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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408734
Report Date: 08/22/2025
Date Signed: 08/22/2025 02:16:43 PM

Document Has Been Signed on 08/22/2025 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ARRIAGA FAMILY CHILD CAREFACILITY NUMBER:
197408734
ADMINISTRATOR/
DIRECTOR:		ARRIAGA/C/ANTONIOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 573-7152
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91344
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 15DATE:
08/22/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:31 AM
MET WITH:Catalina Arriaga, Licensee/ Catherine Collette Arriaga, Assistant TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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***This inspection was conducted in English and Spanish*****

Licensing Program Analysts (LPAs) Elicia Calvillo and Lilia Hernandez conducted an unannounced complaint inspection to the above facility on 08/22/2025. The purpose of the visit is to address deficiencies that were discovered during the course of an investigation conducted by the Department. Catalina Arrianga, Licensee arrived at the facility at approximately 12:00PM.

LPAs arrived at the facility at 8:33AM. Upon arriving at the facility LPAs were greeted by Staff #1. LPAs introduced selves and were asked to wait by the locked gate on the side of the home where children enter the facility. As LPAs waited, LPA Hernandez observed that the children’s toys were in front yard of the facility. LPA Hernandez also observed construction tools lined along the other side of the home and an open gate to access back yard (photos taken). Staff #1 returned after 10 minutes to open the gate that leads to entrance to the facility where children are in care. LPAs enter the facility along with a parent who had arrived to drop off their 2-year-old child at the facility. LPAs were then met by Catherine “Collette” Arriaga, Assistant/Adult daughter of the Licensee.

At approximately 9:09AM, LPAs observed a total of 15 children in care. Per Assistant, 3 of the 15 children in care were infants. The facility was not operating as specified in section 102416.5(a). This poses an immediate health, safety or personal rights risk to persons in care.

LPAs were not able to confirm the ages of children in care because the facility did not have a completed LIC9040 Facility Roster for all children enrolled at the facility. The facility was not operating as specified in section 102417(g)(8). This poses an immediate health, safety or personal rights risk to persons in care.

LPAs observed 1 infant and 1 preschool age child sleeping in play yards with blankets and loose-fitting sheets around the mattress. The facility was not operating as specified in section 102425(b). This poses an immediate health, safety or personal rights risk to persons in care. --- Page 1 of 2

NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ARRIAGA FAMILY CHILD CARE
FACILITY NUMBER: 197408734
VISIT DATE: 08/22/2025
NARRATIVE
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LPA Hernandez continued the tour of the facility with the Assistant. LPA Hernandez observed 2 children restrained in highchairs with no food and no adult present. LPA Hernandez observed all off-limit areas identified on the facility sketch accessible to children. (photo taken) Per Assistant, off-limit areas were accessible because a deep cleaning of the home was being conducted. LPA Hernandez observed an off-limit bedroom with the door open and accessible. LPA Hernandez observed bottles of alcohol displayed and accessible on a side dresser in the bedroom (photos taken). During the tour of the back yard, LPA Hernandez observed the kitchen door opened and bottles of cleaning solutions accessible photos taken). LPA Hernandez also observed 3 buckets of stagnant water with insects in and above the water (photos taken). LPA Hernandez observed a charcoal grill, a barbeque grill accessible in the backyard where children were playing. LPA Hernandez also observed 2 propane tanks, one of which was connected to the barbeque grill (photos taken). The facility was not operating as specified in section 102417(g). This poses an immediate health, safety or personal rights risk to persons in care.

LPA Hernandez observed alterations to the home. Per Assistant, the facility is being repainted, and the electrical system is being updated. Per Assistant, the detached activity room is also having the electrical system updated. LPA Calvillo did not find records of Licnesee reporting alteration to the home to the Department noted prior to alteration being done. The facility was not operating as specified in section 102416.3(a). This poses a potential health, safety or personal rights risk to persons in care.

Based on observations by the LPAs, Assistant’s self-disclosures, and Assistant’s written statement, the deficiencies listed on the attached LIC 809D page are being cited.

LPAs informed the Assistant that Type A citation(s) shall be posted for 30 consecutive days as there are immediate risk(s) to the health, safety, or personal rights of children in care.

