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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192008542
Report Date: 03/18/2024
Date Signed: 03/18/2024 04:36:45 PM


Document Has Been Signed on 03/18/2024 04:36 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754



FACILITY NAME:MONTEON FAMILY CHILD CAREFACILITY NUMBER:
192008542
ADMINISTRATOR:MONTEON, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 771-7433
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY:14CENSUS: 7DATE:
03/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:59 PM
MET WITH:Maria Monteon, LicenseeTIME COMPLETED:
05:00 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Alicia Mooberry and Jonnisha Culbert conducted an unannounced case management inspection to the above facility. Upon arrival LPAs met with Cindy Banuelos, Assistant. LPAs observed seven (7) children including one (1) infant. Also present was Arturo Monteon, Licensee's spouse . Licensee arrived 3:20pm with additional children in care. LPAs toured the facility.

The purpose of today's inspection was to ensure the health and safety of children in care and the discuss deficiencies cited on 2/22/23.



During this inspection LPAs observed that the care is conducted in the living room. The attached patio was observed to be closed and no children were observed in off limits room. Licensee was reminded to ensure the off limit areas are kept closed and inaccessible to children in care.

LPAs reviewed staff and children's files and observed that Cindy Banuelos, Assistant, has not completed Mandated Reporter Training and does not have proof of vaccination against Measles and Pertussis, this poses a potential risk to the health and safety of children in care. Per Licensee and assistant they are requesting a copy from the doctor.



Two B deficiencies cited during today's inspection. Licensee was reminded that deficiencies need to be corrected to ensure the health and safety of children in care, failure to correct can result in administration of civil penalties.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Maria Monteon, Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024
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 2


Document Has Been Signed on 03/18/2024 04:36 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
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754


FACILITY NAME: MONTEON FAMILY CHILD CARE
FACILITY NUMBER: 192008542

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/18/2024
Section Cited
HSC
1596.8662(b)(1)

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...employee of a licensed child day care facility shall complete the mandated reporter training provided...

This requirement is not met as evidenced by:
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Per licensee and Staff 1, the mandated reporter training will be completed and a copy of the certificate will be sent to LPA via email by POC due date
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Based on record review, the licensee did not comply with the section cited above due to Staff did not have record of Mandated Reporter training, which poses a potential health, safety or personal rights risk to persons in care.
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Type B
04/18/2024
Section Cited
HSC1597.622(a)(1)

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(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles.
This requirement is not met as evidenced by:
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Per licensee and Staff 1, the required proof of vaccination against Measles and Pertussis will be obtained and a copy of the vaccination record will be sent to LPA via email by POC due date
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Based on record review, the licensee did not comply with the section cited above in Staff 1 did not have proof of immunizations which poses a potential health, safety or personal rights risk to persons in care.
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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.
SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3858
LICENSING EVALUATOR NAME: Alicia MooberryTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2