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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198401402
Report Date: 03/05/2026
Date Signed: 03/05/2026 02:16:00 PM

Document Has Been Signed on 03/05/2026 02:16 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:CAMBEROS-THARP FAMILY CHILD CAREFACILITY NUMBER:
198401402
ADMINISTRATOR/
DIRECTOR:		CAMBEROS-THARP, CASEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 965-7302
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/05/2026
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:05 AM
MET WITH:Licensee, Casey Cambero-TharpTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 03/05/2026, Licensing Program Analyst (LPA) Jonnisha Culbert conducted an announced pre-licensing inspection at the address mentioned above. The purpose of the visit is to inspect the facility for a large family childcare home license. Licensee currently have a license (198400711) at 6229 Cardale St. Lakewood, CA, 90713. Today, they are requesting to relocate to 5416 Pimenta Ave. Lakewood, CA, 90712. LPA met with licensee, Casey Camberos-Tharp who guided LPA on a tour of the facility. Operating hours will be Monday through Friday from 7am to 5pm. Care will be provided for children aged six weeks to six years old. All individuals residing in the home were discussed and noted.

This is a single-family home that consists of three bedrooms, two bathrooms, living room, dining area, kitchen, front yard, detached garage, fenced backyard, and pool area (in the backyard). On limits areas include two bathrooms, living room, fenced front yard, and fenced back yard. Off limits areas include one-bedroom, detached garage, and fenced pool area in backyard.

All areas of the facility were inspected for safety, comfort, heating, cleanliness, and telephone service. LPA observed outlet covers, cots, play yards, toddler tables and chairs, age-appropriate toys, ceiling fans, and a portable air conditioner. Per licensee, the home is not equipped with central heating and air, but licensee will use ceiling fans and portable air conditioner to keep children comfortable. Space heaters will be used when it's cold. LPA observed cleaning supplies in the cabinet underneath kitchen sink. Other items (medications, poisons, etc.) that can pose a potential safety risk to children were made inaccessible. Per licensee, they do not have any poisons. Licensee was reminded that if poisons are purchased, they are to be kept in areas of the home that remain locked and inaccessible to children. Per licensee, they do not have a firearm, but they do have a pool.

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2026
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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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: CAMBEROS-THARP FAMILY CHILD CARE
FACILITY NUMBER: 198401402
VISIT DATE: 03/05/2026
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LPA evaluated the pool area for safety. LPA observed the following safety equipment visible from the swimming pool and readily available: A rescue pole with a body hook and a fixed length of 12 feet and a life ring with an exterior diameter of 24 inches and labeled as approved by the United Stated Coast Guard (approval #160.050/50/2). LPA measured the mesh fenced gate blocking access to the pool. The gate is 5 feet tall and has a vertical clearance of 2 1/2 inches from the ground to the bottom of the enclosure. LPA informed licensee that the clearance must be 2 inches or less. Licensee agreed to bring fence into compliance. There are no gaps or voids that will allow passage of a sphere with a diameter equal to or greater than 4 inches. Licensee provided LPA with documentation stating that licensee agrees that the fencing will remain in place whenever licensed care is provided, and so long as the mesh fence makes the swimming pool inaccessible to children as determined by licensing staff. The following was observed:

-A short gate two feet away from mesh fence pool gate. Licensee was reminded to remove all climbable items away from gate to prevent children from utilizing items as a lift to grab hold of pool gate.

-The accessible bathroom and kitchen have windows that lead to the pool area. LPA observed that the bathroom window is above the tub and it is approximately 4 feet 10 inches from the bottom of the tub to the start of the window. The window in the kitchen is above the sink.

-Door in accessible bedroom leads to pool area. Per licensee the door is blocked by beds. LPA observed that a bunk bed is blocking the door in the bedroom. LPA took a photo.

-Door inside the garage leads to pool area. Per licensee, the garage door will remain locked and closed while children are in care.

Note: All windows and doors are more than five feet from the pool's mesh fence gate.

LPA observed a wall heater in the living room and hallway. Per licensee, children will utilize the living room and backyard for eating and playing, and the bedrooms and living room for sleeping. LPA reminded licensee that open face heater shall be screened to prevent access to children.

LPA checked the home for required emergency devices. LPA observed a fire extinguisher (2-A:10-B:C) that is fully charged and it was purchased on 01/13/2026. LPA reminded licensee that the fire extinguisher shall be serviced yearly or repurchased. Carbon monoxide and smoke alarm were observed and are operable.

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
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: CAMBEROS-THARP FAMILY CHILD CARE
FACILITY NUMBER: 198401402
VISIT DATE: 03/05/2026
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Per licensee, they will provide meals and snacks for children in care. Licensee was reminded that food that is brought from the children's home shall be labeled with the child’s name and properly stored or refrigerated.

Licensees and staff have completed all required training, and they have submitted proof of the required immunizations for measles and pertussis and have proof of TB clearance for all adults in the home.

The following items must be submitted prior to the review of your application.

-Pool gate must have: a maximum vertical clearance of 2 inches from the ground to the bottom of enclosure. At approximately 12:50pm, licensee attached a threshold to the bottom of pool gate. Now, the vertical clearance is less than one inch.

-make wall heater inaccessible and safe.

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.

The applicant provided proof of control of property.

This facility plans to provide Incidental Medical Services- IMS. For IMS information, see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: Http://www.ada.gov/childqanda.htm.

LPA reviewed with licensee the LIC 311D, Forms/records to Keep in your Family Child Home, children's forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the licensee.

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC809 (FAS) - (06/04)
Page: 4 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: CAMBEROS-THARP FAMILY CHILD CARE
FACILITY NUMBER: 198401402
VISIT DATE: 03/05/2026
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On this date, 02/23/2026, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Licensee was informed of the MyChildCarePlan.org site, 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.

Exit interview conducted and report was reviewed with the licensee, Casey Camberos-Tharp.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

If you have any questions regarding the processor CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and it's tolls and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The licensee was notified that a license will be issued following the Department's review and approval of the application.

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Jonnisha Culbert
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2026
LIC809 (FAS) - (06/04)
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