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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400699
Report Date: 03/19/2026
Date Signed: 03/19/2026 02:40:04 PM

Document Has Been Signed on 03/19/2026 02:40 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:CAMPOS FAMILY CHILD CAREFACILITY NUMBER:
198400699
ADMINISTRATOR/
DIRECTOR:		CAMPOS, ALMA & AROLDOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 480-3114
CITY:LONG BEACHSTATE: CAZIP CODE:
90813
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 8DATE:
03/19/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:47 AM
MET WITH:Licensee Aroldo CamposTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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CONDUCTED IN SPANISH
Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual/ random inspection to the above facility. LPA arrived at the facility, identified self, and met with one of the Licensee Aroldo Campos. LPA disclosed the purpose of today's visit.

Upon entrance, LPA observed 8 children (2 whom were infants) with Licensee A.Campos and Assistant Staff #1. Operation hours are 6:00am - 6:00pm Monday through Friday. Individuals who reside in the home were noted and discussed. The facility is licensed for a Large Family Day Care, Capacity 14.

LPA Calderon was guided on a tour of the facility alongside A.Campos. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.

This is a 2-story home: The upstairs is one bedroom and downstairs consist of 2 bedrooms, 3 bathrooms, living room, dining room, kitchen, laundry room, backyard (fenced), and front yard. There is no garage with the home.

On limits: The first floor: The living room for activities, Bedroom #1 located by the living room used for infant play/ napping, rear play room located next to the kitchen, the children’s restroom is located in bedroom #1 and the backyard.
Off limit areas: three bedrooms, two bathrooms, kitchen, coffee area (in the living room), laundry room, and front yard. Rooms are made inaccessible with a baby gate placed at the kitchen entrance and locked door in bedroom #1. (Pg 1)
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2026
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 8
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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699
VISIT DATE: 03/19/2026
NARRATIVE
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Based on record review staff assistant present- Carrie Cleveland was not listed on the Facility Roster Guardian for the above facility. At 10:44am LPA Calderon asked for assistant to LPA's colleagues via telephone to do a individual search via Guardian search by LPA Dayna Chambers who assisted LPA Calderon via telephonically at 11:34am; Chambers informed LPA Calderon, C.Cleveland was searched and no individual fingerprints appear on the system. LPA requested background clearance paperwork for Cleveland to Aroldo Campos. Per interview with Aroldo Campos Carrie Cleveland started to assist today 3/19/26 and their wife Alma Campos handles the paperwork; Aroldo called wife and put Licensee Alma Campos on the line who via telephonically when LPA asked if fingerprints were conducted for Carrie Cleveland; Alma stated Cleveland works with older children and they inputted Cleveland's information on Guardian. LPA Calderon asked for proof of fingerprint clearance/ transfer and Alma stated will send LPA information at a later time as they are at an appointment and informed LPA Calderon staff started on 3/19/26. LPA took a picture of poster board for staff assistant and asked about start day on the poster which is different form the one stated, both Licensees stated that is incorrect. At 12:00pm Cleveland left for lunch and at approx. 12:15am via telephonically Aroldo called Cleveland not to return do to having no fingerprint proof at this time, deficiency cited and civil penalty given.

