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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020062
Report Date: 03/18/2024
Date Signed: 03/18/2024 12:30:35 PM

Document Has Been Signed on 03/18/2024 12:30 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:RODRIGUEZ FAMILY CHILD CAREFACILITY NUMBER:
198020062
ADMINISTRATOR:MAGDALENA RODRIGUEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 327-8944
CITY:MONTEREY PARKSTATE: CAZIP CODE:
91755
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
03/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Magdalena Rodriguez, LicenseeTIME COMPLETED:
12:45 PM
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On 03/18/2024, Licensing Program Analysts (LPAs) Kruz Long and Priscilla Ochoa conducted an unannounced case management inspection. A COVID-19 risk assessment was conducted prior to entering the facility. LPAs met with Magdalena Rodriguez, Licensee who guided LPAs on a tour of the facility. LPAs observed 7 children with 3 staff members. Facility meets Staff/Child ratio.

The purpose of the visit is to follow up on an incident that occurred on 03/11/24 and was reported to the department on 03/12/24 (reported timely). The self reported incident is regarding supervision/personal rights.

During today's visit, LPAs toured the facility and interviewed Staff #1 (S1) and Staff #2 (S1). LPAs attempted to interview the children but they are all non-verbal.

Based on LPA's interviews and observations, there were no tripping hazard in the play yard and facility met Staff/Child ratio during the time of the incident. There are no corroborating information to determine that a personal rights or supervision violation occurred. Therefore, the facility is not being cited any deficiencies today.

An exit interview was conducted and a copy of this report was provided to Magdalena Rodriguez, Licensee . A Notice of Site Visit was provided; Notice of Site Visit must be posted for 30 days.
SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
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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