<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020227
Report Date: 10/27/2025
Date Signed: 10/27/2025 01:38:58 PM

Document Has Been Signed on 10/27/2025 01:38 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:TOLIVER FAMILYCHILD CAREFACILITY NUMBER:
198020227
ADMINISTRATOR/
DIRECTOR:		ERINN S. TOLIVERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(424) 205-7584
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
10/27/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:27 AM
MET WITH:ERINN S. TOLIVER / LICENSEETIME VISIT/
INSPECTION COMPLETED:
01:46 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced Case Management- Annual Continuation visit. LPA was greeted by Licensee Erinn Toliver who allowed LPA entrance into the facility. LPA disclosed purpose of today's visit.

Upon arrival LPA observed 3 children, the License with a staff assistant and (2) adult resident that resides in the home present during today's visit; all were fingerprinted cleared.

During today's visit date, LPA observed pool alarm that complies with standards- ASTM F2208, during visit it was installed and placed in the pool. Pool gate observed closed and locked.

Based on documents provided there is no proof that mesh fencing is in compliant with the American Society for Testing and Materials (ASTM) International Standard F2286. Documentation on 8/27/25 ASTM report shows no correlation that the report is specific to the address home above, deficiency cited.

LPA Calderon consulted in the gaps around the pool, informing Licensee no gaps/voids can allow of a sphere with a diameter equal to or great than 4 inches. LPA observed on 8/27/25 1 gap that had a zip tied, measuring at the top at 3 inches and middle section to the bottom section measuring at 2 inches. On 10/27/25: LPA observed no zip tied, gaps were within Assembly Bill standards.

On 8/27/25 LPA observed at the door of the pool, a vertical clearance at the bottom of the door measured at 2 and 3 quarters (2 3/4 inches), deficiency cited on todays vsiit. LPA informed Licensee Assembly Bill states: A maximum vertical clearance of two inches from the ground to the bottom of the enclosure.
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2025
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)
Page: 2 of 5
Document Has Been Signed on 10/27/2025 01:38 PM - It Cannot Be Edited


Created By: Ashley Calderon On 10/27/2025 at 12:29 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: TOLIVER FAMILYCHILD CARE
FACILITY NUMBER: 198020227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(1)(A)
Pool Safety- 1596.814(a)(1)(A)(iii) a maximum vertical clearance of two inches from the ground to the bottom of the enclosure.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation on 8/27/25, visit bottom of the pool door vertical clearance measured at 2 3/4 inches, the licensee did not comply with the section cited above in [1] out of [1]which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/10/2025
Plan of Correction
1
2
3
4
Mesh fence will be observed and bottom of the door passage will be fixed or replaced to measure a max. of 2 inches.
Type B
Section Cited
HSC
1596.814(b)(4)
The licensee shall perform a daily inspection of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of the inspections to be provided to the department upon request.

This requirement is not met as evidenced by
Deficient Practice Statement
1
2
3
4
Based on observation on 8/27/25, no daily log for pool checks, the licensee did not comply with the section cited above in [1] out of [1] daily pool check log which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/28/2025
Plan of Correction
1
2
3
4
On visit date 10/27/25 Licensee had a log check for pool daily inspection, POC cleared during visit 10/27/25.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2025


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 10/27/2025 01:38 PM - It Cannot Be Edited


Created By: Ashley Calderon On 10/27/2025 at 12:31 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: TOLIVER FAMILYCHILD CARE
FACILITY NUMBER: 198020227

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.814(a)(1)(A)(vi)
Pool Safety
(a) A licensed family daycare home operated at a private single-family dwelling with an in-ground swimming pool on the premises shall comply with all of the following requirements: (1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features: (A) An enclosure, including, but not limited to, a fence, wall, or other barrier that isolates the swimming pool from access to the family daycare home and has all of the following characteristics: (vi) For mesh fencing that does not meet the above characteristics, the licensee must provide documentation that establishes the mesh fencing is compliant with the American Society for Testing and Materials (ASTM) International Standard F2286.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on record review no proof that mesh fencing is in compliant with the American Society for Testing and Materials (ASTM) International Standard F2286. Documentation on 8/27/25 ASTM report shows no correlation that the report is specific to the address home above, the licensee did not comply with the section cited above in [1] out of [1] no proof of mesh fence standard for the specific address of day care which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/10/2025
Plan of Correction
1
2
3
4
Proof of mesh fence meeting American Society for Testing and Materials (ASTM) International Standard F2286 for the day care, to send document to LPA Calderon by poc due date.
Pool Safety

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2025


LIC809 (FAS) - (06/04)
Page: 3 of 5
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: TOLIVER FAMILYCHILD CARE
FACILITY NUMBER: 198020227
VISIT DATE: 10/27/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
On 8/27/25, no life ring observed. On 10/27/25 life ring observed, picture taken, purchase of ring description provided to LPA Calderon did not indicate approved by the United States Coast Guard, deficiency cited. LPA informed Licensee per Assembly Bill: A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the United States Coast Guard is required.

On 8/27/25: Licensee did not have a daily log, on 10/27/25 LPA observed a daily log for the pool, deficiency cited for observation on 8/27/25 and cleared on todays date 10/27/25.

During visit LPA Calderon generated (4) plan of corrections / letters for 8/27/25 provided to Licensee Toliver. (1) POC clearance for deficiency cited on 10/27/25 generated today and provided to Licensee.

Based on California Code of Regulation (3) deficiencies cited on today's visit. A Notice of Site visit was given, must be posted for 30 days and an exit interview was conducted with Licensee Erinn Toliver.
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5