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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412331
Report Date: 04/04/2024
Date Signed: 04/04/2024 02:00:30 PM

Document Has Been Signed on 04/04/2024 02:00 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
197412331
ADMINISTRATOR/
DIRECTOR:		MENDOZA, MARIZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 695-6277
CITY:WESTCHESTERSTATE: CAZIP CODE:
90045
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
04/04/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:MARIZA MENDOZA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 4/4/2024 at 1:10pm Licensing Program Analyst (LPA), Loyce Phillips conducted a Plan of Correction visit and was met by Licensee, Mariza Mendoza and observed 6 children and 2 infants in care, with Licensee and Assistant. All adults have a criminal record clearance.

On 3/12/2024, Licensee was cited for
1. Not having a working Carbon monoxide detector in the home.
2. Licensee and staff did not have updated Pediatric CPR/First Aid.
3. Licensee did not have an updated facility roster upon Department's request.

During visit LPA observed the following:
1. Carbon Monoxide detector was tested and working properly.
2. Licensee and staff completed Pediatric CPR/First Aid on 3/14/2024.
3. Licensee completed a facility roster with current children who attends the facility.

Citations issued on 3/12/2024 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, Mariza Mendoza.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2024
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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