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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198013810
Report Date: 02/20/2025
Date Signed: 02/20/2025 07:57:59 PM

Document Has Been Signed on 02/20/2025 07:57 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:JAUREQUI FAMILY CHILD CAREFACILITY NUMBER:
198013810
ADMINISTRATOR/
DIRECTOR:		JAUREQUI, MIRNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 964-3957
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
02/20/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:45 PM
MET WITH:Mirna Jaurequi, LicenseeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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Licensing Program Analyst, LPA, Alicia Mooberry, conducted an unannounced case management inspection to ensure the licensee is in compliance with Health and Safety requirements regarding Pool Safety AB2866. LPA met with licensee Irma Jaurequi and explained the purpose of the inspection. There were 6 children and 1 additional staff upon arrival.

LPA observed the following during inspection: The Access gate to pool was locked with a key. LPA observed that the gate does self latch.

LPA observed that a a pool alarm in functioning by sound alarm upon detecting item placed in pool water. The alarm shall be turned on and be in working condition during a facility’s operating hours while the swimming pool is not in use.

LPA observed a life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard placed visible inside the pool area readily available for immediate use.



LPA observed no children occupying the backyard next to the swimming pool. Per licensee, the children are currently using the front yard and will resume using the backyard when the sliding glass door is replaced.

Due to time limitations, the annual inspection will be continued at another visit.

No deficiencies Cited during this visit.

Exit interview conducted with License Irma Jaurequi.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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