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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419150
Report Date: 03/14/2024
Date Signed: 03/14/2024 02:58:00 PM


Document Has Been Signed on 03/14/2024 02:58 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245



FACILITY NAME:FUENTES FAMILY CHILD CAREFACILITY NUMBER:
197419150
ADMINISTRATOR:FUENTES, ELSA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 953-5109
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY:14CENSUS: 5DATE:
03/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Licensee, Elsa FuentesTIME COMPLETED:
03:15 PM
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On 03/14/2024 at 1:10pm, Licensing Program Analyst (LPA) Sarah Garcia conducted a Proof of Correction (POC) visit at the above-mentioned facility. LPA Garcia met with licensee, Elsa Fuentes. LPA observed 5 children in care.

The purpose of today's inspection is to verify that the deficiencies cited on 2/08/2024 are completed and corrected. LPA inspected and observed the following:

The pool with slide in the backyard. LPA took exact measurements of the pool fence and space between bars of the fence. The pool fence in the backyard is 5 feet and 7 inches. The pool fence swings away from the pool, is self-closing and has a self-latching device located no more than six inches from the top of the gate. The space in between the bars of the fence is 3 and a half inches. LPA Garcia took photographs and videos of the pool and backyard. LPA advised licensee to purchase a metal lock for the pool latching device. Licensee will send a photo of the metal lock to LPA via email by 03/18/2024 at 5pm.

In addition, the sliding door facing the gated pool is locked, is sensor alarmed, and has a wooden block to ensure the backyard is inaccessible to children in care.

Licensee, Elsa Fuentes signed a declaration stating the backyard of the home will be OFF-LIMITS to the children in care. The Department has been informed that licensee is continuing construction and existing alterations of the home. Once the construction is complete, licensee shall notify the Department and submit an updated Facility Sketch (LIC 999A) documenting the alterations. If licensee does not inform the Department once the construction is complete a citation will be assessed.

Exit interview conducted, and a copy of this report along with appeal rights and notice of site visit provided to the licensee, Elsa Fuentes.
SUPERVISOR'S NAME: Maureen NealTELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Sarah GarciaTELEPHONE: (424) 301-3066
LICENSING EVALUATOR SIGNATURE:
DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/14/2024
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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