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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012925
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:59:49 PM

Document Has Been Signed on 01/10/2025 03:59 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:CEJA FAMILY CHILD CAREFACILITY NUMBER:
198012925
ADMINISTRATOR/
DIRECTOR:		GRACIELA CEJAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 447-9544
CITY:LOS ANGELESSTATE: CAZIP CODE:
90003
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
01/10/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Graciela CejaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an unannounced Case Management - Other visit to obtain signatures on an amended report. LPA White announced the purpose of the visit and was granted entry into the facility. There were four children present and 2 staff. All residents and staff in the home were discussed and have current fingerprint clearance.

LPA White reviewed the changes to the report with Licensee Graciela Ceja, and obtained signatures to the report.

A notice of site visit, copy of the report, and appeal rights was given to Licensee Graciela Ceja

.............................Report ends 1 of 1 Page.............................................................................
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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