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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198015168
Report Date: 09/22/2023
Date Signed: 09/22/2023 10:07:31 AM

Document Has Been Signed on 09/22/2023 10:07 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:VILLAMIL FAMILY CHILD CAREFACILITY NUMBER:
198015168
ADMINISTRATOR:MARIA V. & JASMIN V.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 215-4575
CITY:HAWAIIAN GARDENSSTATE: CAZIP CODE:
90716
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 10DATE:
09/22/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Maria VillamilTIME COMPLETED:
10:27 AM
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An unannounced Case Management Inspection was conducted on this day by Licensing Program Analysts (LPAs) Raul Navarro and Anthony Padilla to address an Unusual Incident Report that was received in the licensing office on 09/07/23. LPAs arrived at the facility at 09:09 am and met with Licensee Maria Villamil. There were ten children present during today's inspection.

Licensee reported that the facility will be undergoing construction to convert the garage into an ADU. Licensee reported that the construction timeline will be from 9/7/23 through 1/31/23. Licensee stated they will put up a fence to prevent access to the construction area and that the day care children would not be affected by the construction. Workers will be entering through the gate located in the rear and will have no contact with the day care children.

Licensee guided the LPAs on a tour the facility. LPAs observed the fence preventing access to the construction area. The fence was in good repair. LPAs also observed that the workers have no access to the day care area. LPAs observed the rear gate entrance through the alley way that the workers use to enter the property. Photos were taken of the gate during the inspection.

Based on all information obtained on this date no follow-up is necessary regarding the incident. There were no deficiencies observed in regards to today's visit.

Exit interview was conducted with Licensee Maria Villamil. A notice of sit visit was provided and must remain posted for 30 days.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Raul Navarro
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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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