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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400498
Report Date: 01/05/2022
Date Signed: 01/05/2022 12:39:01 PM

Document Has Been Signed on 01/05/2022 12:39 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:CASTRO FAMILY CHILD CAREFACILITY NUMBER:
198400498
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Applicant - Hernan CastroTIME COMPLETED:
12:45 PM
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Licensing Program Analyst (LPA) Randy Derraco conducted a scheduled case management visit to obtain facility photographs and discuss plans for tenants. LPA met with applicant Hernan Castro at the above address who provided a tour of the facility. LPA did not observe any children in care.

The home consists of 3 bedrooms, 2 bathrooms, 2 living rooms, 2 kitchens, a detached garage converted into a 2 bedroom dwelling, and a sun room attached to the garage dwelling. LPA observed 8 security cameras throughout the inside and outside of the home.

The main care area is located in the home and consists of a kitchen, living room, one bedroom, one bathroom and an outdoor play area in the back yard. The second bedroom is the the master bedroom and is off-limits. LPA observed an off-limits dwelling attached to the home. A single entrance was observed to lead into the off-limits attached dwelling area from the back yard play area. LPA observed a bedroom, living room and kitchen in the off limits attached dwelling area. A gas range was observed in the kitchen of the off limits attached dwelling area. LPA observed a second off limits dwelling area located in the off limits detached garage. LPA observed two bedrooms, a bathroom, a kitchen and a dining table in the off limits detached garage dwelling. A gas range was also observed in kitchen of the off limits garage dwelling. One door was observed to lead into the off limits garage dwelling area from the back yard play area. The outdoor play area was observed to have age appropriate toys and materials, synthetic grass turf, and a white picket fence leading to an off limits patio area that is currently under construction. A second door was observed next to the off limits garage dwelling that leads to a sun room. Per licensee, the sun room will be used by tenants of the off limits garage dwelling. A third door was observed to lead into an off limits garage storage area for the applicant. A wooden gate was observed to lead to an additional play area. An iron wrought drive way gate was observed to separate the driveway from the out door play area. Per licensee, tenants will only enter through the iron wrought drive way gate to enter each of their respective dwellings.
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2022
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: CASTRO FAMILY CHILD CARE
FACILITY NUMBER: 198400498
VISIT DATE: 01/05/2022
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Per licensee, all three gas lines that were observed during case management visit have been permitted through the City of Long Beach. Applicant understands that he will not be able to have uncleared adults in
the day care during day care hours. Per applicant, tenants work schedules are from 5 AM to 10 PM. Per applicant, all tenants have signed a 12 month lease agreement. LPA took pictures of entire facility including off limit areas and construction area. Applicant re-iterated that uncleared will not be allowed in day care unless they have cleared a background check. Applicant also states that tenants will have no interaction with children in care. Applicant states that if tenants were to become sick with Covid-19, he will be willing to pay for a hotel room for tenants in order for them to quarantine.

Case management report was reviewed and provided to applicant. An updated facility sketch was provided to LPA prior to end of case management visit.

An exit interview was conducted with applicant Hernan Castro
SUPERVISORS NAME: Trevino Cochran
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2022
LIC809 (FAS) - (06/04)
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