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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197494582
Report Date: 10/27/2022
Date Signed: 10/27/2022 01:13:56 PM

Document Has Been Signed on 10/27/2022 01:13 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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:AMZALEG FAMILY CHILD CAREFACILITY NUMBER:
197494582
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 16DATE:
10/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Moran AmzalegTIME COMPLETED:
01:20 PM
NARRATIVE
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On 10/27/2022 Licensing Program Analyst arrived at 9225 Alcott Street, Los Angeles, CA 90035 for the purpose of a case management visit to deliver an amended report of the case management visit conducted on 9/19/2022 . LPA was greeted by Licensee Moran Amzaleg.

LPA observed 16 children with an assistant and licensee present. Licensee confirmed she was over capacity and will be calling parents to pick up additional children to ensure she is in compliance.

At 12:15 p.m. Licensee stated that parents are scheduled to pick up children at between 12:00 p.m- 12:30 p.m., by 12:47 p.m. all children were picked up and LPA observed 6 children napping.

LPA issued a Type A citation and a Notice of Site Visit was issued and a copy of this report was given to licensee.

SUPERVISORS NAME: Claudia Escobedo
LICENSING EVALUATOR NAME: Judy Laureano
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2022
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 2
Document Has Been Signed on 10/27/2022 01:13 PM - It Cannot Be Edited


Created By: Judy Laureano On 10/27/2022 at 12:13 PM
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: AMZALEG FAMILY CHILD CARE
FACILITY NUMBER: 197494582

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/27/2022
Section Cited
HSC
1597.44(a)

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1597.44 Small family day care homes; number of children
A small family day care home may provide care for more than six and up to eight children, without an additional adult attendant, if all of the following conditions are met:
(a) At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.
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Licensee was instructed to contact parents and arrange child pick-up. (10) children were picked up during the course of the inspection. Licensee will sign a declaration (LIC855) agreeing to maintianing license capacity and submit to LPA by 11/4/2022.
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This requirement is not met as evidence by:
Based on interview and observation, LPA observed 16 children with 2 adults, which poses an immediate Health, Safety, or Personal Rights to the children in care.
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Licensee also agreed to review
https://ccld.childcarevideos.org/family-child-care-providers/how-many-children-can-attend-a-family-child-care-home/ and submit a statement to LPA that information was reviewed with staff by 11/4/2022.

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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:Claudia Escobedo
LICENSING EVALUATOR NAME:Judy Laureano
LICENSING EVALUATOR SIGNATURE:
DATE: 10/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/27/2022


LIC809 (FAS) - (06/04)
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