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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410641
Report Date: 01/23/2025
Date Signed: 01/24/2025 08:47:47 AM

Document Has Been Signed on 01/24/2025 08:47 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PENALOZA FAMILY CHILD CAREFACILITY NUMBER:
197410641
ADMINISTRATOR/
DIRECTOR:		CECILIA PENALOZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 591-9460
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
01/23/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:44 AM
MET WITH:Cecilia PenalozaTIME VISIT/
INSPECTION COMPLETED:
12:44 PM
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On 1/23/2025 Licensing Program Analyst (LPA) Ranita Richmond and Brittany Lovest arrived at the facility to conduct a Plan of Correction visit and was met by Licensee Cecilia Penaloza. LPA observed 7 children in care being supervised and cared for by licensee and 2 fingerprint cleared assistants.

On 12/19/2024, Licensee was cited for the following:
1. Licensee will ensure that all cribs and pack n plays are free from all loose items.
2. Licensee and staff will complete EMSA approved pediatric first aid/cpr training.
3. Licensee will ensure that all detergents, cleaning compounds, etc. are inaccessible to children in care.


During visit LPA Richmond and Lovest observed the following:
1. LPAs observed all cribs and pack n plays free from loose items.
2. LPAs observed EMSA approved pediatric first aid/cpr training completed on 01/04/25 for licensee and staff.

2 of 3 Citations issued on 12/19/2024 has been cleared.

An exit interview was conducted. A copy of this report, notice of site visit, deficiencies clearance letters were discussed and provided to Licensee.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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