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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495542
Report Date: 04/04/2025
Date Signed: 04/04/2025 08:15:29 PM

Document Has Been Signed on 04/04/2025 08:15 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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:JALTSAN FAMILY CHILD CAREFACILITY NUMBER:
197495542
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
04/04/2025
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Licensee- Tungalagtuyan JaltsanTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 4/04/2025 Licensing Program Analysts (LPA) Brittany Lovest and Cristina Castellanos conducted an announced inspection for the purpose of an increase of capacity for above mentioned home. The purpose of this inspection is to ensure the standards for a Family Child Care Home are being met in accordance with California Tittle 22 Regulations and California Health and Safety Codes. LPAs met with Licensee. Present during today’s inspection was Licensee, two fingerprint cleared adults and 6 children.

On 2/03/2025 Licensing Program Analysts (LPA) Judy Laureano and Brittany Lovest conducted an announced Pre-licensing Inspection for a Small Family Child Care Home with Tungalagtuya Jaltsan. Facility was licensed effective date 02/14/2025.

Licensee is applying for a Large Family Child Care License with a max capacity of 14. Licensee provided proof of control of property. Fire clearance was granted on 3/5/2025 by Inspector Lawrence Kim. Per the application, at this time, the ages the Licensee wishes to provide services for are children 1 years old to 6 years old Monday-Friday with the hours of 8:30 a.m. to 5:30 p.m. Licensee was informed that any changes to ages, hours and days of operation shall be submitted via LIC 279 to the department for approval prior to initiation of changes.

The dwelling is a 3 bedroom, two bathroom home with a living room, dining room, kitchen, laundry room and back yard. LPAs observed a detached garage. Licensee confirmed that children will not be using the front area of the home. Living in the home is Licensee with three minor children.

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO CC RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: JALTSAN FAMILY CHILD CARE
FACILITY NUMBER: 197495542
VISIT DATE: 04/04/2025
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Parents will access the home through the main entrance. Entering the home, you are led to a small hallway where LPAs observed two parent boards with all the necessary posting. A first Aid kit was observed in the hallway next to the living room. Next to the hallway, LPAs observed a living room area with a variety of children’s materials. A barricaded fire place was observed. Children’s size storage shelves were observed with a variety of children’s books, children’s toys and manipulative. A mounted television set was observed in the space.

A small area with a crib was observed next to the living room area. Licensee confirmed infants will be sleeping in the space if necessary.

Across the living room space, the dining room and kitchen area were observed. Dining room area was observed with two children size tables and chairs . Licensee confirmed children will eat in the dining room area. The kitchen was observed next to the dining room area. A safety gate was observed making the kitchen inaccessible to the children in care.

Next to the kitchen, a door was observed that leads to the laundry room. Laundry room has been designated as OFF LIMITS. LPAs observed a safety doorknob cover.

Bedroom 1, designated as day care space is located next to the kitchen. LPAs observed and inspected the space where 6 children were napping on cots.

The bathroom that children will use is located at the end of the hallway. LPAs observed the tub, shower, toilet and sink area. Shower door was observed with a safety latch making the toiletries inaccessible to the children in care.

A safety gate was observed at the end of the hallway making bedroom 2, bedroom 3 and bathroom 2 inaccessible to the children in care. LPAs reminded Licensee that all areas designated as OFF LIMITS to the children in care need to remain close and safety gate needs to remain locked during the hours of operations and/or while children are present.

Per Licensee there are no firearms or ammunition on the premises. No pools or bodies of water were observed on the premises. All electrical outlets in the home were observed covered. Working Fire extinguisher was observed in the dining room area. Pull fire alarm system was observed in the kitchen.

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
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 RO, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: JALTSAN FAMILY CHILD CARE
FACILITY NUMBER: 197495542
VISIT DATE: 04/04/2025
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Children will access the backyard through back door near the living room area. The outdoor area was observed and inspected. The back yard was observed to have a top deck with artificial turf. The top of the stair was observed with a safety gate and Licensee confirmed that children will play in the deck area as well as the backyard. The back yard was observed with a variety outdoor equipment. The area is enclosed with a wooden small gate ensuring the play area is contained.

A detached garage was observed in the space. Licensee confirmed garage is OFF LIMITS to the children in care and doors will remain locked during the hours of operations.

LPAs confirmed that following areas are OFF LIMITS:

Bedroom 2, bedroom 3 and bathroom 2- door will remain locked during the hours of operations and safety gate will remain on while children are present.

Kitchen area- safety gate was observed making the area inaccessible to the children in care.

Laundry room area- safety knob cover was observed and door will remain locked/closed during the hours of operations.

Detached garage- door will remain locked/closed during the hours of operations or while children are present.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

Based on LPA Lovest and LPA Castellanos observation and inspection, no corrections are needed.

Exit interview was conducted with Tungalagtuya Jaltson. The licensing increase of capacity determination of this application will be reviewed with Licensing Program Manager for final resolution.

Upon receipt of this report, the Licensee shall post the Notice of Site Visit. The Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required, will result in an immediate $100 civil penalty.

NAME OF LICENSING PROGRAM MANAGER: Claudia Escobedo
NAME OF LICENSING PROGRAM ANALYST: Brittany Lovest
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2025
LIC809 (FAS) - (06/04)
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