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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019118
Report Date: 08/02/2024
Date Signed: 08/02/2024 03:02:54 PM

Document Has Been Signed on 08/02/2024 03:02 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BARCELO & GRIMALDO FAMILY CHILD CAREFACILITY NUMBER:
198019118
ADMINISTRATOR/
DIRECTOR:		A BARCELO & J GRIMALDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 641-0497
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
08/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Angelica BarceloTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analysts (LPA) Claudia Kam conducted a case management visit at the above facility. The purpose of today's inspection is to have Licensee sign an amended report dated 8/1/2024 for report inspection that was missing a signature on the Plan of Correction.

Upon arrival, LPA met with licensee Angelica Barcelo who provided LPA a tour of the facility. LPA observed proper care and supervision. Plan of correction was reviewed and completed by licensee for annual completed on 8/1/24.


No deficiency was cited at this time. A notice of site visit was given and must remain posted for 30 days.
The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted and report was reviewed with the facility representative, Angelica Barcelo.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Claudia Kam
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2024
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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