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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198003055
Report Date: 11/20/2025
Date Signed: 11/20/2025 01:03:17 PM

Document Has Been Signed on 11/20/2025 01:03 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ENNIS FAMILY CHILD CAREFACILITY NUMBER:
198003055
ADMINISTRATOR/
DIRECTOR:		ANGELA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 632-9358
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 8DATE:
11/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Angela Ennis / Licensee TIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Ashley Calderon conducted unannounced random /annual inspection visit. LPA met with Angela Ennis / Licensee who allowed LPA entrance into the facility. LPA discussed the purpose of today's visit.

Present at the facility was staff assistant #1 with Licensee and 8 children present during inspection. At 11:05am an additional staff assistant #2 arrived. LPA observed 2 infants in care. All individuals were discussed and noted and found fingerprinted cleared.

Facility capacity is in compliance for a Large Family Child Care Home- Capacity 14. Per Licensee, hours of operation are Monday through Friday, 6:00 am to 6:00 pm. Licensee cares for children 0 to 13 years of age.

This is a one-story home which consists of: 3 bedrooms, 2 bathrooms, kitchen, dining room, den/ day-care room, living room, garage, backyard, and front yard. The children use: the bathroom near the den, den area, kitchen/dining room, and part of the backyard. Per Licensee, areas off limits to children and parents include: all bedrooms, one bathroom, living room, front yard, part of the back yard, detached garage which has a restroom used as storage. All areas identified on the facility sketch that children use, were inspected for safety, comfort, cleanliness, telephone service, ventilation and heating (central). The following was observed and reviewed during this inspection:

Kitchen was inspected: knives were placed above the refrigerator, inaccessible to children. Chemicals and cleaning solutions are stored under kitchen sink cabinet, safety latch is in place. Per Licensee, has more cleaning solutions and poisons in the garage. Garage was observed to be closed, it is found locked and only opens with a remote control.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2025
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 5
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ENNIS FAMILY CHILD CARE
FACILITY NUMBER: 198003055
VISIT DATE: 11/20/2025
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The licensee provides food for children in care. LPA reminded Licensee if children bring food from home to store food properly/ refrigerate and ensure food is properly labeled with child's name.

The fire extinguisher was observed by LPA Calderon at 10:59am, with a service tag dated 1/12/2024, deficiency was cited. Carbon Monoxide and Smoke alarm was tested and both found operable. The home maintains telephone service via landline and cell phone. The home is observed to be clean and orderly. There are toys and other age appropriate material available for children inside and outdoors. Off limit areas are remained closed by door knobs that are locked and/or baby safety gates in place. Per Licensee, no pets in home and no firearms/ ammunition on premises. LPA did not observe a fire place and per licensee, 1 children has medication that they use at the facility, medication observed stored in a high area. Per Licensee, does provide transportation for children when needed. When children show signs of illness and waiting to be picked up by parents, the ill child will be in the section that the children who aren't sick are not using, either the den or the dining area, depending on what is available. LPA observed one play yard with a firm mattress and fitted sheet for 1 infant in care. Per Licensee, the other infant present has transitioned to the napping cot(s). LPA informed Licensee, can transition infants when play yards/ cribs are deemed unsafe for the infant.

Outdoor play area was observed, per licensee stated that supervision is provided at all times. LPA observed back yard area, free of hazardous area. Licensee backyard has locked gates that belong to (2) residents' yards, yards are inaccessible and remain locked at all times. One of the residents yard does have a pool, the gate to the residents home was observed locked during the inspection. Children play in the concrete area, off the grass area that is closes to the resident yard that has the pool.

LPA reviewed required posted documentation's, located on the right side upon entrance, LPA observed and reviewed: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form. LPA reviewed Disaster/ Fire Drill log and the last drill conducted on 10/6/2025. Children Facility Roster was reviewed, the form is created by the Licensee, it has all the information listed on the Licensing Form LIC9040.

Records were reviewed for children and staff. Infants had 15 min sleep log, no children who required LIC9227 Individual Sleep plan enrolled. Affidavit regarding liability insurance form was observed in children files - LIC282. Licensee and staff have up to date Pediatric First Aid/ CPR and Mandated Reporter Training that is valid. Licensee Pediatric 1st and cpr from American Red Cross expires 6/6/2027 and their Mandated Reporter training expires on 4/18/2026. 1 out of 5 child files reviewed was missing immunization records, consultation was given. All other documents were in place for children.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ENNIS FAMILY CHILD CARE
FACILITY NUMBER: 198003055
VISIT DATE: 11/20/2025
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  • Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.
  • LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
  • This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
  • Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
  • During the exit interview, the Licensee Angela Ennis, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
  • To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.


Per California Code of Regulation, Title 22, facility was given 1 deficiency, see LIC809-D.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Angela Ennis and Appeal Rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 11/20/2025 01:03 PM - It Cannot Be Edited


Created By: Ashley Calderon On 11/20/2025 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ENNIS FAMILY CHILD CARE
FACILITY NUMBER: 198003055

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on the fire extinguisher was observed by LPA Calderon at 10:59am, with a service tag dated 1/12/2024. the licensee did not comply with the section cited above in [1] out of [1] fire extingusiher that does not meet State Fire Marshall Regulations which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2025
Plan of Correction
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Licensee will get fire extinguisher with service tag updated and serviced and send a copy to LPA Calderon by poc due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/20/2025


LIC809 (FAS) - (06/04)
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