198011139-2-11-2025-54-CC-FWHE-DDT42G-20250211174307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198011139
Report Date: 02/11/2025
Date Signed: 02/11/2025 05:44:24 PM

Document Has Been Signed on 02/11/2025 05:44 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME:	MATEOS FAMILY CHILD CARE		FACILITY NUMBER:	198011139
ADMINISTRATOR/ DIRECTOR:	MATEOS, LUCILA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 752-3914
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90003
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 6	DATE:	02/11/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Lucila Mateos		TIME VISIT/ INSPECTION COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Franchesca White arrived at the above facility for the purpose of an unannounced Annual inspection. LPA White announced the purpose of the visit and was granted entry into the facility by Licensee Lucila Mateos. There are 16 children enrolled. There were 6 children present at the time of inspection. All adults in the home were discussed and have current criminal background clearance. The hours of operation are 6:00 a.m. to 6:00 p.m.. The Parent Board was observed to have the following posted at the time of inspection: License, Parent's rights, Emergency Disaster Plan, Facility Roster, and the Disaster/Fire Drill Log. The last disaster drill log was conducted on 1/7/2025. This is a single story home which consists of three bedrooms and two bathrooms, kitchen, dining room, living room, back covered patio, and backyard. Areas used by the children include the living room used for napping, one restroom located through hallway in front of living room, kitchen used for eating, back covered patio, and backyard. Per Licensee, areas off limits to children and parents include three bedrooms. Per licensee, off limit areas are locked during operating hours. All areas identified on the facility sketch as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety of the children. LPA observed fans all through out home and windows open. There is a working telephone maintained in the home. All life saving devices were inspected. LPA observed the fire extinguisher to have a service tag dated 2/3/2025. LPA observed the carbon monoxide and smoke detectors to operable at the time of inspection. LPA White observed the living room to be used as one of the napping spaces for children in care. Licensee states that the dining room is used as a sleeping area when there are more children present. Licensee states that the living room area is used for sick children waiting to be picked up by a parent. ......................................................Report Continues 1 of 4 Pages..............................................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MATEOS FAMILY CHILD CARE	FACILITY NUMBER: 198011139
	VISIT DATE: 02/11/2025

NARRATIVE

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LPA observed the kitchen area to be well maintained, counter tops to be free of clutter, and to have operable child safety locks on all cabinets. LPA observed knives and other hazardous items to be kept in cabinet that has operable child safety locks at time of inspection. LPA observed, detergents, cleaning compounds kept in a locked cabinet in kitchen at time of inspection.

LPA observed restroom used by the children to have adequate handwashing supplies available, step stool for children by sink, locks on under bathroom sink, and bathroom floor and counters to be free of hazards at time of inspection. Children will have access to Main Care Area, back covered patio, through a back door in the Kitchen.

LPA observed back covered patio to have carpet on floor, cubbies for children's belongings, child size tables and chairs, cubbies with wooden blocks, puzzles, book shelf, play kitchen, and other age appropriate toys, free of loose and sharp parts. LPA observed electrical cover outlets all through the home. Licensee understands that medications, and other items which can pose a danger to children have to be inaccessible. The Licensee states that there are no poisons in the home. The Licensee does understand that poison must be locked with a key or combination lock.

LPA observed backyard has black soft cushioning material all through out, dome climbing apparatus, and adequate perimeter fencing through-out the yard. LPA observed age appropriate toys such as blocks and plastic play structure free of loose and sharp parts available for the children in the backyard and all trees, shrubs, and plants are maintained. LPA observed handwashing station in backyard. LPA observed small dog kept in front yard of home separated by a gate.

The Licensee has current Pediatric First Aid and CPR. Proof of immunization against influenza, pertussis, and measles was readily available during today’s inspection. The Licensee has also taken the Mandated Reporter Training 7/2024
—CPR Card valid until: 02/2027
—Children records and required licensing forms were discussed as well as mandated child abuse reporting and criminal record clearance requirement.

.......................................................................Report Continues 2 of 4 Pages............................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MATEOS FAMILY CHILD CARE	FACILITY NUMBER: 198011139
	VISIT DATE: 02/11/2025

NARRATIVE

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Per Licensee, there are no weapons, firearms in the home and there are no bodies of water around the premises. LPA observation did not see any bodies of water around the premises. Per licensee, they provide food for children in care.

The following were discussed:
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.

Criminal Record Clearance

Licensee Lucila Mateos was reminded 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. 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/.

Licensee Lucila Mateos 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.

..................................................................Report Continues 3 of 4 Pages..............................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MATEOS FAMILY CHILD CARE	FACILITY NUMBER: 198011139
	VISIT DATE: 02/11/2025

NARRATIVE

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Lucila Mateos confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

Based on Title 22, observations, record review, and interviews there are no deficiencies being cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Lucila Mateos. A copy of the report and Appeal rights were given.

..............................................................................End of Report 4 of 4 Pages..............................................

SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Franchesca White
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025

LIC809 (FAS) - (06/04)

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