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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191603376
Report Date: 06/13/2024
Date Signed: 06/21/2024 10:19:54 AM

Document Has Been Signed on 06/21/2024 10:19 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:RODRIGUEZ FAMILY DAY CAREFACILITY NUMBER:
191603376
ADMINISTRATOR/
DIRECTOR:		RODRIGUEZ, SECUNDINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 673-8280
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
06/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Secundina Rodriguez - LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:05 PM
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On 06/13/2024 Licensing Program Analyst (LPA) Cristina Castellanos conducted an unannounced case management inspection at the above-mentioned address for the purpose of ensuring the standards are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes.

Upon arrival LPA met with Licensee Secundina Rodriguez and discussed the purpose of the visit. LPA then toured the home both indoors and outdoors. During today’s inspection there were 9 children, 2 assistants, and Licensee Rodriguez providing care and supervision.

According to the Unusual Incident Report (UIR), on 05/30/2024, the children named in the report were both bitten by another day care child.

During today’s inspection, LPA interviewed Licensee Rodriguez, reviewed children’s emergency records, and requested the Child Care Facility Roster (LIC9040). There were no citations issued.

Based on the information received the UIR needs further review.

An exit interview was conducted, and a copy of the report (LIC809) was provided and reviewed with Licensee Rodriguez. A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Cristina Castellanos
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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