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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493995
Report Date: 10/30/2024
Date Signed: 10/30/2024 12:09:02 PM

Document Has Been Signed on 10/30/2024 12:09 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:OCAMPO & PANDIANI FAMILY CHILD CAREFACILITY NUMBER:
197493995
ADMINISTRATOR/
DIRECTOR:		OCAMPO, A & PANDIANI, DFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 349-9075
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 9DATE:
10/30/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:AIME OCAMPO, LICENSEETIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 10/30/2024 Licensing Program Analyst (LPA) Lisa Clayton arrived at the FCCH unannounced. LPA Clayton was greeted by Licensee Aime Ocampo. LPA Clayton observed 9 children in care, being supervised appropriately by 3 fingerprint cleared staff.

LPA Clayton toured the facility outside and inside for a Health and Safety inspection and received a copy of the Child Care Facility roster.

During the inspection LPA Clayton observed 4 infants ages 9 months – 1 year sleeping in the nap room with the door closed. LPA Clayton reminded Licensee of the Safe Sleep regulation which states that the door to the room where infants are sleeping shall remain open at all times and the provider is to have the ability to observe the infant without moving the door.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations for Infant Safe Sleep 102425 (5) (A), deficiencies are being cited (see LIC 809D).

Licensee will provide parents of currently enrolled children and parents of children enrolled over the next 12 months copies of the Licensing Report containing the Type A violation and maintain a signed LIC 9224 the above-mentioned children’s files.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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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Document Has Been Signed on 10/30/2024 12:09 PM - It Cannot Be Edited


Created By: Lisa Clayton On 10/30/2024 at 11:36 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: OCAMPO & PANDIANI FAMILY CHILD CARE
FACILITY NUMBER: 197493995

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/30/2024
Section Cited
CCR
102425(5)(A)

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Infant Safe Sleep (5) If the infant is sleeping in a separate room from where the provider is stationed, the door to the room the infant is sleeping in shall remain open at all times. (A) The provider shall be able to visually observe the infant without moving the door.
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Licensee will ensure that the nap room door remains open so that she and her staff can see the children without moving the door. LPA Clayton provided a copy of the Safe Sleep regulation for licensee review and reference.
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This requirement was not met by LPA Claytons observation of 4 infants ages 9 months – 1 year sleeping in the nap room with the door closed, which poses an immediate Health and Safety risk to children in care.
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Licensee will provide parents of currently enrolled children and parents of children enrolled over the next 12 months copies of the Licensing Report containing the Type A violation and maintain a signed LIC 9224 the above mentioned children’s files.

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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:Karren Starks
LICENSING EVALUATOR NAME:Lisa Clayton
LICENSING EVALUATOR SIGNATURE:
DATE: 10/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/30/2024


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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: OCAMPO & PANDIANI FAMILY CHILD CARE
FACILITY NUMBER: 197493995
VISIT DATE: 10/30/2024
NARRATIVE
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Exit interview was conducted and the report and Appeal Rights were reviewed. A copy of the report and Appeal Rights were provided to Licensee Aime.

LPA Clayton posted the Notice of Site visit which must remain posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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