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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018117
Report Date: 06/14/2023
Date Signed: 06/14/2023 04:31:56 PM

Document Has Been Signed on 06/14/2023 04:31 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 S WEST, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:APOLLO CENTERFACILITY NUMBER:
198018117
ADMINISTRATOR:URZUA, CONNIEFACILITY TYPE:
830
ADDRESS:7850QUILL DRIVETELEPHONE:
(562) 861-5857
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 32TOTAL ENROLLED CHILDREN: 22CENSUS: 16DATE:
06/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Aracely MarquezTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) T. Tran arrived at Apollo Center to conduct a Case Management inspection that was self-reported on 06/07/2023 regards to the level of care and supervision. Upon arrival, LPA met with teacher Aracely Marquez and we toured the facility. LPA observed proper care and supervision.

LPA completed file review for staff and children. LPA obtained personnel report, child's document, and doctor's note. Interview was conducted with staff and children. Based on the information that was gathered, there were 8 children present with two staff when the incident occurred. Parent was contacted immediately.
Based on the available information it does not appear this incident was the result of a Title 22 violation for care and supervision.

No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Aracely Marquez.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2023
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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