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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411817
Report Date: 01/22/2025
Date Signed: 01/30/2025 03:05:16 PM

Document Has Been Signed on 01/30/2025 03:05 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: 14CENSUS: 10DATE:
01/22/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:35 PM
MET WITH:Ziba Esteva, LicenseeTIME VISIT/
INSPECTION COMPLETED:
05:10 PM
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This report was amended to add a health and safety standard regarding the pool alarm that was not previously listed.

On January 22, 2025, @ 3:35 PM, Licensing Program Analyst (LPA) Devon Carus, conducted an unannounced Case Management Inspection and was met by licensee, Ziba Esteva. Currently, the above daycare has 14 children enrolled. LPA toured the home inside and outside and a census was taken. At the time of the visit, there were 10 children present. Current facility sketch reviewed, and Licensee confirmed that the kitchen is off limits and made inaccessible via child safety locks. This One-story home was inspected as follows: Day care bedrooms #1 and #2, kitchen, back yard area, and one bathroom. All poisons are kept under the kitchen sink and in the laundry room which is inaccessible to children in care. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. Medication is kept in a first aid kit in near the kitchen sink out of reach of children. There is a working fire extinguisher (2A-10BC), smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Safe toys and play equipment are observed. LPA confirmed the available cell phone number is 3105486729. The indoor play area is in the living room, and bedrooms #1 and #2. The children reside here while in care. There are locked doors, keeping the children in the day care area. The Daycare is open from 7:30am-6:00pm Mo-Fri. Daycare has mats for resting/ sleeping. Capacity as specified on the license is being maintained. LPA observed an in ground pool with a 5 foot safety gate. Licensee’s pediatric CPR/First Aid expires on 5/1/2025. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis, measles, and Tuberculosis.

LPA observed a 5 foot fence around the pool, but did not observe a swimming pool cover or alarm. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area.

LPA reviewed AB 2866 with licensee for update to pool safety requirements. (1 Type B citation was issued) See LIC 809-D .

Exit interview conducted and report was reviewed with the licensee, Ziba Esteva.


Notice of site visit was provided.
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)
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Document Has Been Signed on 01/30/2025 03:06 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 01/28/2025 10:19 AM


Created By: Devon Carus On 01/22/2025 at 04:30 PM
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
EL SEGUNDO CC RO, 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: 01/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/14/2025
Section Cited
HSC
1596.814(a)(1)(B)

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1596.814 Family Day Care home; in- ground swimming pool requirements: (a) A...family daycare... with an in-ground pool...shall comply with…at least one of the following: (i) (I) An approved safety pool cover… (I) An alarm… This requirement is not met as evidenced by:
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Licensee will provide an approved safety cover that meets ASTM International Standard 1346-23 or a pool alarm that meets ASTM International Standard F2208 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 cover or alarm 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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