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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192009034
Report Date: 10/20/2026
Date Signed: 10/20/2026 03:17:42 PM

Document Has Been Signed on 10/20/2026 03:17 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:HERNANDEZ FAMILY CHILD CAREFACILITY NUMBER:
192009034
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, MARGARITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 674-2553
CITY:INGLEWOODSTATE: CAZIP CODE:
90301
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
10/20/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:32 PM
MET WITH:Margarita HernandezTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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On 10/20/2026 Licensing Program Analysts (LPA) Judy Laureano and Cristina Castellanos completed an unannounced Case Management inspection at the above mentioned home. The inspection was conducted for the purpose of ensuring the facility is meeting all Tittle 22 regulations and CA Health and Safety codes. LPAs were greeted by Licensee Margarita Hernandez.

LPAs completed a comprehensive tour of the inside and outside of the home and observed 7 children and one staff member and Licensee providing care and supervision.

Per licensee, the following areas are used for childcare: back room/bedroom 3 “main day care room” and bathroom and bedroom 2. Kitchen is used for meals and snacks and to access the side of the home for outdoor space which was observed with a covered patio and age-appropriate outdoor toys.

Families enter the home through the main entrance. The living room is used as a walkway to access the designated day care space. In bedroom 3 “main day care space”, LPAs observed a sliding door that is maintained locked with alarm notifying when door is open. Sliding doors lead to the covered patio and gated pool. Per licensee, children do not use the sliding door to access the patio or outdoor yard; day care children do not use the sliding door, and door remains locked during hours of operations. During today’s inspection, LPAs observed door locked with working alarm.

Effective January 1, 2025, newly added pool under Assembly Bill 2866 states Family Child Care Homes with swimming pools on the premises, in addition to the fence or enclosure, a FCCH must have a pool cover or an alarm. LPAs did not observe a water entrance alarm and/or pool cover, Type A citation issued. Additional safety equipment must be visible from the pool and available for immediate use includes a rescue pole with a body hook that is minimum fixed length of 12 feet long. LPAs did not observe a rescue pool visible in the pool area, Type A citation issued.
Loyce Phillips
Judy Laureano
DATE: 10/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2026
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 192009034
VISIT DATE: 10/20/2026
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LPAs discussed the importance of performing daily inspections of the drowning prevention safety features and equipment prior to opening and/or children arriving that are documented and available for LPAs review.

LPAs provided Licensee with a copy of Provider Information Notice (PIN) 25-01-CCP to use a reference.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations and Health and Safety Code, 2 type A deficiency are cited.

LPAs Laureano and LPA Castellanos informed licensee Margarita Hernandez that this report dated 10/20/20256 documents 2 Type A citations which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs Laureano and Castellanos informed the licensee Margarita Hernandez to provide a copy of this licensing report dated 10/20/2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

The notice of Site Visit (LIC 9213) 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 results in a civil penalty of 100.00.

An exit interview was conducted, and a copy of this report and appeals rights was provided to Licensee Margarita Hernandez.
NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Judy Laureano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/20/2026 03:17 PM - It Cannot Be Edited


Created By: Judy Laureano On 10/20/2026 at 12:45 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: HERNANDEZ FAMILY CHILD CARE
FACILITY NUMBER: 192009034

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/30/2026
Section Cited
HSC
1596.814(a)(1)

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1596.814(a)(1) Pool Safety
(a) A licensed family daycare home ... with an in-ground swimming pool on the premises shall comply with all of the following requirements:(1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features
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The licensee agrees to install an approved pool alarm that meets state requirements for sound level and activation, or will install an approved safety pool cover to prevent access.
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This requirement is not met as evidenced by:
LPAs did not observe a water entrance alarm OR a pool cover
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Proof of purchase and equipment will be sent to LPA via email by POC due date.
Type A
10/30/2026
Section Cited
HSC1596.814(a)(2)(B)

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1596.814(a)(2)(B) Pool Safety
(a) A licensed family daycare home ...with an in-ground swimming pool on the premises shall comply with all of the following requirements:(2) The licensee shall have the following safety equipment ...available for immediate use: (B) A rescue pole with a body hook and a minimum fixed length of 12 feet.
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The licensee will obtain a rescue pole that meets regulatory safety standards for pool emergency equipment and install it in an easily accessible and clearly visible location near the pool area.
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This requirement is not met as evidenced by:
LPAs did not observe a rescue pool visible in the pool area.
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Evidence of the rescue pole in place, along with proof of purchase, will be submitted to LPA by the POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Judy Laureano
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/20/2026


LIC809 (FAS) - (06/04)
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