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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418259
Report Date: 12/18/2023
Date Signed: 12/18/2023 09:51:13 AM


Document Has Been Signed on 12/18/2023 09:51 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:VALENCIA FAMILY CHILD CAREFACILITY NUMBER:
197418259
ADMINISTRATOR:VALENCIA, ADAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 874-9260
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY:14CENSUS: 0DATE:
12/18/2023
TYPE OF VISIT:POCANNOUNCEDTIME BEGAN:
09:27 AM
MET WITH:Licensee, Ada Valencia TIME COMPLETED:
10:30 AM
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On 12/18/2023 at 9:27am, Licensing Program Analyst (LPA) Sarah Garcia conducted a Proof of Correction (POC) visit at the above-mentioned facility. LPA Garcia met with licensee, Ada Valencia. LPA observed 0 children in care.

The purpose of today's inspection is to verify that the deficiencies cited on 12/12/2023 are completed and corrected.

LPA observed the following:

The pool on the south side of the home has a latching device six inches from the top of the fence, the gate swings away from the pool, the gate is 5 ft, and the fence has been repaired and is self-closing.

LPA took photographs and videos of the pool.

Exit interview conducted, and a copy of this report and notice of site visit provided to the licensee.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2023
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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