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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191228582
Report Date: 10/14/2026
Date Signed: 10/14/2026 01:55:27 PM

Document Has Been Signed on 10/14/2026 01:55 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:FAITH BAPTIST SCHOOL/INFANTSFACILITY NUMBER:
191228582
ADMINISTRATOR/
DIRECTOR:		CINTIA ADANFACILITY TYPE:
830
ADDRESS:7644 Farralone AvenueTELEPHONE:
(818) 340-6131
CITY:Canoga ParkSTATE: CAZIP CODE:
91304
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
10/14/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Cintia AdanTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Tatiana Bickham conducted an unannounced case management inspection on 10/14/2026. LPA arrived at the facility at 9:50 AM. LPA met with Director, Cintia Adan who guided LPA on tour of the facility. This is an infant program licensed for 12 infants. Facility consists of 1 classroom. Hours of operation are Monday through Friday from 7:45am to 4:20pm.

The purpose of this inspection is to increase the capacity. The facility is requesting an increase to their infant license from 12 infants ages 0-2 years to 15 infants ages 0-2 years. The fire clearance was approved on 9/17/2026. There were 12 infants being supervised by 3 staff during today’s inspection.

Indoor Classroom measurements are

The Infant Indoor total measurements contain a total of 496.44 square feet, which will not accommodate the facilities request for 15 infants. Based on today’s measurement the facility capacity limit for indoor space is 14.

Outdoor Play measurements are:

The Infant Outdoor total measurements contain a total of 1258 square feet, which will accommodate the facilities request for 15 infants.

Infants will have access to 1 sink and no potty chairs or toilets.

The facility has central air conditioning and heating to maintain proper ventilation. The classrooms were clean in good repair. Classrooms have adequate lighting. LPA observed trash cans with tight fitting lids. The

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Raul Navarro
Tatiana Bickham
DATE: 10/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FAITH BAPTIST SCHOOL/INFANTS
FACILITY NUMBER: 191228582
VISIT DATE: 10/14/2026
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facility is equipped with landline telephones service in the classrooms and office area.

The required postings are posted in a common area for parents and visitors to review. The isolation area is located in a small room connected to the preschool classroom. LPA informed the Director there shall be at least one crib in the isolation area.

The entire outdoor activity grounds are enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. Outdoor playground equipment is in safe condition, free of sharp, lose or pointed parts. There is adequate shade in the outdoor activity area. There are no pools, spas or bodies of water. There are no firearms on the premises.

LPA observed the disinfectants, cleaning solutions, and other items that are dangerous to children are stored in a locked cabinet with inaccessible to children.

All infants present were signed in, and LPA observed the full name for the parent/guardian. LPA observed a fire extinguisher with inspection dates of 10/6/2025. There is an operable carbon monoxide detector on the premises. LPA observed a First aid kit with the required materials inside of the classroom.

LPAs observed during file review that the water was tested for lead in February 2023. LPAs observed during the lead test 3 fountains inside of the classrooms had a high lead exceedance. The sample test for the water fountain located in Room 21, identified on the facility sketch by letter “A”, tested at 11.4 bbp; water fountain located in Room 22, identified on the facility sketch by letter “B”, tested at 23.3 bbp; and water fountain located in Room 23, identified on the facility sketch by letter “C”, tested at 9.93 bbp. Test samples testing over 5.5 ppb and above are considered an exceedance.



During today’s visit LPA observed that water outlets (A), (B), and (C) have been removed. LPAs reminded the Director the water must be tested for lead once every 5 years.

Furniture and equipment were observed to be maintained in good condition, free of sharp, Loose or pointed parts. All play equipment and materials used by children were observed to be age appropriate. There are small containers used to store the infant’s belongings instead of cubbies and there is additional storage for the infants to store their belongings in the cabinet drawers inside of the classroom. LPA observed 1 changing table in the infant room, the changing table was not in arms reach of the sink.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Tatiana Bickham
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2026
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FAITH BAPTIST SCHOOL/INFANTS
FACILITY NUMBER: 191228582
VISIT DATE: 10/14/2026
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Per Director, all meals for infants are brought from home and infants are fed in accordance with the infant individual plan. The food preparation storage areas were observed to be clean and free of litter and rubbish. The refrigerator has a thermostat to maintain temperature regulation.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Tatiana Bickham
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: FAITH BAPTIST SCHOOL/INFANTS
FACILITY NUMBER: 191228582
VISIT DATE: 10/14/2026
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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Based on today's measurements of the classroom the facility can be approved for 14 infants not the requested 15 infants.

The following corrections are needed before the capacity increase is considered. Corrections are due by 10/28/26:

The changing table needs to be in arms reach of the sink.

No deficiencies were cited during today’s inspection conducted on 10/14/2026.

An exit interview was conducted with the above items discussed. A copy of appeal rights and this report was provided to the director.

A Notice of Site Visit was provided. The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

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NAME OF LICENSING PROGRAM MANAGER: Raul Navarro
NAME OF LICENSING PROGRAM ANALYST: Tatiana Bickham
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2026
LIC809 (FAS) - (06/04)
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