<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103906269
Report Date: 11/21/2024
Date Signed: 11/21/2024 02:00:12 PM

Document Has Been Signed on 11/21/2024 02:00 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MONTIEL, NICOLE FAMILY CHILD CAREFACILITY NUMBER:
103906269
ADMINISTRATOR/
DIRECTOR:
MONTIEL, NICOLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 321-3656
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 9DATE:
11/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:16 AM
MET WITH:Nicole MontielTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/21/2024 Licensing Program Analyst (LPA), Miguel Herrera conducted an unannounced Annual Inspection and was met by Licensee, Nicole Montiel. LPA toured the indoor and outdoor areas that are accessible to daycare children. Days and hours of operation are Monday-Friday from 7:00 AM - 4:30 PM.

LPA toured the home inside and outside and a census of 9 children was taken. Current facility sketch reviewed, and Licensee confirmed that the kitchen, bathroom, living room, family room, dining room, and outdoor play yard are used for providing care and are accessible to children. Master bedroom, Bedroom 1 and 2 are off-limits and made inaccessible by use of doorknob covers. Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. LPA Herrera advised Licensee to regularly maintain the fence as weather, and normal wear and tear can degrade the mesh fence. Licensee is aware of child safety around the pool and assumes all responsibility. Licensee ensures that children in care are always supervised. LPA Herrera informed Licensee Montiel about the upcoming changes to pool regulations taking effect on 01/01/2025. LPA observed 2 large dogs in the home. Licensee understands the liability of pets around day care children and accepts responsibilities of any action taken by pets. There are no firearms or ammunition on the premises. No poisons were observed during the inspection.



Detergents, cleaning compounds, medication and other hazardous items are made inaccessible. The fireplace located in the family room and is made inaccessible by furniture and a screen. Fireplace is not be in use during daycare hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. There are no stairs in this home. Safe toys and play equipment are observed.
LPA discussed Safe Sleep Regulations with licensee. Licensee was reminded that for each infant in care, cribs and play yards are to be kept free from all loose articles and objects while infants are sleeping, and there should be no objects hanging above or attached to the crib or play yard. Continued on 809-C.
Juvenal MoctezumaTELEPHONE: (559) 650-7869
Miguel HerreraTELEPHONE: (559) 341-0721
DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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 6
Document Has Been Signed on 11/21/2024 02:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: MONTIEL, NICOLE FAMILY CHILD CARE

FACILITY NUMBER: 103906269

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/21/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on records review, LPA observed that 2 out of 3 staff AB1207 trainings were expired, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/05/2024
Plan of Correction
1
2
3
4
Licensee stated that she will ensure that all staff take the AB1207 training by POC deadline and submit a copy of proof to CCLD Fresno.
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.
Juvenal MoctezumaTELEPHONE: (559) 650-7869
Miguel HerreraTELEPHONE: (559) 341-0721

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024

LIC809 (FAS) - (06/04)
Page: 2 of 6
Document Has Been Signed on 11/21/2024 02:00 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: MONTIEL, NICOLE FAMILY CHILD CARE

FACILITY NUMBER: 103906269

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/21/2024
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Section Cited

(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on file reviews LPA Herrera observed that licensee and staff #2 had expired their CPR/First Aid certifictaion expired. Staff #3 was present with a current CPR/First Aid, however she left the facility during the inspection.
POC Due Date: 12/12/2024
Plan of Correction
1
2
3
4
Licensee Montiel and staff #2 will register to take the CPR/Fist Aid training and provide proof of registration to LPA Herrera along with the updated CPR/First Aid card once the training is completed.
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.
Juvenal MoctezumaTELEPHONE: (559) 650-7869
Miguel HerreraTELEPHONE: (559) 341-0721

DATE: 11/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2024

LIC809 (FAS) - (06/04)
Page: 4 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MONTIEL, NICOLE FAMILY CHILD CARE
FACILITY NUMBER: 103906269
VISIT DATE: 11/21/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Infants are not swaddled while in care. Licensee physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Infants can be visually observed through an open door if sleeping in a separate room. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. LPA reviewed a sample of children’s files and observed files to be complete with emergency information as required. Licensee’s Mandated Reporter expired on 5/4/24 and assistant #3’s Mandated Training expired on 08/15/2022. Licensee and staff #2’s pediatric CPR/First Aid with expired on 8/30/24. Staff #3 was present with a current CPR/First Aid, however they left the facility during the inspection. A review of records indicates that all staff had immunization records for pertussis, measles and flu on file at the facility. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

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.

LPA discussed 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. 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. Continued on 809-C.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
Page: 5 of 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MONTIEL, NICOLE FAMILY CHILD CARE
FACILITY NUMBER: 103906269
VISIT DATE: 11/21/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
This facility does not provide Incidental Medical Services – IMS. 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/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare 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 inspectionprocess@dss.ca.gov. 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.

Exit interview conducted and report was reviewed with Licensee Nicole Montiel. During the exit interview, the Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, there are two deficiencies cited during today’s inspection (see LIC page 809-D). Licensee Nicole Montiel was provided appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
Page: 6 of 6