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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020741
Report Date: 11/22/2022
Date Signed: 11/22/2022 10:55:09 AM

Document Has Been Signed on 11/22/2022 10:55 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:GALLARDO FAMILY CHILD CAREFACILITY NUMBER:
198020741
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
11/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabriela Gallardo, LicenseeTIME COMPLETED:
11:00 AM
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At 9:00AM Licensing Program Analysts (LPAs) Veronica MartinezGarza and Roxana Lopez conducted an unannounced case management other inspection to the above facility on 11/22/22. LPAs met with Gabriela Gallardo, Licensee, who guided analysts on a tour of the facility. The purpose of this inspection is to conduct more frequent inspections 12-18 months to ensure that the licensee is in compliance with Title 22 Regulations as discussed in the Informal office meeting held on 08/29/22.

LPAs observed:
  • Licensee was observed to be operating within capacity of her license. There were 3 children present, 2 being Infants. Per Licensee, there are 6 children enrolled.
  • Fire Extinguisher was serviced on 03/23/22
  • All staff are eligible cleared and associated to the facility

At this time, the facility is in compliance with California Title 22 Regulations. Therefore, there are no deficiencies being issued today.

A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

At 10:44 AM, exit interview was conducted with Gabriela Gallardo, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2022
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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