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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021447
Report Date: 08/13/2024
Date Signed: 08/13/2024 09:37:20 AM

Document Has Been Signed on 08/13/2024 09:37 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:WIJEWARDANE FAMILY DAY CAREFACILITY NUMBER:
198021447
ADMINISTRATOR/
DIRECTOR:		WIJEWARDANE, BHAGYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 303-7273
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/13/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Bhagya Wijenwardane, ApplicantTIME VISIT/
INSPECTION COMPLETED:
09:50 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
On 08/13/2024, Licensing Program Analyst (LPA) Kruz Long conducted a subsequent pre-licensing inspection to ensure the correction noted on report dated 06/04/24 is complete. LPA met with applicant Bhagya Wijenwardane who guided LPA on a tour of the facility.

LPA toured the rear yard and observed a mesh fence with a self latching gate. The fence separates the pool and yard intended for child care use. Pictures taken by LPA. Per applicant, gate to the pool will be pad locked during operating hours.

Correction is complete and applicant is ready to be licensed.

An exit interview conducted with the Applicant, Bhagya Wijenwardane .
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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