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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197414245
Report Date: 06/27/2024
Date Signed: 06/27/2024 12:37:25 PM

Document Has Been Signed on 06/27/2024 12:37 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MANUEL FAMILY CHILD CAREFACILITY NUMBER:
197414245
ADMINISTRATOR/
DIRECTOR:
MANUEL, GIULIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 200-0582
CITY:LAWNDALESTATE: CAZIP CODE:
90260
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
06/27/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:55 AM
MET WITH:Giuliana Manuel, LIcenseeTIME VISIT/
INSPECTION COMPLETED:
12:40 PM
NARRATIVE
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On 6/27/2024, Regional Manager (RM) Sharalyn Jenkins-Sweeten, Licensing Manager (LPM) Maureen Neal and Licensing Program Analyst (LPA) Judy Laureano, conducted an unannounced case management inspection for the purpose of ensuring home is meeting Tittle 22 Regulations and Health and Safety Codes. RM, LPM and LPA met with License Giuliana Manuel and explained the purpose of the visit.

Present during today’s inspection was Licensee and two adults assistants.

LPA Laureano toured the inside and outside of the home. During today’s inspections there were 12 children and 2 adults and licensee providing care and supervision.

Based on documents reviewed and observation, licensee had a total 9 infants present during today's inspection 06/27/2024. Licensee verified dates of birth of all children present today. Licensee was informed that she must come into capacity during the course of this case managment visit.

Per Title 22, Division 12, Chapter 1 regulations, for a Large Family Child Care home, the maximum number of children for whom care may be provided at any one time when there is an assistant in the home is 12 children, no more than 4 of whom may be infants. LPA cited 1 deficiency cited during today’s visit in accordance to the California Code of Regulations Title 22, Division 12, Chapter 1.


Effective January 1, 2009, all licensees must comply with Assembly Bill (AB) 978. Assembly Bill 978 requires the assessment of an immediate civil penalty for designated serious violations at community care facilities. Effective January 1, 2007, the licensee must comply with Assembly Bill 633 as follows: Copies of any licensing report that documents a Type A citation - this includes facility visits and substantiated complaint investigations. Copies of any licensing documents pertaining to a noncompliance conference between licensing management and licensees. Copies of a summary of an accusation indicating the Department’s intent to revoke the facility’s licenses. Copies of any of the above licensing documents the licensee has received in the prior 12 months shall be provided to parents/guardians of newly enrolling children. The licensee shall keep verification of receipt in each child’s file at the facility as proof of compliance (LIC 9224).
SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/27/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MANUEL FAMILY CHILD CARE
FACILITY NUMBER: 197414245
VISIT DATE: 06/27/2024
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Upon on receipt of this report, the Licensee 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 Giuliana Manuel, copy of this report and appeal rights were discussed and left with Licensee, Giuliana Manuel, whose signature on this form confirm receipt of these documents.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/27/2024 12:37 PM - It Cannot Be Edited


Created By: Judy Laureano On 06/27/2024 at 10:59 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: MANUEL FAMILY CHILD CARE

FACILITY NUMBER: 197414245

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/27/2024
Section Cited
CCR
102416.5(d)(1)

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Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either: (1) Twelve children, no more than four of whom may be infants; or
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Temporary Suspension Order issued effective June 27, 2024 close of business day.
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This requirement is not met as evidenced by:based on documents reviewed,observation and licensee interview, licensee had a total 9 infants present during today's inspection, 6/27/2024
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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 06/27/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/27/2024


LIC809 (FAS) - (06/04)
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