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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420038
Report Date: 07/17/2024
Date Signed: 07/17/2024 04:00:28 PM


Document Has Been Signed on 07/17/2024 04:00 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:MATHEU FAMILY CHILD CAREFACILITY NUMBER:
197420038
ADMINISTRATOR:MATHEU, SHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 424-7001
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY:14CENSUS: 14DATE:
07/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Sheryl Matheu, Licensee TIME COMPLETED:
04:15 PM
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Licensing Program Analysts (LPAs) Lilia Hernandez and Roberto Luque Avila conducted an unannounced inspection on 07/17/2024. LPAs arrived at the facility at 2:15 PM and met with Sheryl Matheu, Licensee, who guided LPAs on a tour of the facility. There were 3 infants and 9 preschool, and 2 school age children in care upon arrival. Also present was 1 Assistant.

The purpose of the visit was to ensure that health, safety, personal rights, licensing conditions and limitations are as required by Title 22 Regulations.

During the inspection, LPAs obtained written statement from Licensee on how they will ensure they will comply with license capacity and limitations. Licensee also provided LPAs a copy of the facility roster.

There were no deficiencies cited during today's inspection.

The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview conducted and report was reviewed with Sheryl Matheu, Licensee.
SUPERVISOR'S NAME: Rita RamosTELEPHONE: (424) 301-3061
LICENSING EVALUATOR NAME: Lilia HernandezTELEPHONE: 424-301-3071
LICENSING EVALUATOR SIGNATURE:
DATE: 07/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/17/2024
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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