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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018117
Report Date: 09/28/2023
Date Signed: 09/28/2023 11:34:25 AM

Document Has Been Signed on 09/28/2023 11:34 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:APOLLO CENTERFACILITY NUMBER:
198018117
ADMINISTRATOR:URZUA, CONNIEFACILITY TYPE:
830
ADDRESS:7850QUILL DRIVETELEPHONE:
(562) 861-5857
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 32TOTAL ENROLLED CHILDREN: 28CENSUS: 22DATE:
09/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Candelaria MunizTIME COMPLETED:
11:50 AM
NARRATIVE
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Licensing Program Analyst (LPA) T. Tran made an unannounced visit at Apollo Center to conduct a Case Management Incident that was self reported incident on 08/28/2023 regarding care and supervision. The Monterey Park South West Office received the writing report on 08/28/2023. Upon arrival, LPA met with lead teacher, Candelaria Muniz and we toured the facility. LPA observed proper care and supervision.

LPA completed children and staff files review. LPA obtained personnel report and child's record. Interviews were conducted with staff and other. According to the interviews, on the day of the incident, there was a fully qualified staff supervised 4 children. When the incident occurred, staff observed the incident immediately provided first aid for child. Parent was notified of the incident. Based on the available information it does not appear this incident was the result of a Title 22 violation for lack of 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, Candelaria Muniz.

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Tiffanie Tran
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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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