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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198018117
Report Date: 04/04/2024
Date Signed: 04/04/2024 11:09:48 AM

Document Has Been Signed on 04/04/2024 11:09 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/
DIRECTOR:		URZUA, CONNIEFACILITY TYPE:
830
ADDRESS:7850QUILL DRIVETELEPHONE:
(562) 861-5857
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 19DATE:
04/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Candeleria Muniz, Facility Representative (FR)TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 04/04/2024 at 10:15 AM Licensing Program Analysts (LPAs) Katrina Chicote and Claudia Kam conducted an Unannounced Case Management inspection to follow up on an incident that was reported to the Department on 03/11/2024. Upon arrival, LPAs announced purpose of visit and met with Candeleria Muniz, Facility Representative (FR). Census was taken.

On 03/11/2024, an incident was reported to The Department where a child fell outside and hit their head causing an open wound that resulted in child being taken to the doctor. Child returned following school day with no restrictions. Facility reported the incident the following Monday and submitted written report within seven days per Title 22 Regulation reporting requirements.

During this inspection, LPA interviewed staff and confirmed staff observed incident and provided first aid immediately and Authorized Representative was notified immediately via phone call. LPAs reviewed written notification that was also provided to parent which includes Head Injury report that is confirmed signed by Authorized Representative. LPAs observed play area outside during inspection and did not observe any immediate hazards of area. Based on the information obtained and LPAs observation of the play area, LPAs determined there was adequate supervision and immediate response was provided to child.

The facility was found in compliance per Title 22 regulations, there will be no deficiencies cited today 04/04/2024.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the FR, Candeleria Muniz.


Report Ends - Page 1 of 1
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Katrina Chicote
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2024
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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