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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401069
Report Date: 10/22/2024
Date Signed: 10/22/2024 10:45:13 AM

Document Has Been Signed on 10/22/2024 10:45 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ALBA FAMILY CHILD CAREFACILITY NUMBER:
198401069
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
10/22/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Licensee - Maria AlbaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) R. Derraco conducted an announced pre-licensing inspection to the above mentioned facility on 10/22/24. LPA arrived at the facility at 9:15 AM and was met by licensee, Maria Alba, who provided a tour. LPA observed 2 children in care and no adults. Per licensee, children in care twin brothers from the same family.

The purpose of this visit is to follow up with corrections indicated on pre-licensing report dated 10/08/24. LPA observed licensee to have Mandated Reporter AB1207 compliant training certificate dated 08/28/24. LIC 610A - Emergency Disaster Plan was observed to be completed. LPA obtained a copy of both forms. LPA observed the treadmill to be inaccessible in an off-limits bedroom. A forced air heater/air conditioning unit was observed to be mounted on the wall in the family room. LPA observed firearms to be properly stored and locked in accordance to California Code of Regulation Title 22.

Licensee is requesting a large family child care and a location change to her existing license. Fire clearance was approved on 09/09/24. A large family childcare license and a location change may be granted upon Licensing Program Manager (LPM) Approval. Once licensed, the licensee is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with licensee, Maria Alba
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 10/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2024
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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