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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 195700150
Report Date: 03/27/2024
Date Signed: 03/27/2024 12:28:14 PM

Document Has Been Signed on 03/27/2024 12:28 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:FLORES FAMILY CHILDCAREFACILITY NUMBER:
195700150
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
03/27/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:NANCY FLORESTIME COMPLETED:
12:20 PM
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On 3/27/2024, Licensing Program Analyst (LPA) Suzette Ornelas conducted and announced Capacity Increase Inspection at the address mentioned above. LPA met with licensee, Nancy Flores who will serve children ages 0-12 years old, Monday through Friday 6am-7pm. Fire Clearance STD 850 was GRANTED on 3/19/2024.

LPA Ornelas completed a tour of the home inside and outside. Home is found to be in substantial compliance. The main day care area is located in the living room which consists of an open space with an attached dining room. This space will be used for child care activities and napping. Upon entering the home, to the left hallway, there is a bathroom which is on limits to children in care as well as Bedroom 1 which is on limits to children in care. The outdoor play area is on limits to children in care and will be used when children play outdoors. The facility is spacious enough to fit 14 children. There are substantial toys and equipment for the increase in children. Carbon Monoxide/smoke detector located in the kitchen is in operable condition. All other rooms are off limits to children in care and made inaccessible by closed doors.

The licensee will increase capacity for 14 children and a flyer was given to show how many children and their ages can be admitted to care. The family child care home and the Family Child Care Home Entrance Checklist, to ensure files are maintained up to date. LPA reminded licensee to ensure the fire extinguisher is serviced yearly and has either purchase receipt or service tag readily available.

A copy of this report along with a Notice of Site Visit was given to the licensee, Nancy Flores. LPA will recommend facility is ready for license to LPM.
SUPERVISORS NAME: Betty Bell
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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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