/18/2025
Date Signed: 03/18/2025 11:11:04 AM

Document Has Been Signed on 03/18/2025 11:11 AM - 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:PEREZ FAMILY CHILD CAREFACILITY NUMBER:
198012589
ADMINISTRATOR/
DIRECTOR:		PEREZ, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 422-2242
CITY:LONG BEACH, CASTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
03/18/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:Licensee- Angelica PerezTIME VISIT/
INSPECTION COMPLETED:
11:17 AM
NARRATIVE
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On March 18, 2025, at 10:10am, Licensing Program Analyst (LPA) Keneisha Dunlap arrived at the above facility for an unannounced case management visit. LPA Dunlap announced the purpose of the visit and was granted entry into the facility by Licensee-Angelica Perez. There are 0 enrolled, and 0 children present at the time of the visit.

LPA Dunlap arrived at the facility to conduct an annual, however the Licensee stated they do not have children at this time. LPA Dunlap consulted with the Licensee regarding their options to either close or go inactive. The Licensee stated that they would like to close. However, the Licensee stated that they would be watching one family. LPA Dunlap reminded the Licensee that it would be ok as long as they cared for just one family. LPA Dunlap obtained the Licensee's license at the time of visit, and obtained a written letter from the Licensee stating that they would like to close.

Exit interview conducted and report was reviewed with the Licensee- Angelica Cortez.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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