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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419150
Report Date: 02/10/2025
Date Signed: 02/10/2025 01:12:10 PM

Document Has Been Signed on 02/10/2025 01:12 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:
02/10/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:48 AM
MET WITH: Elsa FuentesTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 02/10/2025 Licensing Program Analyst( LPA) Doris Whitmore conducted a Case Management Inspection. At the time of the visit LPA Whitmore observed 4 children in care with the licensee. LPA Whitmore informed the licensee the purpose of the visit to follow up on the Pool Safety Requirement. and to ensure if items were in place from the last visit on 01/29/2025. Also to ensure that the licensee has all of the safety measures for the pool in place. LPA Whitmore conducted observations of the gate to ensure that it will swing away and latch on its own. Measurements were taken at the bottom of the gate. LPA Whitmore observed the pole and read the description. LPA Whitmore reviewed the documentation of the log of inspection for the pool. LPA Whitmore printed a copy of the regulation and was given to the licensee. LPA Whitmore highlighted the items and explained in detailed of items that would need to be corrected. Another follow up visit will be done. Report was given and read along with the notice of site visit.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Doris Whitmore
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
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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