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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198008757
Report Date: 03/11/2026
Date Signed: 03/11/2026 04:20:25 PM

Document Has Been Signed on 03/11/2026 04:20 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:CASTELLANOS FAMILY CHILD CAREFACILITY NUMBER:
198008757
ADMINISTRATOR/
DIRECTOR:		CASTELLANOS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 638-1157
CITY:LYNWOODSTATE: CAZIP CODE:
90262
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 4DATE:
03/11/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Licensee Maria Castellanos TIME VISIT/
INSPECTION COMPLETED:
04:25 PM
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CONDUCTED IN SPANISH
Licensing Program Analyst (LPA)Ashley Calderon conducted an Unannounced Required – 3 Year inspection to the above facility. Upon arrival LPA met with Licensee Maria Castellanos who allowed LPA entrance into the home. LPA disclosed the purpose of the inspection. Upon arrival LPA observed Licensee with a staff assistant and 3 children.

LPA Calderon was guided on a tour of the facility. Adults in the home were discussed and all have criminal record clearance. LPA reviewed children's roster consultation was provided. Required postings were observed during inspection located near the kitchen, LPA provided Earthquake Preparedness form to post.

Hours of operation are Monday- Sunday 24 hour 12am-11:59pm, overnight care is provided, currently per Licensee no children for overnight care at the moment. Facility provides transportation for school age children, facility has a pet home, dog and a cat. The facility is licensed for a Large Family Day Care Capacity of 14.

This is a two-story home which consists of 3 bedrooms and 2.5 bathrooms, Kitchen, Dining, Living Room, Daycare Room, and attached garage.
On limits: Living Room (located upon entry), Dining Room (located next to Living Room), half bathroom (located next to Dining Room), and Daycare Room (two sections - located to the left rear of the home).
Off limit-entire upstairs which contain bedrooms and two bathrooms, garage and Kitchen. LPA observed that there is an operable baby gate at bottom of steps making upstairs off limits and a door with Kitchen lock and baby gate, making it off limits at time of inspection.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2026
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 6
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: CASTELLANOS FAMILY CHILD CARE
FACILITY NUMBER: 198008757
VISIT DATE: 03/11/2026
NARRATIVE
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All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating (central) for the safety of the children. There is a working telephone maintained in the home. LPA observed dolls, plastic toys, learning materials and other age appropriate toys, free of loose and sharp parts. The living room was observed with 2 play yards, 1 infant in care and present. The mattress that was used for the infants play yard for sleeping arrangements was soft to touch and not firmed, it did have fitted sheets. During visit Licensee had a crib that is currently not being used for infant sleeping arrangements, it had a firm mattress and it was placed in the play yard. The infant did not sleep during this visit, consultation was given.

Fireplace in living room is barricaded off. The home contains a fire extinguisher last serviced 4/17/2025 and smoke detector device which meet standards established by the State Fire Marshall. Carbon monoxide detector was tested and is functioning. Children less than five years old are in care, stair case observed by the living room/dining room and is barricaded using a safety gate. Disaster and Fire Drill log, last conducted 12/2/26.

Per Licensee, temporary back yard is off limits due to deep cleaning and organizing personal storage items. LPA observed no bodies of water.

Per Licensee, provides food for the children in care and is on the food program. Kitchen observed knives located in locked cabinet, and chemicals compounds/ cleaning supplies located under the kitchen sink and a latch with cleaning supplies stored under the bathroom that the children use. Per Licensee, no poisons currently in the home, LPA reminded Licensee when poisons are brought to the home to ensure storage space is locked.

At approx 2:20pm additional staff assistant and 1 child arrived making census 4. LPA Calderon reviewed 3 children files, children files have affidavit regarding liability form. Child #2 (infant) did not have 15 min safe sleep log for infant in care, deficiency cited. LPA reviewed Licensee and Staff assistant files (2); Licensee Mandated Reporter expires 2/13/27 . Licensee and staff #2 pediatric 1st aid and cpr certificate reviewed and expired 2/7/2026, deficiency cited. Staff #1 and Staff #2 missing Mandated Reporter Child Care Provider training,per interview with Licensee only they have conducted the training, deficiency cited and no immunization records in files, not provided to LPA Calderon, deficiency cited. Staff 1 present had valid pediatric 1st aid and cpr - expires 9/2027.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC809 (FAS) - (06/04)
Page: 3 of 6
Document Has Been Signed on 03/11/2026 04:20 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/11/2026 at 03:15 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: CASTELLANOS FAMILY CHILD CARE
FACILITY NUMBER: 198008757

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review Licensee and staff #2 pediatric 1st aid and cpr certificate reviewed and both expired 2/7/2026, the licensee did not comply with the section cited above in [2] out of [2] expired and not valid first aid and cpr training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/10/2026
Plan of Correction
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Licensee and staff #2 will conduct pediatric 1st aid and cpr trainign and send certificate to LPA Calderon by poc due date.
Type B
Section Cited
HSC
1597.622(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review no immunization records in files for staff #1 and staff #2, the licensee did not comply with the section cited above in [2] out of [2] staff assistant file incomplete with no immunization records records which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/10/2026
Plan of Correction
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Staff #1 and Staff #2 will obtain immunization records - TB , MMR, TDAP and flu (letter if decline) and send to LPA Calderon by poc due date.
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: 03/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2026


LIC809 (FAS) - (06/04)
Page: 4 of 6
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: CASTELLANOS FAMILY CHILD CARE
FACILITY NUMBER: 198008757
VISIT DATE: 03/11/2026
NARRATIVE
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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 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.
  • Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, 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.
  • 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.
Four (4) deficiencies were given during today's visit per California Code of Regulation Title 22, type B's. A notice of site visit was provided to post for 30 days and an exit interview was conducted with Licensee Maria Castellanos.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2026
LIC809 (FAS) - (06/04)
Page: 6 of 6
Document Has Been Signed on 03/11/2026 04:20 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/11/2026 at 03:44 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: CASTELLANOS FAMILY CHILD CARE
FACILITY NUMBER: 198008757

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.866(b)(1)
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review Staff #1 and Staff #2 missing Mandated Reporter Child Care Provider training,per interview with Licensee only they have conducted the training, the licensee did not comply with the section cited above in [2] out of [2] staff assistants did not have mandated reporter which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/10/2026
Plan of Correction
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LPA Calderon provided Licensee with mandated reporter link via text, Staff #1 and Staff #2 will conduct 4 hour training Child Care Provider and send certificates to LPA Calderon by poc due date.
Type B
Section Cited
CCR
10245(j)(2)(D)
Based on infant records - child #2 no 15 min sleep log in child's fle and per interview Licensee was not aware needed to conduct documentation, the licensee did not comply with the section cited above in [1] out of [1] log not avaiable for 15 min check for infant present, which poses a potential health, safety or personal rights risk to persons in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on infant records - child #2 no 15 min sleep log in child's fle and per interview Licensee was not aware needed to conduct documentation, the licensee did not comply with the section cited above in [1] out of [1] log not avaiable for 15 min check for infant present, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/18/2026
Plan of Correction
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Child #2 15 min sleep log will be conducted for infant and log will be sent to LPA Caldeorn by poc due date.
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: 03/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2026


LIC809 (FAS) - (06/04)
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