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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408808
Report Date: 04/10/2025
Date Signed: 04/10/2025 05:00:22 PM

Document Has Been Signed on 04/10/2025 05:00 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:ESTRADA FAMILY CHILD CAREFACILITY NUMBER:
197408808
ADMINISTRATOR/
DIRECTOR:		ESTRADA, MARIELAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 292-4908
CITY:LOS ANGELESSTATE: CAZIP CODE:
90043
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 4DATE:
04/10/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:03 PM
MET WITH:Licensee Mariela EstradaTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
NARRATIVE
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On 4/10/2025 at 2:00 PM Licensing Program Analyst (LPA) Dawn Dowling met with Licensee, Mariela Estrada, for the purpose of an annual inspection. Licensee was present with 4 children. Licensee indicates that she has no employees at this time due to low enrollment and its just licensee caring for the children.
Upon arrival, LPA observed 4 children being supervised by licensee. LPA Dowling toured and inspected living room area, went to the back (converted garage which is primary used for child care in the morning for lessons, some play), kitchen area and room off of kitchen used for day care children when eating. Hours of operation are from 8:00 am to 5:30 pm, Monday through Friday..

This is a one story, two bedroom, one bathroom and one powder room home with kitchen/dining, living room, laundry, and a converted garage(used for child care lessons/play only) LPA discussed with licensee that children do not sleep in day care area they sleep in area off of living room during nap time.
There is no pool, spa or other bodies of water on the premises.

Licensee and spouse are residing in home, spouse is fingerprint cleared per Guardian Roster.

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Raul NavarroTELEPHONE: (424) -30-3072
Dawn DowlingTELEPHONE: (424) 301-3202
DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2025
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: ESTRADA FAMILY CHILD CARE
FACILITY NUMBER: 197408808
VISIT DATE: 04/10/2025
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The home has a fireplace that is barricaded and located in the living room. The main care area is in the back play room (converted garage). The powder room off the kitchen is used by day care children , toilet is operable, they have access to a sink to wash their hands.

The two bedrooms, 1 bathroom is off limits to children made inaccessible with door knobs.

LPA Dowling observed age appropriate toys, learning materials, games and activities for children in care. All furniture was found in good repair, clean, and without hazards. The kitchen is inaccessible to children in care.

Children eat off the kitchen area in day care room and sleep off living room area on cots. Each child was observed to have their own bedding, Licensee indicates parents bring bedding and it is washed by Licensee every week.

If child is sick Licensee does not receive child in care.
Children have their own cubbies in the child care area to store their personal property.

The facility is inspected inside and outside for safety, comfort, cleanliness. Licensee uses a land line and cell phone, there is adequate heating and ventilation. There are no poisons stored in home, detergents/cleaning compounds stored in laundry room which is inaccessible to children in care (gate), and hazardous items (sharp knives in kitchen only) that can pose a danger to children.

Inspection of the outdoor play area was conducted. Age appropriate play equipment was observed. Per licensee, there are no weapons or firearms of any kind in the facility.

Licensee has a shaded area outside for the children to play outdoors and children do not play on equipment that is not shaded on hot days. Licensee provides water to children.

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn DowlingTELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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: ESTRADA FAMILY CHILD CARE
FACILITY NUMBER: 197408808
VISIT DATE: 04/10/2025
NARRATIVE
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LPA Dowling did not observe any weapons.

The required fire extinguisher (2A10BC) was serviced within the year on 3/21/2025. The smoke detector was tested and observed to be operational. A Carbon Monoxide detector was observed, tested and operable. Home has central A/C and heat and free from anything that would pose a hazard or danger to children in care.

LPA Dowling observed the required posted documents. Facility License (LIC 203), Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A). Licensee did not have the Earthquake Preparedness Checklist (LIC 9148) posted LPA Dowling printed out the LIC 9148 form for licensee to post on the board.



LPA Dowling observed the fire drill conducted last on 3/19/2025. First Aid kit observed in the back day care room to be complete.
Infant care: Licensee currently does not have infants under 24 months enrolled.

Overnight Care: Per Licensee No Overnight care is provided.

Currently, children are using the back yard for outdoor play. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. There are no pools or spas, or other bodies of water.



Children files were reviewed and found 2 out of 4 children were missing Measles, Mumps, Rubella (MMR) Immunization. This was discussed with licensee. LPA indicated that due to children missing the immunization in their files will result in a Type B deficiency

Licensee records were viewed and Mandated Reporter Certificate issued 1/16/2024(Current), First Aid and CPR Training Certificate issued 1/18/2025. Licensee provided Immunization Record shows proof of TB, DTap and MMR immunization's.

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn DowlingTELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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: ESTRADA FAMILY CHILD CARE
FACILITY NUMBER: 197408808
VISIT DATE: 04/10/2025
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Individuals residing in the home have been discussed and noted. All adults present in the home have obtained a criminal record clearance or exemption.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Licensee was reminded of their responsibility to report suspected child abuse. Mandatory Forms for the children’s files and provider’s files were discussed. Licensee was made aware that state law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category. Licensee was reminded that all infants must be placed on their backs when sleeping to prevent S.I.D.S. (Sudden Infant Death Syndrome), and that the Provider is required to wash hands after every diaper change and to never shake a baby to prevent the Shaken Baby Syndrome. 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. Licensee was also reminded that only children eating may be in highchairs and that car seats are utilized only for transportation.



Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn DowlingTELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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: ESTRADA FAMILY CHILD CARE
FACILITY NUMBER: 197408808
VISIT DATE: 04/10/2025
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Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Licensee provided parents with Certificate of Liability Insurance, LPA Dowling viewed the certificate of Liability Insurance with Licensee records.

The licensee was advised the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, (Type A violation), a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. The applicant was made aware that a licensee may file an appeal, in writing 15 business days from the date of receiving the penalty assessment.



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.

Licensee was given report along with Appeal Rights and asked if Licensee had any questions or concerns regarding today's inspection.

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SUPERVISOR'S NAME: Raul NavarroTELEPHONE: (424) -30-3072
LICENSING EVALUATOR NAME: Dawn DowlingTELEPHONE: (424) 301-3202
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 04/10/2025 05:00 PM - It Cannot Be Edited

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: ESTRADA FAMILY CHILD CARE
FACILITY NUMBER: 197408808

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
CCR
102418(a)
Immunizations
(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 4 children do not have proof of MMR Immunization which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/30/2025
Plan of Correction
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Licensee will discuss the immunization's with parents and provide LPA proof of the required immunization on or before the due date via email.
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.
Raul NavarroTELEPHONE: (424) -30-3072
Dawn DowlingTELEPHONE: (424) 301-3202

DATE: 04/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/10/2025

LIC809 (FAS) - (06/04)
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