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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494854
Report Date: 02/15/2024
Date Signed: 02/16/2024 10:31:44 AM

Document Has Been Signed on 02/16/2024 10:31 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:ZHOU FAMILY CHILD CAREFACILITY NUMBER:
197494854
ADMINISTRATOR:ZHOU, XIN YANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 706-8300
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
02/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Xin Yan Zhou - LicenseeTIME COMPLETED:
02:30 PM
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On 02/15/2024 Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced case management inspection at the above-mentioned address for the purpose of ensuring the standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

Upon arrival LPA met with licensee Xin Yan Zhou and discussed the purpose of the visit. LPA then toured the home both indoors and outdoors. During today’s inspection there were 12 children, an assistant (minor 16), and Licensee Zhou providing care and supervision.

LPA previously had conducted an unannounced annual inspection on 02/13/2024 and cited a deficiency on Title 22 regulation 102416.5(d) - "For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider.” Requirement at that time was not being met.



Based on observation, capacity as specified on the license is being maintained during today’s inspection. Facility is licensed for a Large Family Child Care license with a max capacity of 14 children. Licensee is complying with the capacity requirements for a Large Family Child Care Home

An exit interview was conducted, and report reviewed with Licensee Zhou. A copy of this report was provided.


To Licensee. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/15/2024
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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