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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016984
Report Date: 05/30/2025
Date Signed: 05/30/2025 11:51:39 AM

Document Has Been Signed on 05/30/2025 11:51 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:ENGBERG FAMILY CHILD CAREFACILITY NUMBER:
198016984
ADMINISTRATOR/
DIRECTOR:		ENGBERG, TONIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 233-9872
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
05/30/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Licensee, Toni EngbergTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 05/30/2025 at 8:55am, Licensing Program Analyst (LPA) Jonnisha Culbert conducted an unannounced case management- incident inspection at the facility noted above and met with Licensee, Toni Engberg. LPA stated the purpose of the visit was to conduct a case management inspection to follow up on an incident reported to The Department on 05/22/2025. The operating hours of the facility are Monday through Friday from 7:00 AM to 5:30 PM. Individuals residing in the home were discussed and noted. At the time of the inspection licensee, two staff, and eight children were present.

During the inspection, LPA collected pertinent documents, collected photos, and conducted licensee’s interview.

Due to insufficient information, the incident needs further investigation. No deficiencies were cited during today’s visit.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Toni Engberg.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2025
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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