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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494218
Report Date: 04/21/2026
Date Signed: 04/21/2026 04:45:01 PM

Document Has Been Signed on 04/21/2026 04:45 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:BENSIMON FAMILY CHILD CAREFACILITY NUMBER:
197494218
ADMINISTRATOR/
DIRECTOR:		BENSIMON, NATHALIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 801-7103
CITY:LOS ANGELESSTATE: CAZIP CODE:
90034
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
04/21/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:NATHALIE BENSIMON, LICENSEETIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On 04/21/2026, Licensing Program Analyst (LPA) Lisa Clayton arrived at the Bensimon Family Child Care home to conduct the Required 3-year inspection. Upon arrival, LPA Clayton was greeted by Licensee Nathalie. LPA Clayton observed 10 children (2 infants and 9 toddlers) being supervised and cared for appropriately by licensee and 1 fingerprint cleared assistant.

Hours of operation are Monday through Friday 8:00 am – 5:30pm. The Family Child Care home provides care to children ages 8 months – 5 years of age. Licensees provides am snack, lunch, pm snacks, water and milk.

Current facility sketch was reviewed, and LPA confirmed that the single-family one-story home consists of: 3 bedrooms, 2 bathrooms, living room, dining room/kitchen, laundry room/back porch, fenced backyard, and attached garage.

The ON LIMIT AREAS are as follows: living room (main day care area), bedroom #1 (napping room), bathroom #1, kitchen (to access the backyard only), laundry room (to access the backyard only) and the fenced backyard. The ISOLATION AREA will be in the main day care activity room.

OFF-LIMIT AREAS are as follows: bedroom #2, bathroom #2, bedroom #3, and the attached garage. All of which are inaccessible to children in care by closed and/or locked doors and visual supervision.

Furniture and equipment in the home are in good condition and free of sharp, loose, or pointed parts. LPA Clayton observed age-appropriate toys, books and furnishings. All areas around and under high climbing equipment, swings, slides and other similar equipment have a surface area that absorbs falls. LPA Clayton observed a swing set in the backyard that needs to be secured to the ground to prevent injury to children in care. Licensee acknowledged understanding.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2026
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 5
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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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: BENSIMON FAMILY CHILD CARE
FACILITY NUMBER: 197494218
VISIT DATE: 04/21/2026
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LPA Clayton observed that all detergents, cleaning compounds, medication, poisons and other hazardous items are inaccessible to children in care.

LPA Clayton observed a 3A:10BC Fire extinguisher, and a working carbon monoxide/smoke detector combo in the main day care room. LPA Clayton observed an up-to-date log where licensee is documenting disaster drills per Title 22 regulations.

Licensees and staff have Mandated Reporter training that expires in March 2027. Licensees and her staffs CPR/First Aid certifications expire in March 2027. LPA Clayton advised Licensee Nathalie to update her CPR/First Aid with either the American Heart Association or Red Cross.

LPA Clayton reviewed 5 children’s files and observed them to be in compliance with Title 22 regulations for family childcare homes. LPA Clayton reminded Licensee to review the Blue immunization cards (California School Immunization Record (CDPH 286) to ensure they are up to date.

LPA Clayton reviewed sleep logs for infants and provided Licensee with a sample Sleep log where she can document the full date and sleeping position of infants in care. LPA Clayton reminded licensee to check the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and­ resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: BENSIMON FAMILY CHILD CARE
FACILITY NUMBER: 197494218
VISIT DATE: 04/21/2026
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Incidental Medical Services (IMS) policy was discussed, and IMS Services are currently being provided. LPA Clayton provided Licensee with an IMS Plan sample, the Parent Consent for Administration of Medications and Medication Chart (LIC 9221) and Centrally Stored Medication and Destruction Record (LIC 622) and instructed her to complete the forms as needed and to keep copies as follows:
· keep a copy with the medication,
· keep a copy in the child’s file
· and forward a copy to the Department via USPS.

For IMS information see PIN 22- 02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

LPA Clayton reminded Licensee that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: BENSIMON FAMILY CHILD CARE
FACILITY NUMBER: 197494218
VISIT DATE: 04/21/2026
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During the exit interview, Licensee Nathalie confirmed that there are no Registered Sex Offenders living in the facility and LPA Clayton completed the RSO profile in FAS.

Licensee Nathalie stated that she will have the swing set anchored to the ground no later than Friday May 1, 2026. If she is unable to anchor the set to the ground, she will remove it from the yard. Licensee acknowledges that until the swing set is anchored to the ground, it is to remain off-limits to children in care. LPA Clayton observed licensee remove the swings from the set, making it inaccessible to children in care.

Per Title 22 Regulations and Health and Safety Codes, no Deficiencies were cited, no Technical Violations were issued today.



Exit interview was conducted, this report was reviewed and provided to Licensee Nathalie. LPA Clayton posted a Notice of Site visit which is to remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Karren Starks
NAME OF LICENSING PROGRAM ANALYST: Lisa Clayton
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC809 (FAS) - (06/04)
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