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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019544
Report Date: 12/07/2022
Date Signed: 12/07/2022 10:44:37 AM

Document Has Been Signed on 12/07/2022 10:44 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:BENITEZ FAMILY CHILD CAREFACILITY NUMBER:
198019544
ADMINISTRATOR:SANDRA BENITEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 359-5551
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 7DATE:
12/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:37 AM
MET WITH:Sandra Benitez, LicenseeTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Alicia Mooberry conducted an unannounced Case Management inspection on this date as requirement of three (3) years probation beginning on 10/07/21. LPA arrived at 9:37 at the facility and met with Sandra Benitez, Licensee, who provided a tour of the facility. Upon arrival LPA observed 7 children supervised by licensee and 2 assistants. A representative from MAOF was present during inspection. Also present was licensee's adult son. Individuals residing in the home were discussed and noted.All adult working with children and residing in the home have obtained a criminal background clearance.

All areas on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.


Licensee and staff files were reviewed, Licensee maintains a current facility roster. Licensee CPR/First Aid expires 09/2023. Children and staff files were reviewed and found complete. The required posting including the facility license and Parent's Rights poster were observed in a prominent location in the living room.

Toxins and sharp items are stored in kitchen and locked bathroom cabinet inaccessible to children. Licensee was advised to frequently check the safety locks and gates as they can break with wear and tear.


Licensee maintains posted in a visible area in the dining room.

LPA inspected the enclosed outdoor play area in the backyard. Adjacent to the play area is side yard, area that includes a storage unit, and a tall metal ladder. LPA advised licensee to ensure the gate leading to the side yard is always closed and locked.

LPA informed licensee on the following: keeping in compliance with Title 22 Regulations, criminal record clearances, mandated reporting, reporting requirements, supervision, terms of license, and record keeping.


Based on record reviews and LPA observations, no deficiencies were cited during this inspection.

Exit interview conducted with licensee, Sandra Benitez.

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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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