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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495103
Report Date: 04/27/2023
Date Signed: 04/27/2023 03:08:36 PM

Document Has Been Signed on 04/27/2023 03:08 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 NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:CASTILLO FAMILY CHILD CAREFACILITY NUMBER:
197495103
ADMINISTRATOR:IRMA CASTILLOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(818) 841-0852
CITY:BURBANKSTATE: CAZIP CODE:
91505
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
04/27/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:34 PM
MET WITH:IRMA CASTILLO - Licensee TIME COMPLETED:
03:45 PM
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On 4/27/2023, Licensing Program Analyst (LPA) Suzette Ornelas conducted an unannounced Case Management – Legal/Non-compliance inspection as part of frequent monitoring per the non-compliance conference held on 6/10/2022.

LPA met with Licensee, Irma Castillo, who guided LPA on a tour through the indoor and outdoor of the facility. LPA observed 5 children and 3 adults (cleared and associated).

Licensee agreed and is aware that she cannot have more than 12 children because she doesn’t have Landlord Consent.

LPA explained to Licensee Castillo that as she doesn’t have Landlord Consent and Licensee agreed that her license is to be updated to reflect a reduced capacity to 12 (from 14). LPA explained to Licensee that she will need to submit an updated LIC 279A and a check or money order for $25.00 for a capacity decrease (as her license is currently for a capacity of 14). LPA informed licensee that she has 3 days to submit the revised LIC 279A and the fee. LPA reminded licensee instructed licensee to contact Regional Manager Victor Bautista if she has any questions at 424-301-3052.

LPA Ornelas reviewed all of the children’s files to ensure that licensee provided parents the NCC (LIC 9224) for the NCC which was held on 06/10/22 and for which she should be providing copies to all of the parents through 06/10/23.

LPA asked licensee who lives in the residence and verified the associations from Guardian to ensure that all of the people she named are cleared and associated. LPA informed licensee that she may include other residents’ names on the LIC 279 she submits if there are new members of her household.

No deficiencies are cited, per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2023
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
EL SEGUNDO CC NORTH, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: CASTILLO FAMILY CHILD CARE
FACILITY NUMBER: 197495103
VISIT DATE: 04/27/2023
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An exit interview was conducted and a copy of this report (LIC 809) and Notice of Site Visit were provided to Licensee, Irma Castillo. This inspection was conducted in Spanish.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Suzette Ornelas
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023
LIC809 (FAS) - (06/04)
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