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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019421
Report Date: 10/03/2024
Date Signed: 10/03/2024 09:53:19 AM

Document Has Been Signed on 10/03/2024 09:53 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:PONG FAMILY CHILD CAREFACILITY NUMBER:
198019421
ADMINISTRATOR/
DIRECTOR:		PONG, JULIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(248) 760-2205
CITY:SOUTH PASADENASTATE: CAZIP CODE:
91030
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
10/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Julia Pong TIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Shushanik Safaryan conducted unannounced case management - licensee initiated inspection to the above facility on 10/03/24. The licensee is currently licensed for a large family child care.

The purpose of this visit is to inspect the additional space the licensee will be using to provide care for children.

LPA arrived at the facility at 08:30 am and met with Julia Pong, Licensee who guided analyst on a tour of the facility. Also present during this inspection, was Licensee`s assistants Aura Plaza and Bernardo Sanjines . During the tour ,LPA observed 2 infants and 2 children over 2 years old .

During the inspection, LPA toured both structures and areas accessible to the children.

Main house is a one-story home located in the front of the property. Main house consists of 3 bedrooms, 2 & 1/2 bathrooms, living room, dining room, kitchen, deck, attic which consists of 1 room, 1 bathroom, and kitchen, backyard (fenced), concrete area/driveway and front yard. The master bathroom , attic which consists of 1 room, 1 bathroom, kitchen, and front yard are off-limits to children and parents.

Back house consists of classroom and bathroom on the first floor and a 4 rooms, 2 bathrooms located on the second floor, covered patio, backyard (fenced) shared with the main house. The second floor is off-limits to children and parents.

Children will use the backyard for outdoor play. LPA observed child safety gate in the back balcony to make the back balcony inaccessible to the children.
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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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: PONG FAMILY CHILD CARE
FACILITY NUMBER: 198019421
VISIT DATE: 10/03/2024
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All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.

The required 2A 10BC fire extinguisher was purchased on 05/21/24. Carbon monoxide and smoke detectors are operable.

Per Licensee, there are no pets, weapons, or firearms on the premises.

The licensee was observed to be operating within the licensed capacity and is not exceeding the required limitations during this inspection.

Adult present have obtained a criminal record clearance on Licensing Information System (LIS).

LPA advised the licensee to access forms, regulations, and quarterly updates online at: www.ccld.ca.gov.

There are no deficiencies being cited today. The Notice of Site Visit (LIC 9213) was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Per Licensee, she will operate within license capacity, fire clearance terms and limitations associated with a large license. The licensee was provided an updated copy of her license during this visit.

Exit interview conducted and report was reviewed with the Licensee, Julia Pong on 10/03/24.

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SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Shushanik Safaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC809 (FAS) - (06/04)
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