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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197409174
Report Date: 02/04/2025
Date Signed: 02/05/2025 10:17:27 AM

Document Has Been Signed on 02/05/2025 10:17 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:FOSTER FAMILY CHILD CAREFACILITY NUMBER:
197409174
ADMINISTRATOR/
DIRECTOR:		FOSTER, GLENDA V.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 921-8753
CITY:REDONDO BEACHSTATE: CAZIP CODE:
90278
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
02/04/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:06 PM
MET WITH:Alessandra Sanchez- Assistant TIME VISIT/
INSPECTION COMPLETED:
01:25 PM
NARRATIVE
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On 02/04/2025 Licensing Program Analyst (LPA) Brittany Lovest and LPA Cristina Castellanos conducted an unannounced case management inspection for the purpose of ensuring the standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

LPA Lovest and LPA Castellanos were greeted by Assistant, A. Sanchez. LPAs then toured the facility and observed 4 children in care with one staff member (S2) and Assistant Sanchez providing care and supervision.

LPAs requested the following documents: personnel file.

LPAs reviewed staff files and the Guardian website and confirmed that staff member S2 does not have a current criminal clearance associated to the family childcare home named above. The Guardian Background Check System search results provided no match/association for staff member S2 in the background checking system to the facility.

Based on record review and information obtained 1 out of 2 staff members do not have a current criminal clearance associated to the facility named above.

The facility is not complying with the following sections:

102370(d) Criminal Record Clearance section (d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility.

There was one deficiency Type cited during today’s visit in accordance with the California Code of Regulations, Title 22, Division 12, and Chapter 3. See LIC 9099-D for additional information. As well as a Civil Penalty Assessment - Caregiver Background Check was given.


SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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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: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 197409174
VISIT DATE: 02/04/2025
NARRATIVE
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Effective January 1, 2009, all licensees must comply with Assembly Bill (AB) 978. Assembly Bill 978 requires the assessment of an immediate civil penalty for designated serious violations at community care facilities. Effective January 1, 2007, the licensee must comply with Assembly Bill 633 as follows: Copies of any licensing report that documents a Type A citation - this includes facility visits and substantiated complaint investigations. Copies of any licensing documents pertaining to a noncompliance conference between licensing management and licensees. Copies of a summary of an accusation indicating the Department’s intent to revoke the facility’s licenses. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolling children. The licensee shall keep verification of receipt in each child’s file at the facility as proof of compliance (LIC 9224).

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Assistant Sanchez. A copy of this report and appeal rights were discussed and left with Assistant Sanchez, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Brittany Lovest
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/05/2025 10:17 AM - It Cannot Be Edited


Created By: Brittany Lovest On 02/04/2025 at 12:39 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: FOSTER FAMILY CHILD CARE
FACILITY NUMBER: 197409174

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/05/2025
Section Cited
CCR
102370(d)

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(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

This requirement is not met as evidenced by:
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Licensee understands that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance. Licensee will provide proof of criminal record clearance for assistant Lourdes Sanchez to LPA via email by due date. Additionally, agrees to not have Lourdes Sanchez or anyone else in the home until fingerprints have been cleared and associated to the home.
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Based on observation, interview and record review, the licensee did not comply with the section cited above in having an uncleared assistant in the home which poses an immediate health, safety or personal rights risk to persons in care. LPA was unable to find the uncleared assistant on the Guardian Employee Roster.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claudia Escobedo
LICENSING EVALUATOR NAME:Brittany Lovest
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


LIC809 (FAS) - (06/04)
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