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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197410641
Report Date: 03/12/2025
Date Signed: 03/14/2025 10:48:42 AM

Document Has Been Signed on 03/14/2025 10:48 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: 9DATE:
03/12/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:47 AM
MET WITH:Cecilia PenalozaTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
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On 03/12/2025 Licensing Program Analyst (LPA) Ranita Richmond arrived at the above named home to conduct a Plan of Correction visit and was met by Licensee Cecilia Penaloza. LPA observed 9 children in care being supervised and cared for by licensee and 2 fingerprint cleared assistants.

On 01/23/2025, Licensee was cited for the following:
1. Licensee will ensure that all detergents, cleaning compounds, etc. are inaccessible to children in care.
2. Licensee will ensure that all infants 24 months of age and under are placed on their back to sleep.
3. Licensee will ensure that TB test is completed by staff and maintained in staff personnel file for review by the department.


During visit LPA Richmond observed the following:
1. LPA observed locks on the bathroom cabinets making cleaning products and detergents inaccessible to children in care. LPA observed multi purpose cleaning products placed on high cabinet in the classroom inaccessible to children in care.
2. LPA observed TB test taken on 1/27/25 and read on 1/29/25 on file for staff.

2 of 3 Citations issued on 1/23/2025 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: 03/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2025
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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