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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700218
Report Date: 11/01/2024
Date Signed: 11/01/2024 09:47:46 AM

Document Has Been Signed on 11/01/2024 09:47 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NUNEZ FAMILY CHILD CAREFACILITY NUMBER:
195700218
ADMINISTRATOR/
DIRECTOR:		VANESSA & CHRISTIAN NUNEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 682-2049
CITY:LAKE BALBOASTATE: CAZIP CODE:
91406
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
11/01/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Vanessa Nunez, ApplicantTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 11/01/2024, beginning at 08:35AM, Licensing Program Analysts (LPAs) Elicia Calvillo and Dawn Dowling conducted an announced second Pre-Licensing inspection at 6920 White Oak Avenue, Lake Balboa, CA 91406. Applicant is applying for a Large Family Child Care Home, anticipating caring for 14 children from ages 2 months to 13 years of age. The applicant’s current proposed hours of operation are Monday through Friday 7:30AM-4:30PM and Saturday 7:30AM to 3:00PM. LPAs met with Vanessa Nunez, Applicant, who guided LPAs on a tour of the inside and outside of the home. There were no other adults present.

Because the applicant rents/leases the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC 9151) that the applicant confirms was provided to the property owner/landlord. The applicant obtained a signed Property Owner/Landlord Consent form (LIC 9149).

LPAs observed a pool. The fence is designed and installed so children could not remove any portion of it, it completely surrounds the pool, is constructed so that it does not obscure the pool from view, no window or door provides direct access to the pool. Fence is at least 5 feet high (photo taken). The opening between the railing does not exceed 4 inches (photo taken). The gate swings away from the pool, self closes, and self-latches (video taken).

The Licensing Program Manager will conduct a review prior to licensure approval.

Exit interview conducted and report was reviewed with Vanessa Nunez, Applicant.

SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Elicia Calvillo
LICENSING EVALUATOR SIGNATURE: DATE: 11/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/01/2024
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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