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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414190
Report Date: 10/16/2025
Date Signed: 10/16/2025 11:26:10 AM

Document Has Been Signed on 10/16/2025 11:26 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:NORTH TORRANCE INFANT CARE CENTERFACILITY NUMBER:
197414190
ADMINISTRATOR/
DIRECTOR:		SANDY MORALESFACILITY TYPE:
830
ADDRESS:2806 W. 182ND STREETTELEPHONE:
(310) 323-6995
CITY:TORRANCESTATE: CAZIP CODE:
90504
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 19DATE:
10/16/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:BIBIANA SAN MIGUEL, ADMINISTRATORTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
NARRATIVE
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On 10/16/2025 Licensing Program Analyst (LPA) Lisa Clayton arrived unannounced at the North Torrance Infant Center to conduct a Case Management – Incident inspection, to issue citations in relation to an Unusual Incident that occurred on 07/14/2025 and was reported to the Department via telephone on 07/16/2025. Since reporting of the incident the department has received additional information.

LPA Clayton was greeted by Director Sandy Morales. Administrator Bibiana San Miguel arrived shortly after. LPA Clayton observed 12 infants being supervised and cared for appropriately by 7 fingerprint cleared staff.

On 07/17/2025 Licensing Program Analyst (LPA) Lisa Clayton conducted an unannounced visit to the CCC to conduct a Case Management – Incident inspection. LPA Clayton interviewed staff and observed the child mentioned in the Unusual Incident. LPA Clayton toured the infant room, took photos of the injury and of the area where the injury occurred. LPA Clayton obtained a facility roster and other documents pertinent to the incident and inspection.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: NORTH TORRANCE INFANT CARE CENTER
FACILITY NUMBER: 197414190
VISIT DATE: 10/16/2025
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On 7/14/2025 a child in care sustained a serious burn to the calf/leg. Staff #1 was holding an infant when staff walked over to a child restricted area to remove a baby bottle from a hot crock pot. The infant's leg touched the hot crock pot causing the infant to sustain a 2nd-degree burn. An investigation revealed that staff are not to have infants near or around where food/bottles are being prepared. This type of care is considered neglectful which resulted in an injury to the infant’s leg. In addition, facility staff applied Aquaphor ointment and this type of ointment is not for initial burns which caused the infant's skin to peel off. On today’s visit the facility will be cited a type A violation for Personal Rights as this constitutes an unsafe environment for infants in care. The facility will be assessed a $500.00 civil penalty for a serious injury to a child in care. All facilities are required to report unusual incidents immediately or by the next business day. The administrator reported the incident to CDSS two days after the infant sustained the injury to the leg. This is a type B violation.

Upon receipt of this report, the Director/Administrator/Licensee shall post the Notice of Site Visit (LIC 9213) and any Licensing report documenting a type “A” deficiency. The report and 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. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled children for the next 12 months (1 year). The Acknowledgement of Receipt (LIC 9224) form must be maintained in each child’s file immediately upon receipt from parents. Director/Administrator/Licensee was provided with a copy of the Acknowledgement of Receipt of Licensing Reports (LIC 9224).

Exit interview was conducted and a copy of the report was read & provided to Administrator Bibiana. Appeal rights were reviewed and provided.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/16/2025 11:26 AM - It Cannot Be Edited


Created By: Lisa Clayton On 10/16/2025 at 10:33 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: NORTH TORRANCE INFANT CARE CENTER
FACILITY NUMBER: 197414190

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2025
Section Cited
CCR
101223(a)(2

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101223 (a)(2) Personal Rights (a) The Licensee shall ensure that each child is accorded the following personal rights:(1) To be accorded dignity in his/her personal relationships with staff and other persons. (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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A non-compliance conference will be held with Director/Administrator/Licensee ASAP. Director/Administrator/Licensee will hold an all staff meeting & view personal rights videos, discuss the importance of level of care, and submit a written action plan on their understanding of the above mentioned.
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This was not met as evidenced by: A staff carried an infant to a child restricted area to retrieve a baby bottle from a hot crock-pot when the infant’s leg touched the crock-pot and sustained a 2nd degree burn to the leg. Staff applied ointment not intended for initial burns to the infant’s leg. This is an immediate health and safety risk to children in care and a type “A” violation
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Director is to provide signatures/names of each staff members attendance. The videos can be viewed at https://ccld.childcarevideos.org The correction is to be submitted to the Department no later than October 27, 2025 via email to LPA Clayton & LPM Neal at lisa.clayton@dss.ca.gov & maureen.neal@dss.ca.gov

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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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/16/2025 11:26 AM - It Cannot Be Edited


Created By: Lisa Clayton On 10/16/2025 at 10:46 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: NORTH TORRANCE INFANT CARE CENTER
FACILITY NUMBER: 197414190

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2025
Section Cited
CCR
101212(d)(1)(C)

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101212 (d) (1) (C) Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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A non-compliance conference will be held with Director/Administrator/Licensee ASAP.
Director and staff to watch the Child Care Reporting Requirements video at ccld.childcarevideos.org. Director/Administrator/Licensee will submit a written action plan of their understanding of level of care & the importance of contacting CDSS in a timely manner & then following up with the LIC 624 form.
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This requirement was not met as evidenced by: On 7/14/2025 A infant sustained a serious burn while in care. The incident was not reported until 7/16/2025. This is a type “B” violation and health & safety risk to children in care.
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. Director and Administrator are to provide an individual written declaration of understanding of the Reporting Requirements. The correction is to be submitted to the Department no later than October 26, 2025 via email to LPA Clayton & LPM Neal at lisa.clayton@dss.ca.gov & maureen.neal@dss.ca.gov

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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.
Karren Starks
NAME OF LICENSING PROGRAM MANAGER:
Lisa Clayton
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/16/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2025


LIC809 (FAS) - (06/04)
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