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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411817
Report Date: 07/24/2024
Date Signed: 07/25/2024 08:46:56 AM


Document Has Been Signed on 07/25/2024 08:46 AM - 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:ESTEVA FAMILY CHILD CAREFACILITY NUMBER:
197411817
ADMINISTRATOR:ESTEVA, ZIBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 548-6729
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY:14CENSUS: 11DATE:
07/24/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Ziba EstevaTIME COMPLETED:
03:05 PM
NARRATIVE
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On 7/24/24 @ 1:45pm, Licensing Program Analyst (LPA) Ranita Richmond arrived at the above named home for an unannounced case management deficiencies visit. LPA was greeted by licensee Ziba Esteva. LPA observed 10 children being cared for by licensee alone. Five children were infants under the age of 2 years of age.

LPA requested facility roster from licensee for review.

Licensee, Ziba Esteva, having more than eight children in care with no assistant present, causes an immediate risk to the health, safety and/or personal rights to the children in care. Due to Licensee, Ziba Esteva, having more than four infants in care with no assistant present, causes an immediate risk to health, safety and/ or personal rights to the children in care. Type A citations cited.

At approximately 2:10pm fingerprint cleared assistant arrived to home with one additional child. The capacity is now 11 children being cared for by licensee and one assistant. Five of the eleven children are infants under the age of 24 months. Having more than four infants in care with an assistant present, causes a potential risk to health, safety and/ or personal rights to the children in care. Type B citation cited.

LPA reviewed staff ratio and capacity regulations with licensee. LPA provided visual representation via printed capacity requirements for FCC document for review and reminder. LPA reviewed prohibited items with licensee and provided a printed handout of items that are prohibited in Family Day care homes.

An exit interview was conducted, a copy of this report was read and provided to Licensee Ziba Esteva.

Citations issued during this visit per Title 22 Regulations and Health and Safety Codes. See LIC 809D.

Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Ranita RichmondTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2024
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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Document Has Been Signed on 07/25/2024 08:46 AM - 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: ESTEVA FAMILY CHILD CARE
FACILITY NUMBER: 197411817

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2024
Section Cited
CCR
102416.5(e)

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102416.5 Staffing Ratio and Capacity
(e) If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home as specified in subsections (b) and (c).
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Licensee will provide care to no more than children when no assistant is present.
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This requirement is not met as evidenced by:
LPA observation shows that licensee was in home caring for ten children with no assistant present.
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Type A
07/24/2024
Section Cited
CCR10416.5(b)(2)

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102416.5 Staffing Ratio and Capacity
b) For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time,..following:(2) Six children, no more than three of whom may be infants...
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Licensee will provide care for no more that three infants under the age of 24 months when caring for six children with no assistant present.
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This requirement is not met as evidenced by:
LPA observations show that licensee is in home caring for five infants under the age of 24 months.
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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.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Ranita RichmondTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 07/25/2024 08:46 AM - 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: ESTEVA FAMILY CHILD CARE
FACILITY NUMBER: 197411817

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/24/2024
Section Cited
CCR
102416,5(d)(1)

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102416.5 Staffing Ratio and Capacity
(d) For a Large .., the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home,....
(1) Twelve children, no more than four of whom may be infants
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Licensee will review roster and enrollment to make adjustments to come into compliance of having no more than four infants when twelve children and an assistant are present.
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This requirement is not met as evidenced by: LPAs observation shows that 11 children in care with an assistant present. LPAs observations and records review shows that 5 of the children in care are infants under the age of 24 months.
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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.
SUPERVISOR'S NAME: Claudia EscobedoTELEPHONE: (424) 301-3044
LICENSING EVALUATOR NAME: Ranita RichmondTELEPHONE: (424) 301-3065
LICENSING EVALUATOR SIGNATURE:
DATE: 07/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/24/2024
LIC809 (FAS) - (06/04)
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