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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021217
Report Date: 09/13/2023
Date Signed: 09/13/2023 05:02:48 PM

Document Has Been Signed on 09/13/2023 05:02 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CHAO FAMILY CHILD CAREFACILITY NUMBER:
198021217
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
09/13/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Shelly ChaoTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced case management inspection. Upon arrival LPA Lee met with Licensee Shelly Chao. This facility has a pending capacity increase application. There were 4 children observed with the Licensee and 1 assistant.

LPA Lee was provided a tour of the home. A change that was made in the facility sketch was observed during the inspection. The part of the kitchen that was once part of the day care has been changed to off limits. Fire clearance was received by the regional office on 09/12/2023.

There were no deficiencies observed during the inspection. File review for children's record was completed.

The Licensee was advised that the new capacity will be granted after the application has been submitted for processing.

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

Exit interview conducted with Licensee Shelly Chao. Appeal rights discussed and explained.

SUPERVISORS NAME: Claudia Guangorena
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023
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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