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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197418679
Report Date: 09/19/2024
Date Signed: 09/19/2024 04:08:31 PM

Document Has Been Signed on 09/19/2024 04:08 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:ABERGEL FAMILY CHILD CAREFACILITY NUMBER:
197418679
ADMINISTRATOR/
DIRECTOR:		ABERGEL, ANIESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 779-2454
CITY:LOS ANGELESSTATE: CAZIP CODE:
90048
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
09/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Anies Abergel, Licensee TIME VISIT/
INSPECTION COMPLETED:
10:50 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Lilia Hernandez and Dawn Dowling conducted a Plan of Correction (POC) inspection on 09/19/2024. The purpose of the visit was to ensure that the health, safety, personal rights of persons in care are as required by Title 22 Regulations are being met. LPAs arrived at the facility at 8:50AM and met with Anies Abergel, Licensee, who guided LPAs on a tour of the facility. Also present was Assistant #1 and Assistant #2.

Upon arrival, 11 children were present. 1 infant, and 10 preschool age children. Licensee was operation within licensing conditions and limitations.

During the inspection LPAs reviewed children's records to ensure parents were notified of the Type A deficiency issued to the facility on 08/13/2024 regarding Licensee's temporary absence that exceeded 20 percent of the hours that the facility is providing care per day. Type A deficiency was also issued to the facility on 08/13/2024 for Assistant#2 who was not associated to Abergel Family Child Care prior to initial presence in the licensed Family Child Care Home.

LPAs did not observed signed LIC 9224 Acknowledgement of Receipt of Licensing Reports in each child's file. Per Licensee, the LIC 9224 Acknowledgement of Receipt of Licensing Reports were provided to parents, however, Licensee did not keep a copy in each child file.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

A copy of this report, appeal rights, and Notice of Site Visit was provided.
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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: ABERGEL FAMILY CHILD CARE
FACILITY NUMBER: 197418679
VISIT DATE: 09/19/2024
NARRATIVE
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The Notice of Site Visit must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Anies Abergel, Licensee.

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SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/19/2024 04:08 PM - It Cannot Be Edited


Created By: Lilia Hernandez On 09/19/2024 at 01:57 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: ABERGEL FAMILY CHILD CARE
FACILITY NUMBER: 197418679

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/26/2024
Section Cited
HSC
1596.8595(c)(4)

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Posting licensing report by child care facility or home...reports to be provided to parents or guardian of each child receiving services...(4) The licensee shall keep verification of receipt in each child's file.
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Per Licensee, will email copies of completed LIC 9224 Acknowledgement of Receipt of Licensing Reports that were provided to parents to be filed in children's files via email by POC due date.
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This requirement is not met as evidenced by:
Based on interview and records reviewed, the facility did not comply with the section cited above in LPAs did not observed signed LIC 9224 Acknowledgement of Receipt of Licensing Reports in each child's file. Per Licensee, the LIC 9224 Acknowledgement of Receipt of Licensing Reports were provided to parents, however, Licensee did not keep a copy in each child file. which poses 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:Rita Ramos
LICENSING EVALUATOR NAME:Lilia Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024


LIC809 (FAS) - (06/04)
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