<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021180
Report Date: 10/25/2024
Date Signed: 10/25/2024 04:04:28 PM

Document Has Been Signed on 10/25/2024 04:04 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:YMCA OF WEST SAN GABRIEL VALLEYFACILITY NUMBER:
198021180
ADMINISTRATOR/
DIRECTOR:		GOMEZ, VALARIEFACILITY TYPE:
850
ADDRESS:401 E CORTO STTELEPHONE:
(626) 576-0226
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
10/25/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Valarie Gomez TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Licensee Valarie Gomez.

Licensee stated that the preschool program does not have any children enrolled at the moment. Licensee stated the facility is planning on accepting children for enrollment at the beginning of 2025. Licensee was advised that the facility has the option to go inactive if more time is required before providing care for children.
LPA Lee will attempt another inspection after January of 2025 per Licensee.

Exit interview conducted with Licensee Valarie Gomez. Appeal rights discussed and explained.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1