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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419269
Report Date: 03/20/2025
Date Signed: 03/21/2025 08:58:21 AM

Document Has Been Signed on 03/21/2025 08:58 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: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: 8DATE:
03/20/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:47 AM
MET WITH:Liliana PonceTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On 03/20/2024 Licensing Program Analyst LPA Ranita Richmond and Chartrice Johnson arrived at the home to conduct a Case Mangement Deficiencies visit and was met by Licensee Liliana. LPA observed 8 children in care being supervised and cared for by licensee and 1 fingerprint cleared assistant.

LPA toured the home inside and outside for health and safety. During walk through LPA observed inside the bathroom used by children cleaning compounds, disinfectant wipes and sprays, beauty supplies, etc. on shelves, inside medicine cabinet, and inside tub/shower areas in the bathroom that are accessible to children in care. LPA observed bleach in laundry area accessible to children in care. Type B citation cited. See LIC 809D. Repeat violation. See LIC 421FC. LPA observed that open face heater not to be screened to prevent access by children. Heater covered by artificial grass.Type B citation cited. See LIC 809D. LPA observed that all cribs are not free from all loose articles and objects. LPA observed blankets, toys, clothes, and shoes inside of 2 of 3 the cribs. See LIC 809D. Repeat violation. See LIC 421FC. LPA observed all cribs are not free from hanging on or attached items to the sides of cribs. LPA observed blankets hanging from the side of cribs on 2 of 3 of the cribs. See LIC 809D. Repeat violation. See LIC 421FC. At approximately 10:59am an infant was placed to sleep in the crib on her side. Type B citation issued. See LIC 809D. LPA advised licensee that even during switching of staff that doors must remain open when infants are sleeping. TV issued. LPA advised licensee that kitchen gate must remain locked at all times keeping dangerous items such as knives inaccessible to children at all times even during outdoor enrichment times. TV issued.

Five Type B citations issued during this visit per Title 22 Regulations and Health and Safety Codes. See LIC 809D. Civil Penalties Assessed. See LIC 421FC.
An exit interview was conducted, a copy of this report and appeal rights was read and provided to Licensee Liliana Ponce.
Notice of Site Visit was provided and required to be posted for 30 days.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Ranita Richmond
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
Document Has Been Signed on 03/21/2025 08:58 AM - It Cannot Be Edited


Created By: Ranita Richmond On 03/20/2025 at 12:49 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: 03/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2025
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,beauty supplies, and other items that pose a risk to children in care are stored where they are inaccessible to children in care.
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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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Type B
04/03/2025
Section Cited
CCR102417(g)(1)

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Operation of A Family Child Care Home 102417(g) ... Safety precautions shall include but not limited to: (1)...heaters shall be screened to prevent access by children....
This requirement is not met as evidenced by
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Licensee will install a screen to cover the open faced heater on all sides making it inaccessible to children in care.
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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 screen propped in front of heater.
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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: 03/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2025


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 03/21/2025 08:58 AM - It Cannot Be Edited


Created By: Ranita Richmond On 03/20/2025 at 12:56 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: 03/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2025
Section Cited
CCR
102425(b)

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102425 Infant Safe Sleep
(b) Cribs or play yards shall be free from all loose articles and objects.
This requirement is not met as evidenced by:
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Licensee will ensure that all cribs are free from all loose articles and objects. Licensee will remove all items from cribs. The only item that will remain in each crib will be a fitted sheet.
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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 cribs with loos articles and objects.
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Type B
04/03/2025
Section Cited
CCR102425(b)(3)

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102425 Infant Safe Sleep(b) Cribs or play yards shall be free from all loose articles and objects. (3) There shall be no objects hanging above or attached to the side of the crib.This requirement is not met as evidenced by:
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Licensee will remove and ensure all cribs are free from hanging or attatched items to the sides of cribs at all times. Licensee will remove all blankets from the sides of the cribs.
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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 toys attached to side of crib.
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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: 03/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/21/2025 08:58 AM - It Cannot Be Edited


Created By: Ranita Richmond On 03/20/2025 at 01:01 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: 03/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2025
Section Cited
CCR
102425(d)

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102425 Infant Safe Sleep
(d) The provider shall place infants up to 24 month of age on their backs for sleeping.This requirement is not met as evidenced by:
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Licensee will place all infants to sleep on their back at all times.
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Based on LPA observation and records review, licensee placed infant C1 to sleep at 10:59am on their side which poses/posed a potential health, safety or personal rights risk to persons 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: 03/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2025


LIC809 (FAS) - (06/04)
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