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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020741
Report Date: 06/28/2024
Date Signed: 06/28/2024 10:21:22 AM

Document Has Been Signed on 06/28/2024 10:21 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GALLARDO FAMILY CHILD CAREFACILITY NUMBER:
198020741
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
06/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Gabriela GallardoTIME VISIT/
INSPECTION COMPLETED:
10:36 AM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted a case management - licensee initiated inspection at the above facility on 06/28/24 at 09:00 a.m. The home is currently licensed for 8 children and a request for a capacity of 14 children was received. The licensee’s assistant Maria Gallardo and licensee’s sister Bertha Rodriguez were present during this inspection. All areas identified in the facility sketch were toured. There were 02 children present during this inspection. Operation hours are Monday – Friday 08:00am – 06:00pm.

The LPA inspected the facility and found the facility to be safe and clean. The day care area is provided in the living room, kitchen, 1 bedroom, family room, 1 bathroom, and back yard (fenced). LPA observed in the bedroom (1) crib. In the family room, LPA observed (7) child size beds. Napping equipment meets Title 22 Regulations. Per licensee, food is provided to all children in care. There is a cellphone that stays in the facility during operation hours. There is ventilation and heating.

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed to be inaccessible to children. Per licensee, there are no poisons in the home and understands that storage areas for poisons must be locked with a key or combination lock. At 09:11 a.m., smoke and carbon monoxide detectors were tested and are operable. The valve on the required 3A 40BC fire extinguisher indicates fully charged and was serviced on 02/23/24, as indicated on service tag.

The licensee has a first aid kit readily available. Per licensee, there are no firearms or weapons stored in the home. LPA observed the required posted documentation in the entrance of the home. LPA reviewed facility records for LIC 9040- Facility Roster and Disaster drill log. The last disaster drill documented was 01/04/24.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: GALLARDO FAMILY CHILD CARE
FACILITY NUMBER: 198020741
VISIT DATE: 06/28/2024
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Currently children use the back yard for outdoor play with adequate shade and age-appropriate play equipment for children in care. LPA did not observe any objects that could be hazardous to children in care. Licenses understand that children should be supervised at all times. LPA did not observe any pools, spas, hot tubs, fishponds, or similar bodies of water during the inspection.

LPA reviewed licensee’s Pediatric First Aid and CPR certification, expires 06/2026 and current Mandated Reporter Training Certificate. Licensee's Mandated Reporter training expires 03/13/26.

The facility has requested an increase of capacity from 8 to 14 on 05/16/24. Fire clearance was granted on 06/13/24. The licensee provided proof of control of property. Capacity Increase will be granted, pending final file review. License will be amended to reflect new capacity of fourteen (14) children. The increase is contingent upon a Licensing Program Manager review and approval.

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

Exit interview conducted and report was reviewed with the licensee Gabriela Gallardo.

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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2024
LIC809 (FAS) - (06/04)
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