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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192006215
Report Date: 05/20/2026
Date Signed: 05/21/2026 08:46:45 AM

Document Has Been Signed on 05/21/2026 08:46 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:CHILD LANEFACILITY NUMBER:
192006215
ADMINISTRATOR/
DIRECTOR:		GABRIELA ACOSTAFACILITY TYPE:
850
ADDRESS:909 WEST D STREETTELEPHONE:
(562) 427-8834
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: DATE:
05/20/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Goretti Salcido - Interim DirectorTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 05/20/2026, Licensing Program Analysts (LPAs) Cristina Castellanos and Judy Laureano conducted an unannounced case management inspection to follow up on a self-reported Unusual Incident submitted by the facility on 05/04/2026. Upon arrival, LPAs met with Interim Director Goretti Salcido and explained the purpose of the visit.

LPAs observed twenty-four (24) children in care and five (5) fingerprint-cleared staff present.

On 05/04/2026, Officer of the Day LPA L. Clayton received a telephone call from Child & Family Counselor Elizabeth Medellin regarding an Unusual Incident Report (LIC 624) involving Child 1 (C1). According to the report, Parent 1 (P1) signed out her children at 4:17 p.m. and proceeded to the preschool yard to locate C1 and Child 2 (C2). The infant sibling (C3) was with the parent at the time.

The report states that C1 was hiding from P1. C1 then came inside the classroom passed P1 and ran out the door leading outside the building. P1 was notified by Teacher Goretti that he ran outside, P1 ran after him about 40 seconds later. As they returned, P1 began yelling towards Teacher Goretti. Per RP, P1 was asked to leave the center.

During today’s inspection, LPAs Castellanos and Laureano requested and reviewed the following documents:


§ Children’s roster
§ Children’s files
§ Staff roster
§ UIRs (LIC 624) and Ouchie/Incident Reports for April & May 2026
Continue
NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Cristina Castellanos
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/20/2026
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: CHILD LANE
FACILITY NUMBER: 192006215
VISIT DATE: 05/20/2026
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§ Written employee statements
§ Relevant facility documentation
§ Camera footage
Additional activities conducted:
§ Staff interview

Based on interviews, document review, and camera footage, LPAs determined that on 05/01/2026, C1 left the back outdoor play area, entered the Young Preschool classroom, opened the classroom’s main door, exited into the main lobby, opened the facility’s main entrance, and ran toward an open corner gate, ultimately approaching a parked vehicle on the sidewalk.

Interim Director Salcido stated that the corner gate lock is broken and that the facility is not responsible for repairs to the complex. This constitutes a Type A violation due to the immediate risk to the health and safety of children in care.

Additionally, interviews and documentation confirm that children were present during the verbal altercation between P1 and staff. This constitutes a Type B violation for failure to ensure a safe and appropriate environment.

Pursuant to Title 22, Division 12, Chapter 1, two deficiencies were cited and documented on the LIC 809D (Type A & Type B).

Upon receipt of this report, the Licensee must post the Notice of Site Visit and any licensing report documenting a Type A deficiency for 30 consecutive days. Failure to maintain the required posting will result in an immediate $100 civil penalty. A copy of this report must be provided to all currently enrolled parents/guardians by the next business day or upon their return. For the next 12 months, a copy must also be provided to parents/guardians of newly enrolled children. The Acknowledgment of Receipt of Licensing Reports (LIC 9224) must be placed in each child’s file upon receipt. A copy of the LIC 9224 was provided during today’s visit.



An exit interview was conducted, and the Plan of Corrections was reviewed with Interim Director Salcido. A copy of this report, the Notice of Site Visit, and the Appeal Rights were provided. The Interim Director’s signature acknowledges receipt.

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NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Cristina Castellanos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/21/2026 08:46 AM - It Cannot Be Edited


Created By: Cristina Castellanos On 05/20/2026 at 02:36 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: CHILD LANE
FACILITY NUMBER: 192006215

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/22/2026
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision 101229(a)The licensee shall provide care...(1)No children shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
This requirement is not met as evidenced by:
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The facility will ensure that all children remain under direct visual supervision at all times. The facility will install safety gates on all preschool main door entrances. Additionally, to prevent unauthorized or unnoticed exits, the facility will Install a doorbell-style alarm on the main entrance door that alerts staff whenever the door is opened. Train staff on responding immediately when the alarm sounds.
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Based on interviews, document review, and camera footage, LPAs determined that on 05/01/2026, C1 ran out of the facility onto the sidewalk without proper supervision, which poses/posed an immediate health, safety or personal rights risk to persons in care.
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Licensee agrees to provide a written statement (LIC 855 Declaration Form) on intention to keep children safe at all times. Declaration to be submitted to LPA via email by POC due date.

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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Cristina Castellanos
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 05/21/2026 08:46 AM - It Cannot Be Edited


Created By: Cristina Castellanos On 05/20/2026 at 02:57 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: CHILD LANE
FACILITY NUMBER: 192006215

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/20/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/22/2026
Section Cited
CCR
101223(a)(1)

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Personal Rights 101223(a)(1)
(a) The licensee shall ensure that each child is accorded the following personal rights: (1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by
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Director agrees to review the following video with staff:
https://ccld.childcarevideos.org/child-care-center-operators/childrens-personal-rights-in-child-care/
Director will submit a confirmation sheet signed by all staff to LPA via email by POC due date.
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Based on interviews and document review it was found that children were present during the verbal altercation between P1 and staff, which poses/posed a potential health, safety or personal rights risk to persons in care
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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Cristina Castellanos
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 05/20/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/20/2026


LIC809 (FAS) - (06/04)
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