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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192004692
Report Date: 04/30/2025
Date Signed: 04/30/2025 02:46:10 PM

Document Has Been Signed on 04/30/2025 02:46 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GARCIA FAMILY CHILD CAREFACILITY NUMBER:
192004692
ADMINISTRATOR/
DIRECTOR:
GARCIA, ESTHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 585-9176
CITY:LOS ANGELESSTATE: CAZIP CODE:
90001
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
04/30/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:21 PM
MET WITH:Esther Garcia, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analysts (LPAs) Franchesca White and Linda Voong arrived at the above facility for the purpose of an unannounced 3yrs Required - Annual inspection. LPAs announced the purpose of the visit and was granted entry to the facility by Licensee Esther Garcia. There are 18 children enrolled, and 6 present at the time of the inspection. The ages of the children served in this facility are infant to 12 years of age. All adults in the home were discussed and have current criminal background clearance. There are three staff present at the time of inspection. The following documents were observed on the parent board or were available at the time of inspection: The License, Parent's Rights, Emergency Disaster Plan, The Disaster Drill log was available at the time of inspection. The last drill was conducted 3/28/2025. The facility roster was available at the time of inspection, and was current. LPA Voong reminded Licensee to post Earthquake Preparedness form.
All life saving devices were inspected and were operable at the time of inspection. The carbon monoxide detector and the smoke detector was located in the living room (main care area). The 2A 10BC fire extinguisher was located in the dining room and had a service tag or proof of purchase dated 6/11/2024. Licensee states that the isolation area is the activity room at the rear of the home that has its own exit. The first aid kit is located in the dining area above the wall sized book case. It was inspected for ample supplies.

This is a single-story home which consists of three bedrooms and two bathrooms, kitchen, main daycare space, and converted detached garage for daycare activity space. Areas used by the children include main daycare space (located upon entry of the home), Bathroom 1 (located through main daycare space, down hallway, to the left), Bedroom 3 (located down hallway, to the rear of the home), and detached converted garage for daycare activity space (backyard). Per Licensee, areas off limits to children and parents include Kitchen and Bedroom 1 and Bedroom 2. All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean... .........................................Report Continues 1 of X Pages....
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2025
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 7
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 192004692
VISIT DATE: 04/30/2025
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and orderly with ventilation and heating for the safety of the children. LPA observed ceiling fans and A/C wall units all through out home. There is a working telephone maintained in the home.

At 12:40 p.m., LPAs observed the main care area to have large open space for the children to play with a large flat screen mounted to the wall. Under the mounted tv is a storage space for children's activities and age appropriate toys and puzzles. Next to the parent board are staff storage cabinets that are made off limits to the children with the use of a key access lock. There is a staff desk and printer and file cabinet next to the windows. There is a inoperable fireplace against the back wall. Above the fireplace is a Monthly event poster board. There are cameras throughout the facility for the safety of the children. In the dining space there is a child size table with chairs stored in a cage making them inaccessible with a key access lock. There is a large book case with wide shelves to hold various ages of books and activities. Supplies are neatly stored on the top of the book case.

At 12:50 p.m. LPAs observed the off limits kitchen to have a half door that makes the kitchen inaccessible to children and parents with a key access lock. The kitchen was observed to be clean and free from excessive debris and clutter. Licensee states that meals are provided by the facility. Children do not bring their own food. LPAs observed a staff member preparing lunch for the children.

At 12:55 p.m., LPAs observed the rest of the home to made inaccessible to children and parents by the use of another half door. Licensee states that the off limits rooms are locked during hours or operation. LPAs observed doors to off limits bedrooms to be locked at the time of inspection. LPAs observed bathroom 1 to have cabinets secured with child safety locks. All other drawers did not contain any hazardous chemicals, or items that should be inaccessible to children in care. LPAs observed the floor to be free of any slipping hazards. There was ample supply of toileting items, and hand washing supplies for the children in care.

At 1:00 p.m. LPAs observed the rear activity room to have storage cabinets mounted to the wall to contain more supplies and resources for children activities. There is a rectangle activity table. Under the table are napping mats that Licensee states are taken to the main care area in the front of the home for nap time. Licensee states that this room for children who have homework and require a quiet space to work. There is a door from this room that leads to the outdoor play area, and the activity room.
...............................................................Report Continues 2 of 5 Pages...............................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
Page: 3 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 192004692
VISIT DATE: 04/30/2025
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At 1:15 p.m., LPAs observed six children to be seated under shading tents at rectangle bench eating their lunch under the supervision of a facilitiy assistant. The outdoor play area has fully fenced perimeter with green mesh covering the fencing for the safety of the children in care. There are several benches spaced out in the back yard with coverings for shade. A separate yard was observed to have a basketball for school age children. This area is completely fenced in with a green mesh for the safety of the children.

At 1:25 p.m., LPA Voong observed the activity building to house their classroom, and activity space with computers and books for the children. There is a classroom with a kidney table and 5 chairs. There are academic posters lining the walls and a mounted flat screen tv. There are cabinets housing more resources and supplies for the children in care. There is a copy machine situated under the mounted tv near the window. Licensee states that their activities are conducted in this space. Children eat outside, and take naps in the main care area located in the home. There is a bathroom inside the activity building with a changing table and mounted storage cabinets for extra supplies. Bathroom was observed to be clean, and free of hazards and chemicals.

Licensee states that they have two dogs that are locked in an off limits area of the yard during hours of operation. Licensee states that there are no bodies of water. LPAs did not observe any bodies of water. Licensee states that there are no firearms or weapons in the home. LPAs did not observe any firearms or weapons in the facility.

At 1:35 LPAs reviewed the staff files. All required department documents were available for review at the time of inspection. Staff 2 and Staff 3 were missing proof of immunization at the time of inspection. LPA Voong explained that this could pose a potential risk to the health and safety of the children in care. A technical violation (warning) was extended to Licensee. Licensee states that she will provide proof of vaccination on or before May 14, 2025. Licensee had proof of CPR/1st Aid certification with an expiration date of 4/15/2027. Mandated Reporter Training certification was available at the time of inspection with a expiration date of 2/13/2027. Proof of immunization was available at the time of inspection. All staff certifications are documented on LIC 859.

At 1:45 p.m., LPAs reviewed the children's files. All required department documents are available for review at the time of inspection. All documents were current and completed correctly.
.......................................................Report Continues 3 of 5 Pages.....................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
Page: 4 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 192004692
VISIT DATE: 04/30/2025
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The following were discussed:
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee Esther Garcia was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee Esther Garcia and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Esther Garcia of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee Esther Garcia was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
.........................................................Report Continues 4 of 5 Pages......................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GARCIA FAMILY CHILD CARE
FACILITY NUMBER: 192004692
VISIT DATE: 04/30/2025
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During the exit interview, the LICENSEE Esther Garcia, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Based on today's inspection consisting of observations, interviews, and record review, there will be no deficiencies cited today in accordance with California Title 22 Regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 civil penalty.

Exit interview conducted and report was reviewed with the licensee Esther Garcia. PIN 22-05-CCP Page Six

A copy of the report and appeal rights was given to licensee Esther Garcia.

.........................................................Report Ends Here 5 of 5 Pages.........................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7