The restroom that children use was observed to be safe and sanitary. The cabinet in the coffee room had latches or clips for inaccessibility, there are sharp scissors inaccessible to the children in care. The kitchen was observed, Per licensee provides meals to the children in care, LPA observed a safety gate at the entrance of the kitchen, knives are located in a cabinet by the microwave with a safety latch in place. Cleaning compounds located under the kitchen sink with a safety latch in place were observed, LPA Calderon observed Powder poison for bugs in this area, it was immediately moved to a high to reach cabinet located to the top left hand side near the sink, Per A. Campos stated didn't know it had to be in a locked area and thought inaccessibility with latches was okay and since the area is inaccessible by a safety gate but they will purchase a lock to add to a cabinet, deficiency cited. LPA reminded Licensee A.Campos of regulation 102417(g)(4)(A) Operations of a Family Child Care Home- Storage areas for poisons, firearms and other dangerous weapons shall be locked. LPA for ventilation observed portable fans, AC unit and a portable heater accessible if needed. Laundry room was observed, the detergents and additional cleaning solutions were observed in the cabinets with a safety latch in place for inaccessibility. LPA did not observe any infant walkers, baby bouncers, inclined chairs, baby saucers, or any similar items at the facility. LPA observed safe toys, play equipment and materials for children indoors and outdoors. (Pg 2)
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
Page: 3 of 8
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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699
VISIT DATE: 03/19/2026
NARRATIVE
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 Licensee states that there are no firearms stored in the home. There are no pets on the premises. Per Licensee Aroldo no children currently are administered medication and transportation may be provided if needed. There are stairs in the living room and stairs were observed to be barricaded for the children under the age of 5 who were present. Facility will use any room that is on limits to the children to separate children who show signs of illness and waiting to be picked up from non sick children. Per Licensee, the backyard is used in the summer time mainly or if the weather permits. Backyard was observed there is an apartment building with another address located in the backyard. There is no fence in between the apartment building and the licensee’s backyard, therefore supervision is needed at all times. No bodies of water observed. LPA Calderon informed Licensee to access the yard to go from the front of the home and not to use the back door located in the off limit laundry room.Two children left the facility and at 10:31am census dropped to 6. LPA Calderon during record reviewed a current LIC9040 children’s roster. The Disaster and Fire drill document was observed, last drill conducted on 3/6/2026.

LPA Calderon reviewed records 5 children records total. The two infants present files were reviewed Child #1 and Child #2- both had 15 min sleep log, the daily check was provided for the infants that were present but it did not indicate every 15 min time that infants were checked and during visit LPA observed all children of all ages present napping on cot in the same room with consent supervision, consultation given. Per regulation "Infant" means a child under two years of age. Consultation was given for Child #2's file that document was incomplete with 2 forms missing (LIC9150 Additional Children and LIC995 Parent Rights), and all other children files reviewed (4) had the appropriate documentation. LPA reviewed staff files (3 - including Licensee's) Licensee Aroldo present during file had- Lic9108 Statement Ack. req. Report Child Abuse, immunization records and Mandated Reporter expires 7/31/26. LPA reviewed for Licensee Alma Campos and Arolo Campos file to see if they had a valid Pediatric first aid and certifications; for Aroldo they had an American Heart Association certification - module says Child and Infant CPR expires 3/2028 and in front of first aid says Adult doesn't specify Infant/ Child (Pedi.) and for Alma their certification from American Heart Association - doesn't say pediatric - child / infant cpr and pediatric - child / infant first aid , pictures taken of certificates, deficiency cited. Staff assistant who was present had Mandated Reporter training and Lic9108 Statement Ack. req. Report Child Abuse, and Personnel Record was incomplete- LIC9052 Employee Rights missing, lack of personnel information, immunization records not in file and they had an incomplete training - certificate states- Child/Infant CPR and in front of First Aid only says adult and not Pediatric nor infant/child. (Pg 3)
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
Page: 4 of 8
Document Has Been Signed on 03/19/2026 02:40 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/19/2026 at 01:02 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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based LPA Calderon record review on staff assistant present- Carrie Cleveland was not listed on the Guardian Facilirt Roster and LPA Dayna Chambers who assisted LPA Calderon via telephonically at 11:34am; Chambers informed LPA Calderon, C.Cleveland was searched and no individual fingerprints appear on the system. LPA requested background clearance paperwork for Cleveland to Aroldo Campos. Per interview with Aroldo Campos Carrie Cleveland started to assist today and their wife Alma Campos handles the paperwork; Aroldo called wife and put Licensee Alma Campos on the line who via telephonically when LPA asked if fingerprints were conducted for Carrie Cleveland; Alma stated Cleveland works with older children and they inputted Cleveland's information on Guardian, LPA Calderon asked for proof of fingerprint clearance/ transfer and Alma stated will send LPA information at a later time as they are at an appointment. At 12:00pm Cleveland left for lunch and at approx. 12:15am via telephonically Aroldo called Cleveland not to return do to having no fingerprint proof at this time, the licensee did not comply with the section cited above in [1] out of [1] uncleared staff assistant employee working with children and no proof of fingerprint clearance; which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 03/20/2026
Plan of Correction
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Licensee Alma Campos will send Guardian proof as stated on the phone or get fingerprints for staff if they plan to have them return.
If not returning LIC855 Declaration letter to be written on how facility plans to correctly process fingerprints clearance and how they will ensure any adults working with children are fingerprinted cleared and associated. 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: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 5 of 8
Document Has Been Signed on 03/19/2026 02:40 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/19/2026 at 01:02 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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)(A)
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: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. (A) Storage areas for poisons, firearms and other dangerous weapons shall be locked.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation of cleaning compounds located under the kitchen sink with a safety latch in place were observed, LPA Calderon observed Powder poison for bugs in this area, it was immediately moved to a high to reach cabinet located to the top left hand side near the sink, Per A. Campos stated didn't know it had to be in a locked area and thought inaccessibility with latches was okay and since the area is inaccessible by a safety gate but they will purchase a lock to add to a cabinet, the licensee did not comply with the section cited above in (1) out of (1) poison item not properly stored which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/23/2026
Plan of Correction
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Per Aroldo will add a lock to a cabinet in the kitchen for poison storage and send picture to LPA Calderon by poc due date.
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 LPA Calderon record review for Licensee Alma Campos and Arolo Campos file to see if they had a valid Pediatric first aid and certifications; for Aroldo they had an American Heart Association certification - module says Child and Infant CPR expires 3/2028 and in front of first aid says Adult doesn't specify Infant/ Child (Pedi.) and for Alma their certification from American Heart Association - doesn't say pediatric - child / infant cpr and pediatric - child / infant first aid and for staff assistant Child/Infant CPR and in front of First Aid only says adult and not Pediatric (infant/child , pictures taken of certificates. (3) out of (3) not a valid CPR and First aid for Pediatric Care, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/17/2026
Plan of Correction
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Licensees will obtain appropriate Pediatric 1st aid and cpr training certificates and send it to LPA Calderon.
If Staff assistant does not return they will send a Declaration Letter LIC855 stating training is not needed due to whatever reasoning.
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: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 6 of 8
Document Has Been Signed on 03/19/2026 02:40 PM - It Cannot Be Edited


