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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198016988
Report Date: 06/23/2025
Date Signed: 06/23/2025 03:13:45 PM

Document Has Been Signed on 06/23/2025 03:13 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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LEWIS FAMILY CHILD CAREFACILITY NUMBER:
198016988
ADMINISTRATOR/
DIRECTOR:		LEWIS, ALANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 261-8975
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 0DATE:
06/23/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Licensee, Alan LewisTIME VISIT/
INSPECTION COMPLETED:
03:25 PM
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On June 23, 2025, at 1 pm Licensing Program Analysts (LPAs) Priscilla Ochoa conducted an announced case management inspection at the above facility. The purpose of this inspection is to ensure the home is deemed safe for daycare children as the home was affected by the Eaton fire. LPA was greeted by licensee, Alana Lewis who guided LPA on a tour of the facility. LPA did not observe any children in care during inspection. Hours of operation are Monday through Friday from 7:00 am to 5:30 pm.

Family members residing in the home is 1 adult who has criminal record clearance. This is a single-story home that consists of 2 bedrooms, 1 bathroom, kitchen, living room, laundry room, front yard, backyard (fenced) and detached back building (playroom).

Off limit areas include 2 bedrooms, laundry room and front yard. Licensee will provide LPA an updated facility sketch to reflect inaccessible areas.

Areas accessible to children in care are the living room, 1 bathroom, back yard and detached back building (playroom).

At 1:10 pm, licensee guided LPA on a tour of the areas that are accessible to the children in care. Upon entrance of the front door LPA inspected the living room area. In the living room area, LPA observe toys for children in care, as well as children’s table and chairs. There is also a closet in the living area. Per licensee the closet will be made inaccessible to children in care by adding a child safety knob to the closet doorknob. LPA also observed a fireplace in the living room area, which is barricaded making it inaccessible to children in care. Per licensee the 2 bedrooms in the home will be inaccessible to children in care.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 198016988
VISIT DATE: 06/23/2025
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LPA did not observe the other bedroom be locked or made inaccessible. Per licensee, the facility will add a child safety knob to the bedroom doorknob, making it inaccessible to children in care. The bathroom was then inspected. LPA did not observe materials that can pose a danger to children in care. LPA observed napping equipment in the form of cots in the bedroom next to the living room. Napping equipment was observed to be clean and orderly. Per licensee, bedding will be washed at the facility weekly. The kitchen was then inspected and observed to be orderly. LPA observed kitchen knifes to be stored in a high cabinet making them inaccessible to children in care. LPA also observed the kitchen drawers to have tab latches in the drawers making them inaccessible to children in care. Licensee then guided LPA to the back yard, where LPA did not observe any toys for children in care. Per licensee, the left side of the backyard will be renovated, and artificial grass will be installed. LPA observed the left side of the backyard to have dirt. LPA did not observe any hazards in the backyard. Per licensee, children will be taken to Loma Alta Public Park for outside time while the artificial grass is installed. LPA also observed the detached back building on the property identified as a playroom. LPA observed a crib, and additional toys for children in care. LPA also observed an additional closet in the playroom. Per licensee the closet will be made inaccessible to children in care by adding a child safety knob to the closet doorknob.

LPA has advised that all areas in the home have been inspected and are approved for care. Child Care shall not be primarily conducted in or limited to the back building. Fire clearance on file notes that an additional back building could be used for activities with no more than 10 occupants at a time. Licensee fully understands that the back building is an extension of the day care which shall be used for additional activities and not solely as an area used to care for children.

Licensee's poisons, detergent, cleaning compounds, medications and other items which could pose a danger to child are stored where they are inaccessible to children.

LPA observed a functional smoke and carbon monoxide detector in the living room area. A 2A-10BC fire extinguisher was observed and was serviced on 12/28/2024. There is a working telephone on site.

Per the licensee, there are no firearms or pets on the premises. Licensee obtained current Pediatric First Aid and CPR certification expires on 9/28/2026.

Licensee completed Mandated Reporter training and expires on 12/28/2026.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
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
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: LEWIS FAMILY CHILD CARE
FACILITY NUMBER: 198016988
VISIT DATE: 06/23/2025
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All childcare employees must complete mandated reporter training within 30 days of hire and renew training every two years at www.mandatedreporterca.com

Licensee will be posting the required documents in the FCCH in the living room area; Facility License (LIC 203), Notification of Parents' Rights Poster (PUB 394) and Emergency Disaster Plan (LIC610a) and Earthquake preparedness Checklist. Once posted in the home, licensee will be sending pictures of posted documents to LPA.

Licensee will send LPA pictures of the purchased child safety doors knobs place on the doors in the closet in the living room, playroom and bedroom 1 by the end of day, June 23, 2025 to be in compliance with California Title 22 Regulations and home deemed safe for daycare children.

A notice of site visit was given and must remain posted for 30 days during facility’s hours of operation. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and a copy of the report was provided licensee, Alana Lewis



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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Priscilla Ochoa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2025
LIC809 (FAS) - (06/04)
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