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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400682
Report Date: 03/18/2025
Date Signed: 03/18/2025 09:52:30 AM

Document Has Been Signed on 03/18/2025 09:52 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:HERNANDEZ CASTRO & SMITH FAMILY CHILD CAREFACILITY NUMBER:
198400682
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
03/18/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Licensee-Kimberly Hernandez CatroTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On March 18, 2025, at 9:15am, Licensing Program Analyst (LPA) Keneisha Dunlap conducted an unannounced Case Management visit to amend the 809-report issued on 3/17/25. LPA Dunlap announced purpose of the visit and was granted entry into the facility by Licensee- Kimberly Hernandez Castro. There are 5 children enrolled, and 3 children present at the time of inspection. The hours of operation are Monday- Friday from 6:00am-5:30pm.

LPA Dunlap reviewed attempted to bring up the amended 809 report with the Licensee to sign, however the system was not reflecting the amended report. LPA Dunlap will have to return a later date once system issue is rectified.



The Notice of Site Visit was provided.

Exit interview was conducted with Licensee- Kimberly Hernandez Castro and a copy of this report was provided with appeal right.

SUPERVISORS NAME: Karen Chambers
LICENSING EVALUATOR NAME: Keneisha Dunlap
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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