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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400177
Report Date: 12/08/2022
Date Signed: 12/08/2022 03:13:32 PM

Document Has Been Signed on 12/08/2022 03:13 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:BONILLA FAMILY CHILD CAREFACILITY NUMBER:
198400177
ADMINISTRATOR:CATALINA BONILLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 826-2431
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
12/08/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Catalina BonillaTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Warren Birks conducted an unannounced Case Management inspection. LPA met with Licensee Catalina Bonilla who assisted with the inspection.

The purpose of today's inspection is to amend a previous December 7, 2022 report. LPA informed Licensee the report is amended to reflect the following information left out of the Annual Inspection: Licensee has a small pet dog that is kept inaccessible to children.

Note: LPA also observed the dog being kept in areas that were gated and inaccessible. LPA advised Licensee that if the dog ever has access to children (in the future), to provide extra care and supervision as animals can be unpredictable.

Exit interview was conducted with Licensee Catalina Bonilla. The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site inspection by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.
SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Warren Birks
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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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