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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494247
Report Date: 09/02/2026
Date Signed: 09/02/2026 02:56:29 PM

Document Has Been Signed on 09/02/2026 02:56 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:YOUSEFI DANBALI FAMILY CHILD CAREFACILITY NUMBER:
197494247
ADMINISTRATOR/
DIRECTOR:		YOUSEFI DANBALI, MARYAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 619-4558
CITY:CHATSWORTHSTATE: CAZIP CODE:
91311
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 10DATE:
09/02/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:28 PM
MET WITH:Maryam Yousefi Danbali - LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On September 2, 2026, at approximately 12:30 p.m., Licensing Program Analyst (LPA) Janet Gil conducted an unannounced annual inspection of the facility. LPA met with licensee Maryam Yousefi Danbali and explained the purpose of the inspection.

Present during the inspection were the licensee, one assistant/spouse, and 10 enrolled children, consisting of three infants and seven preschool-age children. The facility is licensed as a large family child care home and was operating within its licensed capacity at the time of the inspection. The licensee resides in the facility with her spouse and two minor children. All adults residing in and/or working at the facility have criminal background clearances on file. The facility’s hours of operation are Monday through Friday, from 7:00 a.m. to 6:00 p.m. Licensee owns the home. The family child care home is a single level home consisting of 3 bedrooms, 2 bathrooms, living room, kitchen and side/back yard space.

Day Care Areas: Living Room, Room #1/Nap Room, bathroom #1, backyard, and side yard. Off-limit Areas: Kitchen, laundry room, dining room, Bedroom #2, Bedroom #3, Bathroom #2. All other rooms are off-limits and made inaccessible by use of a child safety gate and child safety locks on doors.

At approximately 1:00 p.m., LPA toured the day care areas of the home with the licensee. LPA observed the home to be equipped with a variety of toys and materials, all of which were observed to be in working condition. LPA observed an accessible first aid kit located in Bathroom #1. LPA observed that cleaning supplies, poisons, and other hazardous solutions were not accessible to children. All cleaning supplies and solutions were stored in higher shelves of bathroom #1.



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Betty Bell
Janet Gil
DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2026
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.

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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: YOUSEFI DANBALI FAMILY CHILD CARE
FACILITY NUMBER: 197494247
VISIT DATE: 09/02/2026
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The home was equipped with a fully charged fire extinguisher located in laundry room and multiple dual smoke/carbon monoxide detectors in the home. LPA did not test any detector due to children in care sleeping. Per licensee, all alarms in the home are in working condition.

Licensee provides all meals for enrolled children. At approximately 1:30 p.m., LPA observed the bathroom for children's use was in proper working condition. LPA observed the bathroom to include appropriate toileting equipment and sanitation products. LPA did not observe any hazardous materials to be accessible to children in the bathroom.

LPA observed outdoor areas used for day cares to be enclosed and contain sufficient toys and materials in working condition. LPA did not observe any hazardous materials to be accessible to children in backyard area. LPA did not observe any pools, spas, or bodies of water inside the facility.

LPA reviewed two staff records for the Licensee and present assistant/spouse during today’s inspection. Staff records were complete. The licensee's spouse has a valid Pediatric CPR/First Aid certification that will expire on 1/2027. All staff also have current Mandated Reporter Certification. The LPA also reviewed five children’s records, which were complete. LPA Gil observed that the children’s files contained required immunization records and identification information.

LPA observed the licensee did not comply with the section cited above by failing to complete infant safe sleep logs and document required sleep checks for all enrolled children under two years of age at 15-minute intervals. This poses a potential health, safety, or personal rights risk to children in care. A Type B deficiency was cited during today’s inspection. Please refer to the LIC 809D for additional information regarding the deficiency.

Licensee has licensing documentation properly posted and available for review. The licensee also maintains a childcare roster that was made available for review of previously enrolled children. Licensee conducts emergency disaster drills at least once every six months. The last drill was documented as having been conducted on August 12th, 2026.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026
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: YOUSEFI DANBALI FAMILY CHILD CARE
FACILITY NUMBER: 197494247
VISIT DATE: 09/02/2026
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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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed the 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

On this date, 9/1/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.
During the exit interview, the licensee, Maryam Yousefi Danbali , confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026
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: YOUSEFI DANBALI FAMILY CHILD CARE
FACILITY NUMBER: 197494247
VISIT DATE: 09/02/2026
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Licensee was reminded 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 or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. 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.

A Type B deficiency was cited during today’s inspection. Please refer to the LIC 809D for additional information regarding the deficiency.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee, Maryam Yousefi Danbali .
NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Janet Gil
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/02/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/02/2026 02:56 PM - It Cannot Be Edited


Created By: Janet Gil On 09/02/2026 at 01:30 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: YOUSEFI DANBALI FAMILY CHILD CARE
FACILITY NUMBER: 197494247

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(j)(1)
Infant Safe Sleep
The provider shall supervise infants while they are sleeping and adhere to the following requirements: The provider shall physically check on the infant every 15 minutes.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review and interview, the licensee did not comply with the section cited above by failing to complete infant safe sleep logs and document required sleep checks for all enrolled children under two years of age at 15-minute intervals. This poses a potential health, safety, or personal rights risk to children in care.
POC Due Date: 09/16/2026
Plan of Correction
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The licensee stated that she plans to begin documenting sleep checks for all enrolled infants using individual sleep logs. The licensee will utilize the sample sleep log template provided by LPA Gil and will submit documentation to LPA Gil demonstrating completion of the sleep logs for all three enrolled infants.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Betty Bell
NAME OF LICENSING PROGRAM MANAGER:
Janet Gil
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2026


LIC809 (FAS) - (06/04)
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