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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191502175
Report Date: 11/15/2024
Date Signed: 11/15/2024 12:04:34 PM

Document Has Been Signed on 11/15/2024 12:04 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PLAY FACTORYFACILITY NUMBER:
191502175
ADMINISTRATOR/
DIRECTOR:
WENDY VEASFACILITY TYPE:
850
ADDRESS:9723 GARIBALDI AVE.TELEPHONE:
(626) 285-9223
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY: 74TOTAL ENROLLED CHILDREN: 55CENSUS: 45DATE:
11/15/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:55 AM
MET WITH:Wendy VeasTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Saul Valenzuela conducted an unannounced Plan of Correction (POC) inspection to insured that the Type A deficiency cited on 10/24/2024 has been cleared. LPA met with Director Wendy Veas who guided analysts on a tour of the facility. Census was taken.

The following was observed:

- Attendance Roster for Personal Rights Training

- LIC 9224 Acknowledgement of Receipt of Licensing Reports was on file

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date- POC clearance letter was issued during visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. No deficiencies are being cited.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representatives, Wendy Veas

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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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