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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493475
Report Date: 09/14/2026
Date Signed: 09/14/2026 11:03:49 AM

Document Has Been Signed on 09/14/2026 11:03 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:CALERO FAMILY CHILD CAREFACILITY NUMBER:
197493475
ADMINISTRATOR/
DIRECTOR:
CALERO, LESLIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 462-3991
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY: 12TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
09/14/2026
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:28 AM
MET WITH:Licensee Leslie Calero TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
NARRATIVE
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On 9/14/26, at 8:28am, Licensing Program Analyst (LPA) Jeanine Lipsey conducted an unannounced Case Management Visit. Upon arrival, LPA disclosed the purpose of the inspection and met with Licensee Leslie Calero who guided the LPA on a tour of the facility. There were 4 children present being supervised by licensee.  During the Required - 3 Year inspection conducted on 8/3/26, the following deficiencies were issued:

There was no carbon monoxide present. LPA observed the carbon monoxide detector and was able to hear a successful test. This was Corrected.
Need toiletries, lotion, shampoo, deodorant remove from the children's restroom, Need locks on the off limit bedrooms. Licensee installed child proof locks on the doors and on the bathroom cabinet. This was corrected.
The fire extinguisher has not been serviced. The licensee did not correct due to ill family member.

The disaster drills were not be conducted or documented. The licensee documented that they had a disaster drill on 9/4/26. This was Corrected.
Licensee and staff do not have record of Mandated Reporter Training. Training is not complete. This was
not corrected.
Licensee and staff do not have record of required immunizations. Licensee did not provide record of immunizations.


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Betty Bell
Jeanine Lipsey
DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2026
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.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 09/14/2026 11:03 AM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/14/2026 at 09:36 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: CALERO FAMILY CHILD CARE

FACILITY NUMBER: 197493475

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2026
Section Cited
CCR
102417(g)(1)

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Physical Plant
g) The home shall be free from defects or conditions which might endanger a child.. The home shall contain a fire extinguisher...
This requirement is not met as evidence by:
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Licensee will purchase a new one or get it serviced by the POC dtae.
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Based on observation, the licensee did not comply with the section cited above in that the fire extiguisher does not have record of service which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
09/28/2026
Section Cited
CCR102416(c)

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Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid...
This requirement is not met as evidenced by:
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Licensee will provide proof of CPR traning by the proof of correction date.
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This requirement is not met as evidenced by:
Based on record review, the licensee did not comply with the section cited above in that Licensee does not have record of training which poses/posed 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.
Betty Bell
NAME OF LICENSING PROGRAM MANAGER:
Jeanine Lipsey
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/14/2026 11:03 AM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/14/2026 at 09:48 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: CALERO FAMILY CHILD CARE

FACILITY NUMBER: 197493475

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/21/2026
Section Cited
CCR
1596.8662(b)(1)

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Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training
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Licensee will have mandated reporter training completed by the proof of correction date.
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This requirement is not met as evidenced by:
Based on record review, Licensee and staff do not have record of training which poses/posed a potential health, safety or personal rights risk to persons in care.
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Type B
09/21/2026
Section Cited
CCR1597.622(c)

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Administration of Child Day Care Licensing(c) The family day care home shall maintain documentation of the required immunizations... in the person's personnel record that is maintained by the family day care home.
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Licensee will provide proof of TB, Tdap, measles, and flu/declination by the proof of correction date.
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This requirement is not met as evidenced by:Based on record review Licensee and staff do not have record of required immunizations which poses/posed 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.
Betty Bell
NAME OF LICENSING PROGRAM MANAGER:
Jeanine Lipsey
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/14/2026 11:03 AM - It Cannot Be Edited


Created By: Jeanine Lipsey On 09/14/2026 at 09:58 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: CALERO FAMILY CHILD CARE

FACILITY NUMBER: 197493475

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)

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Type B
09/21/2026
Section Cited
CCR102425(c)

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Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility.

This requirement is not met as evidenced by:
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Licensee will provide proof of documentation by the proof of correction date.
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Based on record review, the Infant sleeping plan and 15 sleep check not being documented for 2 infants which poses/posed 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.
Betty Bell
NAME OF LICENSING PROGRAM MANAGER:
Jeanine Lipsey
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2026


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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CALERO FAMILY CHILD CARE
FACILITY NUMBER: 197493475
VISIT DATE: 09/14/2026
NARRATIVE
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Licensee does not have record of Pediatric CPR training. Licensee did not complete training. This was not corrected. Licensee was advised the Pediatric CPR in person training has to be taken at a EMSA approved facility, The American Red Cross or the American Heart Association.
Infant sleeping plan and 15 sleep check not being documented. Licensee stated they were being done but not documenting. This was not corrected.
4 of 5 children's records reviewed were missing immunizations. LPA was able to observe all five childrens immunizations. This was
corrected.

Due to citations not being corrected, the home will be recited 5 Type B's citations. Licensee was informed that if not corrected by the proof of correction date, civil penalties up to $1000 will be accessed.





Exit interview conducted and report was reviewed with the Licensee Leslie Calero. A notice of site visit was given and advised Licensee that it must remain posted for 30 days.

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NAME OF LICENSING PROGRAM MANAGER: Betty Bell
NAME OF LICENSING PROGRAM ANALYST: Jeanine Lipsey
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC809 (FAS) - (06/04)
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