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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197420038
Report Date: 08/29/2024
Date Signed: 08/29/2024 10:29:13 AM

Document Has Been Signed on 08/29/2024 10:29 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MATHEU FAMILY CHILD CAREFACILITY NUMBER:
197420038
ADMINISTRATOR/
DIRECTOR:		MATHEU, SHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 424-7001
CITY:LOS ANGELESSTATE: CAZIP CODE:
90046
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
08/29/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Sheryl Matheu, Licensee TIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analysts (LPAs) Lilia Hernandez and Roberto Luque Avila conducted a Plan of Correction (POC) inspection on 08/29/2024. The purpose of the visit was to ensure that the health, safety, personal rights, licensing conditions and limitations are as required by Title 22 Regulations. LPAs arrived at the facility at 8:45AM and met with Sheryl Matheu, Licensee, who guided LPAs on a tour of the facility. Also present was Assistant #1.

Facility is licensed for a capacity of 14 children.

Upon arrival, 12 children were present. 1 infant, 10 preschool age children and 1 school age child.

During the inspection LPAs reviewed children records to ensure parents were notified of the Type A deficiency issued to the facility on 08/26/2024 regarding over-capacity and over ratio. LPAs observed signed LIC 9224 Acknowledgement of Receipt of Licensing Reports in each child's file.

There were no deficiencies cited during today's inspection.

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 licensee Sheryl Matheu.
SUPERVISORS NAME: Rita Ramos
LICENSING EVALUATOR NAME: Lilia Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2024
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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