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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021130
Report Date: 10/01/2024
Date Signed: 10/02/2024 12:12:33 PM

Document Has Been Signed on 10/02/2024 12:12 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:ROBLES FAMILY CHILD CAREFACILITY NUMBER:
198021130
ADMINISTRATOR/
DIRECTOR:		MARIA ROBLESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 531-6983
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 2DATE:
10/01/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Licensee Maria RoblesTIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analysts (LPA) Maria Robles conducted an unannounced POC (plan of correction) inspection to insured that the 3 Type B deficiencies cited on 08/02/24 have been cleared. LPA met with Maria Robles, licensee and assistant #1. There were two children present. The following was observed:

- Current CPR certification for assistant #1 with an expiration date 08/20/24

- 2A BC10 Fire Extinguisher indicated to be fully charged and last services on 08/05/24

- AB1207 for assistant #1 have been completed with an expiration date of 08/20/2024

LPA advised the licensee how to access forms, regulations and quarterly updates on the Child Care Licensing Website at: www.ccld.ca.gov.

LPA cleared deficiency on this date and provided a copy of the Licensing Report to licensee, Maria Robles. LPA issued POC clearance letter during the visit.

At this time, the licensee is in compliance with California Code of Regulations Title 22. Therefore, no deficiencies are being cited.

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, Maria Robles.

SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Mary Silva
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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