Created By: Ashley Calderon On 03/19/2026 at 01:02 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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416.1(d)
Personnel Records
(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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3
4
Based on LPA Calderon record review for staff assistant their Personnel Record was incomplete- LIC9052 Employee Rights missing, lack of personnel information, and immunization records (MMR, TDAP, TB-Current and Flu record or letter to decline), the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/17/2026
Plan of Correction
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 Personnel Record for staff assistant: LIC9052 Employee Rights, personnel information collect ID and can use as an option LIC501 Personnel records, and collect immunization records (MMR, TDAP, TB-Current and Flu record or letter to decline). If Staff does not return; write Declaration Letter LIC855 - stating what they should include in the staff files.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
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: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
Page: 7 of 8
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: CAMPOS FAMILY CHILD CARE
FACILITY NUMBER: 198400699
VISIT DATE: 03/19/2026
NARRATIVE
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  • 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 atwww.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
  • 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 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, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Per California Code of Regulation Title 22, 1 Type A with civil penalties due to no proof of fingerprinted staff assistant present and 3 Type B's given.

A copy of this report dated 3/19/26 shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement form must be maintained in each child’s file immediately upon receipt from parent. Only visit report documents Type A violations and corrections of violations must be posted in the child care facility for 30 consecutive dates alongside with the Notice of Site visit. Licensee was provided with a copy of the parent Acknowledgement of Receipt of Licensing Reports Form during this visit.

This report was read and translated to Licensee Aroldo Campos by LPA Calderon. Appeal Rights were provided and an exit interview was conducted and a copy of this report was given to Licensee Arolod Campos.


(Pg 4)
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
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