<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017254
Report Date: 06/22/2021
Date Signed: 06/22/2021 01:09:24 PM

Document Has Been Signed on 06/22/2021 01:09 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:TOMAS FAMILY CHILD CAREFACILITY NUMBER:
198017254
ADMINISTRATOR:TOMAS, FRANCISFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 927-4853
CITY:BELL GARDENSSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
06/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:36 PM
MET WITH:Francis Tomas, LicenseeTIME COMPLETED:
01:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
THIS INSPECTION WAS CONDUCTED IN SPANISH

Licensing Program Analysts (LPA) Alicia Mooberry conducted an unannounced case management inspection for the purpose of obtaining signatures on an amended report. LPA met with Francis Tomas, Licensee, who guided analysts on a tour of the facility. There were 3 children present upon arrival.

LPA obtained signatures on the amended report from Licensee during this inspection.

LPA provided Licensee with a copy of the amended report and explained the purpose of the visit. LPA also asked the Licensee Spanish if they understood the purpose for the visit and Licensee stated that they understood.

LPA advised the Licensee to continue wearing face covering following the Department of Health guidelines.

There were no deficiencies cited during today's inspection.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
Exit interview was conducted with Francis Tomas, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.
SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 06/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/22/2021
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 1