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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400478
Report Date: 09/02/2026
Date Signed: 09/02/2026 01:28:40 PM

Document Has Been Signed on 09/02/2026 01:28 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:CASTRO PINEDA & AMAYA FAMILY CHILD CAREFACILITY NUMBER:
198400478
ADMINISTRATOR/
DIRECTOR:		A. CASTRO PINEDA/I. AMAYAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 296-3863
CITY:LONG BEACHSTATE: CAZIP CODE:
90805
CAPACITY: 14TOTAL ENROLLED CHILDREN: 16CENSUS: 3DATE:
09/02/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:15 AM
MET WITH:Licensee Ana Castro-Pineda and Co-Licensee Iris Amaya-Castro TIME VISIT/
INSPECTION COMPLETED:
01:35 PM
NARRATIVE
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 **This visit was conducted in English and in Spanish. **
Licensing Program Analyst (LPA) Ashley Calderon conducted an announced case management - deficiencies visit; purpose of this visit is due to an earlier visit conducted today; information was obtained regarding concerns to be addressed. LPA met with Licensee Ana Castro Pineda who allowed LPA entry. LPA disclosed the purpose of today's visit with Licensee Ana Castro- Pineda and Co-Licensee Iris Amaya-Castro.

LPA Calderon conducted a tour of the facility with Licensee Ana Castro- Pineda. During the visit LPA observed 3 children present (2 whom were infants). All adults present were fingerprinted cleared, present were: Licensees and 1 Staff Assistant and an individual that resides in the home. LPA Calderon requested Children Roster LIC9040, Co Licensee at approx 10am arrived with the box of facility records, per Co Licensee Iris Amaya-Castro when LPA Calderon asked where records were and are stored, Licensee Iris informed LPA Calderon they were at the library printing, making copies to update files. LPA Calderon during visit requested date of births of the 3 children present, when LPA requested children files for the children present Licensee Iris Amaya-Castro at 11:27am informed LPA Calderon they had no package for the newer children. LPA Calderon was informed of the names of the children with had no packets, total of 10 children had no files; deficiency cited. LPA Calderon reviewed Regulation 102421 Child's Records with Licensee's. LPA requested Children's Roster, Roster LIC9040 was not current, Licensee Iris Amaya - Castro informed LPA Calderon they have a daily attendance checklist with children names of the newer enrolled children; form was collected in addition to roster. Consultation was provided regarding children roster and infant regulations. Licensee Iris Amaya-Castro requested consultation regarding Immunization regulations, consultation given on Immunization's 102418 and on 102417 Operation of a Family Child Care Home

During the earlier visit, Licensees Iris and Staff Assistant informed LPA Calderon Iris Amaya-Castro no longer reside at the above facility, the Department will address this at a further time.

Per California Code of Regulation Title 22, (1) deficiency was cited on today's visit- Type B. Appeal Rights, Notice of Site visit was given to post for 30 days and an exit interview was conducted with Licensee Iris Amaya-Castro.
Warren Birks
Ashley Calderon
DATE: 09/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/02/2026
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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Document Has Been Signed on 09/02/2026 01:28 PM - It Cannot Be Edited


Created By: Ashley Calderon On 09/02/2026 at 12:35 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 CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: CASTRO PINEDA & AMAYA FAMILY CHILD CARE
FACILITY NUMBER: 198400478

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/02/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/05/2026
Section Cited
CCR
102421(b)

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(b) The licensee shall maintain, in each child's record, a copy of the emergency information card as required in Section 102417(g)(7).

The requirement was not met as evidenced by:
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Licensee Iris Amaya-Castro informed LPA Calderon they will print packets to provide to parents and will have them ready for LPA Calderon to review, LPA Calderon will conduct a visit.
POC due by due date given 10/5/26.
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LPA requested 3 children records for Child #1-Child #3 present durig visit, file was not provided. Per Licensee Iris Amaya Castro interview Total 10 newer children do not have the file
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Needed:
-Emergency and Identification form
-Additional Children in Care
-Parents Rights
-Consent for Medical Emergency
-Liability Affidavit form; if applicable.
-Vaccine Records and Immunization (Blue From)
-If Infant 0-12mth-LIC9227 Infant Plan

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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.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/02/2026


LIC809 (FAS) - (06/04)
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