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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021158
Report Date: 01/16/2025
Date Signed: 01/16/2025 05:13:53 PM

Document Has Been Signed on 01/16/2025 05:13 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:BADAMSAMBUU FAMILY CHILD CAREFACILITY NUMBER:
198021158
ADMINISTRATOR/
DIRECTOR:
BADAMSAMBUU, NOMIN ERDENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 803-0698
CITY:LOS ANGELESSTATE: CAZIP CODE:
90005
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
01/16/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Nomin Erdene BadamsabuuTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced plan of correction inspection. Upon arrival LPA Lee met with Licensee Nomin Erdene Badamsabuu. There were 12 children observed along with the Licensee and 2 assistants.

The purpose of the inspection was to provide the Licensee with a deficiency clearance letter. The facility was cited during a previous inspection conducted on 01/06/2025. During the inspection a census was taken and children's files were reviewed.

Licensee was observed to be within proper child to staff ratio. A clearance letter was provided to the Licensee during this inspection.

The notice of site inspection must remain posted for a period of 30 days during hours of operation. Failure to maintain posting for 30 days will result in a civil penalty of $100.00 dollars.

Exit interview conducted with Licensee Nomin Erdene Badamsabuu. Appeal rights discussed and explained.
SUPERVISORS NAME: Katrina Chicote
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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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