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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408921
Report Date: 10/28/2026
Date Signed: 10/28/2026 04:06:00 PM

Document Has Been Signed on 10/28/2026 04:06 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:CHICA, SANDRA & ARAGON, LILIANAFACILITY NUMBER:
197408921
ADMINISTRATOR/
DIRECTOR:		CHICA, SANDRA & ARAGON, L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 675-4966
CITY:HAWTHORNESTATE: CAZIP CODE:
90250
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
10/28/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH: Licensee Sandra Chico TIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 10/28/2026 Licensing Program Analysts LPAs Patsy Plancarte and Angela Luz conducted an unannounced Annual/Random inspection at the above-mentioned facility. LPAs were greeted by Assistant Liliana Aragon in which informed LPAs Licensee is on her way to the facility. Licensee arrived to the facility shorty after LPAs entered. LPAs advised Licensee she should be present in the facility 80% of the time per calendar month. LPAs toured and inspected the facility.

All Adults present, residing, working and/or volunteering in the home have a criminal record clearance or exemption.

The following was observed during today’s inspection:
The 3-bedroom, Living room, dining room, 2 bathrooms, garage, kitchen, laundry room, front side and back yard are all ON- LIMITS
Facility is a single-family home. Days and hours of operation are Monday-Friday 7:30-6:00 pm. Facility is licensed to serve 14 children. LPAs observed 9 children in care with 2 staff. Parents ring the doorbell to get access into the facility. Licensee provides Breakfast, Lunch, snack. Licensee stated no medication provided to children. Licensee informed LPAs she has Liability insurance yet still has the parents sign the Affidavit LIC 282. LPA reminded Licensee it does not have to be signed if Licensee has Proof of Liability. LPAs stated to Licensee to inform parents of having Liability insurance.


Loyce Phillips
Patsy Plancarte
DATE: 10/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2026
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.

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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: CHICA, SANDRA & ARAGON, LILIANA
FACILITY NUMBER: 197408921
VISIT DATE: 10/28/2026
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ON-LIMIT areas were observed and inspected. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. LPAs observed the kitchen and is maintained in a safe condition and is free of hazards. Chemicals are stored in the laundry room above locked cabinet. The main day care space is the Garage (main day care space # 1) and Living room (main day care space # 2). LPAs observed manipulatives, books, child sized tables, play kitchen, mounted TV and activities for children to use in main day care space # 1. LPAs observed 9 mats, Play yard and high chairs in the Main day care space # 2. Floors in the facility are clean and safe. Children in care sleep and eat in the living room.

LPAs observed outside space. LPAs noted the side yard to have a clean space for children. Licensee stated children only come out to the side yard to get some sun and for a small amount of time. LPA observed a cable plugged into the outlet. LPAs advised Licensee to keep 100% supervision while children are playing in the side yard. Licensee stated the plug is always closed and no cables are connected during the time children are in this space. LPAs noticed the front gate to have a latch with no lock that is hard to slide open. LPA reminded Licensee to keep 100% supervision at all times.

LPAs observed 2 restrooms in working condition that are accessible to children in care. LPAs noted a laundry room with a diaper changing table not in use.

LPAs observed the back yard space. LPAs noted 6 portable high chairs, 2 easels, bookshelf with toys, age appropriate toys for children and an outdoor in wall unit fan. Licensee walked LPAs over to another area in the back yard of the home that is locked and inaccessible to children in care.
LPAs observed a working 3A-40-BC fire extinguisher was last serviced on 08/4/2026 next to laundry room wall. LPAs LPAs observed a working smoke detector and carbon monoxide near the kitchen and living room.

At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. Licensee Pediatric CPR and Pediatric First Aid is current and expires 5//16/2028. Licensee Mandated Reporter for Child Care Providers was available for review and is current. Licensee Preventive Health and Safety certification was available for review.
LPAs reviewed 5 children’s files and are all in compliance with the documents required. LPAs reviewed 3 additional staff files. LPAs noted required vaccines for Assistant/ Volunteer LPAs reviewed the fire drill log and Infant’s 15- minute check and both are complete.
NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Patsy Plancarte
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2026
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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: CHICA, SANDRA & ARAGON, LILIANA
FACILITY NUMBER: 197408921
VISIT DATE: 10/28/2026
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There is no swimming pool or other bodies of water on the premises. Applicant stated there are no firearms or ammunition stored on the premises.

Licensee has one small and elderly dog. Licensee stated dog will come out of the room to eat, walk around the kitchen table and go back into the bedroom. Dog does not interact with Children during operating hours. Licensee Informed LPAs parents are aware the dog is present in the home.

Licensee 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/.

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-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any 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.

During the exit interview, Licensee Sandra Chico confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Patsy Plancarte
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2026
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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: CHICA, SANDRA & ARAGON, LILIANA
FACILITY NUMBER: 197408921
VISIT DATE: 10/28/2026
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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.

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 [email protected]. 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.

One Type B violation was issued.

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

Exit interview conducted and report was reviewed with Licensee Sandra Chico
NAME OF LICENSING PROGRAM MANAGER: Loyce Phillips
NAME OF LICENSING PROGRAM ANALYST: Patsy Plancarte
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/28/2026 04:06 PM - It Cannot Be Edited


Created By: Patsy Plancarte On 10/28/2026 at 03:33 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
, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: CHICA, SANDRA & ARAGON, LILIANA
FACILITY NUMBER: 197408921

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/28/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.622(c)
Administration of Child Day Care Licensing
(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in 1 out of 1 persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/27/2026
Plan of Correction
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Licensee agreed wil LPA she will provide one of the following documents on or before POC due date:
1. Letter from the doctor stating Assistant/ Volunteer is immunized against pertussis and measles
2. Provide proof of administered required pertussis (DTap) and measles (MMR) vaccine records
3.translcribe in English language the vaccines that may have been administered to Assistant/ Volunteer
4. A letter from the doctor stating Assistant/ volunteer cannot aquire the vaccines for pertussis and measles due to their health
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Loyce Phillips
NAME OF LICENSING PROGRAM MANAGER:
Patsy Plancarte
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/28/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/28/2026


LIC809 (FAS) - (06/04)
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