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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419150
Report Date: 01/29/2025
Date Signed: 01/29/2025 04:57:53 PM

Document Has Been Signed on 01/29/2025 04:57 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:FUENTES FAMILY CHILD CAREFACILITY NUMBER:
197419150
ADMINISTRATOR/
DIRECTOR:		FUENTES, ELSA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 953-5109
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
01/29/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:32 PM
MET WITH:Elsa Fuentes LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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 On 01/29/2025 Licensing Program Analyst( LPA) Doris Whitmore conducted a Case Management Inspection. LPA Whitmore observed a swimming pool with slide that did not have a fence to isolate it within the backyard. There were approximately 4 children in care at the time of visit with the licensee.
LPA Whitmore reviewed with the licensee the update of the pool safety requirements. LPA Whitmore also gave Licensee a copy of Provider Information Notice (PIN25-01-CCP).

LPA did not observe the swimming pool to have an alarm or pool cover. LPA did not observe a Life Ring or a Body Pole at the time of visit. The licensee did not have a daily pool inspection log.

One type A citation is being issued with civil penalty being assessed. Two additional Type A and two Type B citations are being assess on the LIC 809D.

The licensee will provide a copy of the report and LIC 9227 Acknowledgement or Receipt to the parents of each child currently enrolled and for anyone who enrolls within the next 12 months.

Deficiencies cited. A copy of this report, LIC809-D, civil penalty assessment, LIC9227, Notice of Site visit and appeal rights were issued.


This report was reviewed with the licensee and exit interview conducted.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
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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Document Has Been Signed on 01/29/2025 04:57 PM - It Cannot Be Edited


Created By: Doris Whitmore On 01/29/2025 at 12:39 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: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/29/2025
Section Cited
HSC
1596.814(a)(1)(A)

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1596.814 A FCCH daycare homew/an in-ground swimming pool shall comply w/all requiremnts.. 1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features...(A) An enclosure, including but not limited to, a fence, wall or other
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Licensee will have a enclosure that isolates the swimming pool from acccess by the POC date
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barrier that isolates the swimming pool from access to the familyday care home.

This requirement is not met as evidenced by: Based on observation, the licensee did not comply with section above there was no barrier observed around the pool.
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Type A
02/14/2025
Section Cited
HSC1596.814a1B(i)(ii)

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.In addition an approved safety pool cover that is manuallyor power operated and meets the performance standard of ASTM F1346-23 (II) An Alarm that, when placed in a pool wil sound upon detecting an entrance into the water. The alarm shall be turned on and be working during facilty hours when pool is not in use.
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Licensee will obtain/install the alarm by POC date.
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This requirement is not met as evidenced by, the a pool alarm was not observed in the pool during operating hours, while not being used.
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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.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/20/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/29/2025 04:57 PM - It Cannot Be Edited


Created By: Doris Whitmore On 01/29/2025 at 03:28 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: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/29/2025
Section Cited
HSC
1596.814(a)(2(A)(B)

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Family daycare home in ground swimming pool requirments. The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the US Coast Guard
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Licensee will obtain a life ring and body pole that will be visible and readily available by the POC date.
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A rescue pole with a body hook and a minimum fixed lenght of 12 feet.
This requirement is not met as evidence by: a life ring and body pole were not observed to be visible and readily available at the time of visit.
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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.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/29/2025 04:57 PM - It Cannot Be Edited


Created By: Doris Whitmore On 01/29/2025 at 03:37 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: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2025
Section Cited
HSC
1596.814(a)(3)

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Family Daycare home; in ground swimming pool requirments: A licensee shall perform a daily inspection of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of the inspections to be provided to the Dept. upon request
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Licensee will obtain and maintain the daily inspection logs for the swimming pool.
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This requirement is not met as made evident by: The licensee did not have logs to provide when requested.
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Type B
02/05/2025
Section Cited
CCR102416.3

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Alterations to Existing Buildings or Grounds: Prior to making alterations or or additions to a FCCH or grounds, the licensee shall notify the Dept. of the proposed change...

This requirement is not met as made evident by: The licensee did not
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The licensee shall notify the Department of any alterations being made to the home prior to the start by the POC date.
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notify the Dept. that the gate isolating the swimming pool had been removed
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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.
SUPERVISOR'S NAME:Karren Starks
LICENSING EVALUATOR NAME:Doris Whitmore
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025


LIC809 (FAS) - (06/04)
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