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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019544
Report Date: 12/17/2024
Date Signed: 12/17/2024 12:43:52 PM

Document Has Been Signed on 12/17/2024 12:43 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:BENITEZ FAMILY CHILD CAREFACILITY NUMBER:
198019544
ADMINISTRATOR/
DIRECTOR:
SANDRA BENITEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 359-5551
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
12/17/2024
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Sandra Benitez, LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 12/17/24 Licensing Program Analysts (LPAs) Alicia Mooberry and Joshua Ortega conducted an unannounced Case Management inspection in Spanish, as requirement of the three (3) years probation beginning on 10/07/21. LPAs met with licensee Sandra Benitez and explained the purpose of inspection. Upon arrival, LPAs observed eleven (11) children in the outdoor play area supervised by 2 Staff.

Per licensee and facility roster, there are 14 children currently enrolled in in the facility. Individuals residing in the home were discussed and noted. Hours of operation are Mon-Fri 6:00am-5:00pm.

Off limit areas including the upstairs level, kitchen and the backyard of home are made inaccessible by safety gates.

For the duration of the probationary period from 10/7/21-10/7/24, the licensee has maintained compliance with department regulations and Health and safety regulations.

LPA discussed the exclusion of Erick Chajon from the facility pursuant to the Default Decision and Order issued by the Department on December 10, 2020. LPA verified with licensee that the excluded individual is no longer living in the home. LPA did not observe Erick Chajon in the home on this date. LPA confirmed by department records that Erick Chajon is not associated to the facility license.

Licensee discussed reporting requirements with licensee. Licensee understands to maintain children's files for three years.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

No deficiencies were observed in the areas evaluated during the visit.


Exit interview conducted in Spanish with licensee, Sandra Benitez.
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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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