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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411817
Report Date: 01/30/2025
Date Signed: 01/30/2025 03:51:01 PM

Document Has Been Signed on 01/30/2025 03:51 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ESTEVA FAMILY CHILD CAREFACILITY NUMBER:
197411817
ADMINISTRATOR/
DIRECTOR:		ESTEVA, ZIBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 548-6729
CITY:RANCHO PALOS VERDESSTATE: CAZIP CODE:
90275
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
01/30/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Ziba Esteva, LicenseeTIME VISIT/
INSPECTION COMPLETED:
03:49 PM
NARRATIVE
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Licensing Program Analyst (LPA) Devon Carus and Licensing Program Manager (LPM) Maureen Neal conducted a case management inspection to amend the deficiency page from the 1/22/2025 inspection. In addition, LPA Carus inspected children's files, and 2 other deficiencies for pool requirements were issued today.

LPA observed LIC 9224 for the recent citation issued on 1/22/2025 on file for 4 of 9 enrolled children. Licensee says she is still waiting on parents to return the forms for the other 5 enrolled children, and will send to LPA Carus's email when those arrive.

LPA and LPM toured facility inside and out, and observed the swimming pool with no 17 inch or larger life preserver ring, no 12 foot rescue pole with body hook, and no safety equipment maintenance log.

LPA reviewed AB 2866 with licensee for update to pool safety requirements. (2 Type B citations were issued) See LIC 809-D .

Exit interview conducted. A copy the report and notice of cite visit were read and provided to the licensee.

SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Devon Carus
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 2
Document Has Been Signed on 01/30/2025 03:51 PM - It Cannot Be Edited


Created By: Devon Carus On 01/28/2025 at 11:44 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ESTEVA FAMILY CHILD CARE
FACILITY NUMBER: 197411817

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
HSC
1596.814(a)(3)

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1596.814 Family daycare home; in-ground swimming pool requirements (a) A licensed family daycare home ...with an in-ground swimming pool...shall comply with... (3) ...a daily inspection of the...safety equipment... maintain a log of the inspections...This requirement is not met as evidenced by:
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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 department upon request.
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Based on observation, the licensee did not comply with the section cited above. Pool does not have a log of inspections which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
02/14/2025
Section Cited
HSC1596.814(a)(2)(A)(B)

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1596.814 Family Day Care home; in- ground swimming pool requirements: (a) A licensed family daycare home operated at a private single family dwelling with an in-ground pool…shall have the following…(A) A life ring…(B) A rescue pole…
This requirement is not met as evidenced by:
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Licensee will provide an approved safety life ring with a minimum diameter of 17 inches and a fixed length pole with body hook that has a minimum length of 12 feet that meets ASTM International Standard F 1346-23 to the department by 2/14/2025.
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Based on observation, the licensee did not comply with the section cited above in 1 of 2. Pool does not have an approved safety life ring with a minimum diameter of 17" and a fixed length pole with body hook that has a minimum length of 12' which poses/posed a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME:Maureen Neal
LICENSING EVALUATOR NAME:Devon Carus
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2025


LIC809 (FAS) - (06/04)
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