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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 195700335
Report Date: 12/15/2025
Date Signed: 12/15/2025 08:07:03 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2025 and conducted by Evaluator Judy Laureano
COMPLAINT CONTROL NUMBER: 58-CC-20251211214756
FACILITY NAME:LIMA FAMILY CHILD CAREFACILITY NUMBER:
195700335
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
12/15/2025
UNANNOUNCEDTIME BEGAN:
08:59 AM
MET WITH:Derick Lima TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Personal Rights: Licensee leaves infants unattended in their crib for an extended period of time.
INVESTIGATION FINDINGS:
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On 12/15/2025 Licensing Program Analyst (LPA) Judy Laureano arrived at above mentioned facility for the purpose investigating the above mention allegation. LPA contacted Licensee via telephone who stated that he was a few minutes away. License confirmed that assistant was with the children and unable to open the door. LPA was greeted by Licensee and discussed the purpose of the visit.

LPA toured the facility and observed 2 children in cribs in a room with a clear sliding door and 4 children playing in the adjacent space. C1 was observed awake and left awake for approximately 36 minutes. LPA requested for C1 to be removed from the crib and place back in the crib only when C1 is ready for nap.

Based on LPA’s observation, interview and review of sleep log that documents child “awake” the above mentioned allegation of licensee leaves infants unattended in their crib for an extended period of time is substantiated. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 58-CC-20251211214756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: LIMA FAMILY CHILD CARE
FACILITY NUMBER: 195700335
VISIT DATE: 12/15/2025
NARRATIVE
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LPA Laureano informed facility representative Derick Lima that this report dated 12/15/2025 documents 1 Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPA Judy Laureano informed facility representative to provide a copy of this licensing report dated 12/15/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Upon on receipt of this report, the facility director shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

An exit interview was conducted, and report was reviewed with Licensee Derick Lima. Copy of this report with copy of Appeal Rights were provided and left with Licensee, whose signature on this form confirm receipt of these documents.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 58-CC-20251211214756
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: LIMA FAMILY CHILD CARE
FACILITY NUMBER: 195700335
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/15/2025
Section Cited
CCR
102423(a)(2)
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102423 Personal Rights (a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following:
(2) To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.

This requirement is not met as evidence by:
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Licensee agrees to submit a statement of understanding of not leaving children awake in their cribs unattended. Licensee with submit a plan of what will take place when an infant is not ready for nap.
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LPA Laureano observed C1 awake and left awake for approximately 36 minutes in the crib. LPA requested for C1 to be removed from the crib and place back in the crib only when C1 is ready for nap.
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Documents will be submitted to LPA via eamil by 12/15/2025.
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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.
SUPERVISORS NAME: Loyce Phillips
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 12/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2025
LIC9099 (FAS) - (06/04)
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