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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493072
Report Date: 07/08/2024
Date Signed: 07/09/2024 08:36:26 AM

Document Has Been Signed on 07/09/2024 08:36 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:PACLEB FAMILY CHILD CAREFACILITY NUMBER:
197493072
ADMINISTRATOR/
DIRECTOR:		PACLEB, BYANKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 500-2960
CITY:CULVER CITYSTATE: CAZIP CODE:
90230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
07/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:08 PM
MET WITH:Jennifer GuerroroTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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On 7/8/24 Licensing Program Analyst (LPA) Ranita Richmond arrived at the facility at approximately 12:40pm for an unannounced case management visit. LPA was greeted by teacher Jennifer Guerrero.
At approximately 1:00pm licensee Byanka Pacleb arrived at the facility.

LPA reviewed with licensee regulation regarding operating a family child care home due to licensee stating that she would be leaving for a doctor's appointment at 3:00pm. LPA also advised licensee that on previous occasion that LPA conducted unannounced visit that licensee was not present but arrived shortly after LPA. Per licensee, she takes her lunch daily from 12:00pm- 1:00pm. Licensee previously stated that she is gone from the facility daily from 2:50pm- 3:50pm to pick up her son.

LPA advised of importance of following regulations. LPA cited a technical assistance:

Title 22 Regulations and Health and Safety Codes. See LIC9102.

An exit interview was conducted, a copy of this report was read and provided to Teacher Jennifer Guerrero.z.

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: 07/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/08/2024
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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