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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416362
Report Date: 08/13/2024
Date Signed: 08/13/2024 10:48:49 AM

Document Has Been Signed on 08/13/2024 10:48 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:MENDOZA FAMILY CHILD CAREFACILITY NUMBER:
197416362
ADMINISTRATOR/
DIRECTOR:		MENDOZA, ELENAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 387-6751
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 7DATE:
08/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:ELENA MENDOZA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
10:50 AM
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On 8/13/2024 Licensing Program Analyst (LPA) Loyce Phillips conducted an unannounced case management-other visit. Upon arrival LPA met with Licensee, Elena Mendoza. Also present during inspection was Licensee's assistant and mother. All adults have a criminal record clearance on file. LPA observed 7 children in care. LPA is conducting a case management visit to ensure the Health, Safety, and Personal Rights as required by Title 22 Regulations governing California Child Care Homes are met by Licensee and to ensure the garage area is not use for sleeping.

- The home has 3 bedrooms 2 1/2 bathrooms, kitchen, living room, dining room, side yard, backyard and attached garage.


- The children will nap and eat in room #3.
- The children use the 1/2 bathroom, located next to room #3.
- The garage is use for daily activities only.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies are cited.

An exit interview was conducted, a copy of this report was read and provided to Licensee. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 08/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2024
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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