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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401091
Report Date: 09/26/2024
Date Signed: 09/26/2024 10:18:15 AM

Document Has Been Signed on 09/26/2024 10:18 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GONZALEZ FAMILY CHILD CAREFACILITY NUMBER:
198401091
ADMINISTRATOR/
DIRECTOR:
GONZALEZ, JOSEFINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 608-5354
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY: 14TOTAL ENROLLED CHILDREN: 4CENSUS: 0DATE:
09/26/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Josefina Gonzalez, ApplicantTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 9/26/24 Licensing Program Analysts (LPAs) Alicia Mooberry and Joshua Ortega conducted a follow up pre-licensing inspection in Spanish for the above address. LPAs met with Josefina Gonzalez, Licensee/Applicant, who guided LPAs on a tour of the facility. This is a request for a change in location and increase in capacity. A Fire Clearance was granted on 9/19/24 for a Large Family Child Care (Maximum capacity of 14) LPA Mooberry discussed license capacity and provided a handout. - No Daycare use in the garage, an emergency crib is required for infants. LPA observed that the licensee has posted exit signs on 2 door in daycare room

LPAs observed that a safety gate outside of bathroom leading to bedroom 1 (bedroom 1 is off limits. The play yard area was examined and has even surface. The picket fence has been fixed.

The applicant has provided proof of control of property.

A large family childcare license will be granted upon completion of all required documentation and corrections. Once licensed, the applicant is required to comply with the terms and limitations stated on the license.

Exit interview conducted and report was reviewed with Josefina Gonzalez, Applicant

SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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