LPA Calvillo informed facility representative Catherine “Collette” Arriaga that this report dated 08/22/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care

Also, LPA Calvillo informed the facility representative to provide a copy of this licensing report dated 08/22/2025 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ARRIAGA FAMILY CHILD CARE
FACILITY NUMBER: 197408734
VISIT DATE: 08/22/2025
NARRATIVE
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12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Catalina Arriaga, Licensee including, but not limited to Provider Rights, Appeal Procedures and Agencies Consultative Role.

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NAME OF LICENSING PROGRAM MANAGER: Rita Ramos
NAME OF LICENSING PROGRAM ANALYST: Elicia Calvillo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/22/2025 02:16 PM - It Cannot Be Edited


Created By: Elicia Calvillo On 08/22/2025 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ARRIAGA FAMILY CHILD CARE
FACILITY NUMBER: 197408734

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/25/2025
Section Cited
CCR
102416.5(a)

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102416.5(a) Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. This requirement is not met as evidenced by: This requirement is not met as evidenced by:
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Per Licensee, no more than 14 children will be cared for at one time. Licensee will review capacity regulations with staff.
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The licensee did not comply with the section cited above in that there were 15 children in care which poses an immediate health, safety, or personal rights risk to persons in care.
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Type A
08/25/2025
Section Cited
CCR102417(g)

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102417(g) 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:
This requirement is not met as evidenced by:
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Per Licensee, all areas identified off limits will be made inaccessible to children by keeping doors closed and locked while children are in care. Per Licensee, all cleaning products and barbecue with propane tanks will be made inaccessible to children. Licensee will submit corrections to LPA Calvillo via email by POC due date.
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The licensee did not comply with the section cited above in that there were cleaning products, BBQ with propane tank, alcohol, doors open to off limits areas, readily accessible to children in care which poses an immediate health, safety, or personal rights risk to persons in care.
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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.
Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:
Elicia Calvillo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/22/2025 02:16 PM - It Cannot Be Edited


Created By: Elicia Calvillo On 08/22/2025 at 12:37 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ARRIAGA FAMILY CHILD CARE
FACILITY NUMBER: 197408734

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/29/2025
Section Cited
CCR
102425(b)

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102425(b) Infant Safe Sleep (b) Cribs or play yards shall be free from all loose articles and objects.
This requirement is not met as evidenced by:
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Per Licensee, no infant will be placed in play yards to nap with any loose articles and objects. Including blankets. Licensee will review safe sleep regulations with staff. Signatures of acknowledgement from all staff will be submitted to LPA Calvillo via email by POC due date.
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The licensee did not comply with the section cited above in that there were loose articles in the play yard while a child was asleep which poses an immediate health, safety, or personal rights risk to persons in care.
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Type A
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Section Cited
CCR102417(g)(8)

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102417(g)(8) Operation of Family Child Care Home
(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841.
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Per Licensee, a completed LIC9040 Facility Roster will be submitted to LPA Calvillo via email by POC due date.
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The licensee did not comply with the section cited above in that current roster of children was not readily available to the Department upon request on 04/23/25, 06/12/25, and 08/13/25 which poses an immediate health, safety, or personal rights risk to persons in care.
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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.
Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:
Elicia Calvillo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/22/2025 02:16 PM - It Cannot Be Edited


Created By: Elicia Calvillo On 08/22/2025 at 12:46 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ARRIAGA FAMILY CHILD CARE
FACILITY NUMBER: 197408734

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2025
Section Cited
CCR
102416.3(a)

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102416.3(a) Alterations to Existing Buildings or Grounds (a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: This requirement is not met as evidenced by
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Per Licensee, any future alterations or changes to the home will be reported to the department prior to any changes. An LIC624B will be submitted for the current alterations of the home (electrical system updates) by POC due date. Corrections will be submitted via email to LPA Calvillo.
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The licensee did not comply with the section cited above in that the Licensee did not report that facility is replacing all the electrical wiring which may poses an immediate health, safety, or personal rights risk to persons in care.
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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.
Rita Ramos
NAME OF LICENSING PROGRAM MANAGER:
Elicia Calvillo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2025


LIC809 (FAS) - (06/04)
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