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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198014050
Report Date: 12/19/2023
Date Signed: 12/19/2023 09:03:29 AM

Document Has Been Signed on 12/19/2023 09:03 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:ROMERO FAMILY CHILD CAREFACILITY NUMBER:
198014050
ADMINISTRATOR:ROMERO, GENNYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 542-0455
CITY:LOS ANGELESSTATE: CAZIP CODE:
90022
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
12/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Sandra Castro, AssistantTIME COMPLETED:
09:10 AM
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On December 19, 2023, Licensing Program Analyst (LPA) Monique Ayala conducted an unannounced Plan of Correction (POC) inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPA met with licensee's assistant Sandra Castro who guided LPA on a tour of the facility. LPA observed 4 school age children in care.

The purpose of the inspection is to follow up on a deficiency that was given on 12/07/2023. LPA inspected the facility to ensure that the excluded adult (Johnny Romero) is no longer living in the licensed facility.

The facility was found to be in compliance with the exclusion request in accordance with Title 22 Regulations. The facility is not being cited any deficiencies.

An exit interview was conducted and a copy of this report was provided to Sandra Castro. A Notice of Site Visit was provided and must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Monique Jessica Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2023
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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