198012613-7-17-2026-33-CC-MRUZ-DW3UT2-20260717155114

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198012613
Report Date: 07/17/2026
Date Signed: 07/17/2026 03:58:47 PM

Document Has Been Signed on 07/17/2026 03:58 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME:	VILLARREAL FAMILY CHILD CARE		FACILITY NUMBER:	198012613
ADMINISTRATOR/ DIRECTOR:	VILLARREAL, ELODIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(323) 265-2494
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90022
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 6	CENSUS: 4	DATE:	07/17/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:45 AM
MET WITH:	Licensee, Elodia Villareal		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

NARRATIVE

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On July 17, 2026, Licensing Program Analyst (LPA) Monica Ruiz conducted an unannounced Annual/Random inspection at the above facility. Upon arrival LPA was greeted by Licensee who guided LPA on a tour of the facility. Also present were Assistants 1 and 2, and 2 grandchildren who do not count toward ratio, names were recorded, see LIC 811. LPA observed 4 children in care. License states there are 6 children enrolled. Hours of operation are Monday through Friday, 5:30AM to 6:30PM. Licensee provides overnight care when requested by families.

This is a single-story house with 4 bedrooms and 4 bathrooms, laundry area with chemicals and cleaning compounds inaccessible to children in care, living room, playroom (located near living room) family room, dining room, kitchen and complete fenced in front yard.

The day care takes place in living room, play room, bathroom located in playroom and fenced in front yard.

The home is clean, orderly, comfortable, and well ventilated. All other areas are made inaccessible by baby gates or locked doors.

LPA observed napping equipment for children in care (crib for infant and cots for older children). Licensee states there is 1 small dog and one bird in the home, that remain in an off limit bedroom during day care hours.

The home is clean, orderly, comfortable, and well ventilated. Licensee works with Angel Food, food program and provides breakfast, lunch and two snacks. LPA observed a Smoke detector and Carbon Monoxide and working telephone. The smoke and carbon monoxide detectors were not tested due to children napping. LPA observed fire extinguisher to be fully charged and serviced on 1/27/2026.

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Katrina Chicote
Monica Ruiz
	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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 9

Document Has Been Signed on 07/17/2026 03:58 PM - It Cannot Be Edited

Created By: Monica Ruiz On 07/17/2026 at 01:33 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/17/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102416.1(d)

Personnel Records

(d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in 2 out of 2 assistants files did not have identification document, proof of immunization records, CACI, Employee Rights, Mandated Reporter Certificate, and Statement Acknowledging to Report Child Abuse, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/17/2026
	Plan of Correction
1 2 3 4	Licensee states they will submit completed files including but not limited to; proof of immunization records, CACI, Employee Rights, Mandated Reporter Certificate, and Statement Acknowledging to Report Child Abuse for Assistants 1 and 2 to the Department by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Katrina Chicote
NAME OF LICENSING PROGRAM MANAGER:

	Monica Ruiz
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC809 (FAS) - (06/04)

Page: 8 of 9

Document Has Been Signed on 07/17/2026 03:58 PM - It Cannot Be Edited

Created By: Monica Ruiz On 07/17/2026 at 01:33 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/17/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type A

Section Cited

CCR

102417(g)(7)

Operation of A Family Child Care Home

(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above in 4 out of 4 children present did not have files and were missing, admission agreement, parent information, emergency contacts,immunization records, parent rights notifications, Infant sleep logs, which poses an immediate health, safety or personal rights risk to persons in care.
	POC Due Date: 07/20/2026
	Plan of Correction
1 2 3 4	Licensee states that they will obtain immunization records and all required documents for children 1,2,3,and 4 and submit the documents to the Department either in person or via email by POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Katrina Chicote
NAME OF LICENSING PROGRAM MANAGER:

	Monica Ruiz
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC809 (FAS) - (06/04)

Page: 7 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
	VISIT DATE: 07/17/2026

NARRATIVE

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There are several age-appropriate toys and a first aid kit on the premises. Per the licensee, there are no firearms on the premises. Licensee states there are no bodies of water on the premises and none were observed on this day. Licensee, First Aid and CPR expire on 2/20/2028. LPA reviewed licensee’s file and found it to be complete.
Licensee states that they could not locate children and staff records. Licensee states that they do have files for the children and staff that are present. LPA observed Licensee called her assistant/daughter for guidance on locating the children and staff files, but Licensee still could not locate them. Licensee states that her assistant/daughter knows where the files are located but that assistant is not present, this poses an immediate health and safety risk to children in care.

