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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494257
Report Date: 12/18/2024
Date Signed: 12/18/2024 11:49:24 AM

Document Has Been Signed on 12/18/2024 11:49 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:FARIAS FAMILY HOMEFACILITY NUMBER:
197494257
ADMINISTRATOR/
DIRECTOR:		CONSUELO FARIASFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 244-7238
CITY:LOS ANGELESSTATE: CAZIP CODE:
90016
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
12/18/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:10 AM
MET WITH:CONSUELO FARIAS, LICENSEETIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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On 12/18/2024 at 10:10am, Licensing Program Analyst (LPA), Loyce Phillips arrived to the facility to conduct a Plan of Correction visit and was met by Licensee, Consuelo Farias. LPA observed 9 children in the front room with 2 assistants and 3 infants in the backroom with 1 assistant. All adults have criminal record clearance.

On 12/03/2024, Licensee was cited for the following:
1. Health and Safety Code- Mandated Reporter Training - 3 employees did not have updated Mandated Reporter Training Certificates on file.
2. Immunization's - 5 Children did not have current immunization's in their files.

During today's visit LPA observed the following:


1. Health and Safety Code-Mandated Reporter Training - LPA observed all staff files updated with Mandated Reporter Training Certificates.
2. Immunization's - LPA observed 14 children's file with immunization records.

LPA also observed LIC 9224 Acknowledgement of Receipt of Licensing Reports in 14 children files.



Citations issued on 12/03/2024 has been cleared.

An exit interview was conducted. A copy of this report, notice of site visit, deficiencies clearance letter was discussed and provided to Licensee, Consuelo Farias.
SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Loyce Phillips
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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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