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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016781
Report Date: 12/12/2023
Date Signed: 12/12/2023 03:25:21 PM

Document Has Been Signed on 12/12/2023 03:25 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
L.A. DAY CARE-EAST, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:CAMPOS FAMILY CHILD CAREFACILITY NUMBER:
198016781
ADMINISTRATOR:CAMPOS, DENISEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 298-7801
CITY:WHITTIERSTATE: CAZIP CODE:
90604
CAPACITY: 14TOTAL ENROLLED CHILDREN: 15CENSUS: 10DATE:
12/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Licensee, Denise CamposTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Lilli Babcock conducted an unannounced Case Management inspection due to an incident that occurred on 9/11/23 and was reported to the Department on 9/26/23. A COVID risk assessment was conducted. LPA met with Licensee, Denise Campos to whom the reason for the visit was explained. Licensee guided LPA on a tour of the facility. Census was taken. There were 10 children, licensee and 2 assistants present during the tour of the facility. The facility was observed to be operating within the license capacity limitations.

On September 26, 2023, an unusual incident report was made to the Department. LPA interviewed the licensee, 2 staff, and 3 children regarding the incident. Based on information obtained during this investigation, no additional follow up is necessary regarding the incident reported.
No deficiencies are being cited at this time.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Denise Campos.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Lilli Babcock
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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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