LPA discussed importance of maintaining parent contact information in case of emergency. LPA discussed requirements and regulations for children’s records with Licensee and explained to Licensee that a Type A deficiency will be issued. LPA reminded Licensee that it is their responsibility to maintain children and staff records and to be aware of licensing regulations. LPA confirmed that Assistants 1 and 2 are fingerprint cleared. Children and staff names were documented on LIC811 (confidential page).

Licensee, Elodia Villareal, completed the online mandated reporter training on 7/29/2025.

All childcare employees must complete mandated reporter training within 30 days of hire and renew training every two years.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B.

Licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000. Also call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
	VISIT DATE: 07/17/2026

NARRATIVE

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CCLD website or you can email our advocates to have the quarterly updates send directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov. The On-Duty Worker is available for questions Monday through Friday at (323) 981-3350 from 8:00 AM - 5:00 PM.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. Licensee states that they or an assistant are always in the room with the children when they are napping. Licensee states that they do not know where the Safe Sleep Log is kept. LPA reviewed Safe Sleep regulations with Licensee and explained that it is a requirement to document Safe Sleep every 15 minutes for infants in care, from age 0 (zero) to age of 2 (two)/24 months. Licensee will receive a Type B deficiency for this violation.

LPA also informed licensee of the importance of checking for 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.

Licensee was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.Based on the LPA’s observations and records reviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

LPA Ruiz informed Licensee Elodia Villareal that this report dated 7/17/2026 documents 1 Type- A citation and shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

LPA informed Licensee Villareal to provide a copy of this licensing report, dated 7/17/26 and documents a Type-A citation, shall be provided to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled children, for the next 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), or other written statement, must be placed in the child’s file for verification.

A notice of site visit was given to Licensee and must remain posted for 30 days. This report must also be posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Elodia Villareal. Appeal Rights provided.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC809 (FAS) - (06/04)

Page: 6 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
	VISIT DATE: 07/17/2026

NARRATIVE

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Licensee was informed that the presence of adults in the home without Criminal Record Clearance or Exemption will be cited and civil penalty assessed for $100 per day. The licensee may find additional information and forms on the DSS website at www.ccld.ca.gov including information on the Live Scan application (LIC 9163). Appointments can be made for Live Scan at 1-800-315-4507.
Per the licensee, fire and disaster drills are conducted every 6 months; last drill documented and conducted on 10/16/2025.

Licensee has the required documents posted in the FCCH; Facility License (LIC 203) and Emergency Disaster Plan (LIC610a).

Notification of Parents' Rights Poster (PUB 394) was not posted. LPA informed Licensee that the Notification of Parents Rights Poster (PUB 394) should be posted in a prominent place.

The following was discussed with the licensee:

Capacity requirements, Roster requirements, Posting requirements, and Mandatory Forms for the children’s files and provider’s files, and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed. Licensee was reminded that supervision is always required to children in care.

Licensee was reminded that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified.

Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family day care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.

--Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

-- Our Quarterly updates come out every 3 months they are also now in Spanish please log in to the

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC809 (FAS) - (06/04)

Page: 4 of 9

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: VILLARREAL FAMILY CHILD CARE	FACILITY NUMBER: 198012613
	VISIT DATE: 07/17/2026

NARRATIVE

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CCLD website or you can email our advocates to have the quarterly updates send directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

The On-Duty Worker is available for questions Monday through Friday at (323) 981-3350 from 8:00 AM - 5:00 PM.

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

During the exit interview, the licensee Elodia Villarreal confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Monica Ruiz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/17/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2026

LIC809 (FAS) - (06/04)

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