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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197419150
Report Date: 01/29/2025
Date Signed: 01/29/2025 04:57:53 PM

Document Has Been Signed on 01/29/2025 04:57 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/
DIRECTOR:		FUENTES, ELSA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 953-5109
CITY:WILMINGTONSTATE: CAZIP CODE:
90744
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 4DATE:
01/29/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:32 PM
MET WITH:Elsa Fuentes LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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 On 01/29/2025 Licensing Program Analyst( LPA) Doris Whitmore conducted a Case Management Inspection. LPA Whitmore observed a swimming pool with slide that did not have a fence to isolate it within the backyard. There were approximately 4 children in care at the time of visit with the licensee.
LPA Whitmore reviewed with the licensee the update of the pool safety requirements. LPA Whitmore also gave Licensee a copy of Provider Information Notice (PIN25-01-CCP).

LPA did not observe the swimming pool to have an alarm or pool cover. LPA did not observe a Life Ring or a Body Pole at the time of visit. The licensee did not have a daily pool inspection log.

One type A citation is being issued with civil penalty being assessed. Two additional Type A and two Type B citations are being assess on the LIC 809D.

The licensee will provide a copy of the report and LIC 9227 Acknowledgement or Receipt to the parents of each child currently enrolled and for anyone who enrolls within the next 12 months.

Deficiencies cited. A copy of this report, LIC809-D, civil penalty assessment, LIC9227, Notice of Site visit and appeal rights were issued.


This report was reviewed with the licensee and exit interview conducted.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029
DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
Document Has Been Signed on 01/29/2025 04:57 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
HSC
1596.814(a)(1)(A)
1596.814 A FCCH daycare homew/an in-ground swimming pool shall comply w/all requiremnts.. 1) The swimming pool shall be equipped with, at minimum, the following drowning prevention safety features...(A) An enclosure, including but not limited to, a fence, wall or other
Deficient Practice Statement
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POC Due Date: 01/29/2025
Plan of Correction
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Licensee will have a enclosure that isolates the swimming pool from acccess by the POC date
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.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029

DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/20/2025

LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 01/29/2025 04:57 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
HSC
1596.814(a)(2(A)(B)
Family daycare home in ground swimming pool requirments. The licensee shall have the following safety equipment visible from the swimming pool and readily available for immediate use: A life ring with a minimum exterior diameter of 17 inches and labeled as approved by the US Coast Guard
Deficient Practice Statement
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POC Due Date: 01/29/2025
Plan of Correction
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Licensee will obtain a life ring and body pole that will be visible and readily available by the POC date.
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.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029

DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025

LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 01/29/2025 04:57 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245


FACILITY NAME: FUENTES FAMILY CHILD CARE
FACILITY NUMBER: 197419150

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2025
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
HSC
1596.814(a)(3)
Family Daycare home; in ground swimming pool requirments: A licensee shall perform a daily inspection of the drowning prevention safety features and safety equipment before opening the facility and maintain a log of the inspections to be provided to the Dept. upon request
Deficient Practice Statement
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POC Due Date: 02/05/2025
Plan of Correction
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Licensee will obtain and maintain the daily inspection logs for the swimming pool.
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.
Karren StarksTELEPHONE: (310) 740-3038
Doris WhitmoreTELEPHONE: 424-301-3029

DATE: 01/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2025

LIC809 (FAS) - (06/04)
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