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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419269
Report Date: 02/04/2025
Date Signed: 02/04/2025 01:04:02 PM

Document Has Been Signed on 02/04/2025 01:04 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
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:PONCE FAMILY CHILD CAREFACILITY NUMBER:
197419269
ADMINISTRATOR/
DIRECTOR:		PONCE, LILIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 837-7836
CITY:CULVER CITYSTATE: CAZIP CODE:
90232
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
02/04/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Liliana PonceTIME VISIT/
INSPECTION COMPLETED:
10:59 AM
NARRATIVE
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On 02/04/2025 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 Ponce. LPA observed 7 children in care being supervised and cared for by licensee and 1 fingerprint cleared assistant.

On 11/26/2024, Licensee was cited for the following:
1. Licensee will ensure that open face heaters shall be screened to prevent access by children.
2. Licensee will ensure that Bumper pads shall not be used in cribs.
3. Licensee will ensure that all detergents, cleaning compounds, etc. are inaccessible to children in care.
4. The provider shall check and document the all infants sleep, using an infant sleep log for all infants up to 24 months of age.
5. Licensee will ensure that personnel files contain a signed and dated copy of the Notice of Employee Rights LIC 9052.
6. Licensee will ensure all employees of licensed child day care facility shall complete the mandated reporter training every two years as necessary.
7. Licensee will ensure that children's file contain a signed affidavit stating that the parent has been informed that the family child care home does not carry liability insurance, LIC 282.

During visit LPA Richmond observed the following:
1. LPA observed printed copies of mandated reporter completion certificates for licensee and 1 fingerprint cleared assistant.
2. LPA observed cribs free of bumper pads.

2 of 7 Citations issued on 11/26/2024 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 Liliana Ponce.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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 02/04/2025 01:04 PM - It Cannot Be Edited


Created By: Ranita Richmond On 02/04/2025 at 12:27 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: PONCE FAMILY CHILD CARE
FACILITY NUMBER: 197419269

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/04/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/18/2025
Section Cited
CCR
102417(g)(4)

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102417 Operation of a Family Child Care Home(g) ... conditions which might endanger a child...(4) ...detergents, cleaning compounds, medicines,... shall be stored where they are inaccessible to children.This requirement is not met as evidenced by:
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Licensee will ensure all detergents, cleaning compounds, medications, and other items that pose a risk to children in care are stored where they are inaccessible to children in carew.
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Based on observation the licensee did not comply with the section cited above in 1 out of 1 which poses/posed a potential health, safety or personal rights risk to persons in care. LPA observed cleaning compounds, detergents, and more in laundry room and bathroom accessible to children in care.
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Ranita Richmond
LICENSING EVALUATOR SIGNATURE:
DATE: 02/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/04/2025


LIC809 (FAS) - (06/04)
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