Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192002652
Report Date: 08/29/2018
Date Signed 08/29/2018 10:51:27 AM

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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:TORRES FAMILY CHILD CAREFACILITY NUMBER:
192002652
ADMINISTRATOR:ROSA TORRESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 404-5219
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 6DATE:
08/29/2018
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rosa TorresTIME COMPLETED:
11:06 AM
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Licensing Program Analyst (LPA) Raul Navarro conducted an unannounced POC visit to clear a deficiency from the 08/22/18 Complaint visit. LPA met with Licensee, who guided analyst on a tour of the facility both indoors and outdoors. There were six children present during today's inspection. Also present was licensee's daughter/assistant Monica Torres.

Licensee was cited for Criminal Record Clearance. LPA toured rooms in the home where LPA observed the individuals personal belongings. Individuals personal belongings have been removed from the home. LPA did not observe an uncleared/excluded adult in the home. The uncleared adult has submitted their fingerprints and are currently pending clearance,.

All previous citations and or issues have been cleared/resolved. There were no citations during this visit.

Exit interview was conducted with Licensee. The Licensee was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these forms.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

End of Report- Page 1 of 1
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Raul NavarroTELEPHONE: 323-981-3388
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2018
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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