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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198011080
Report Date: 01/18/2023
Date Signed: 01/18/2023 12:54:08 PM


Document Has Been Signed on 01/18/2023 12:54 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:MONTERROSO FAMILY CHILD CAREFACILITY NUMBER:
198011080
ADMINISTRATOR:MARIA MONTERROSOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 864-4278
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:14CENSUS: 3DATE:
01/18/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:22 PM
MET WITH:Licensee Maria Monterroso TIME COMPLETED:
01:05 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 1/18/23 Licensing Program Analysts (LPAs) Jeanette Estrada and Austin Estrada conducted a case management visit. LPAs met with Licensee who guided LPAs on a tour of the facility.
There were 3 children present and an additional staff member was also present.

During the tour of the facility LPAs observed Child 1 sleeping in a stroller in an off limits bedroom. Per the Licensee, Child 1 had just fallen asleep. LPAs observed Licensee transfer Child 1 to a play yard in one of the on limit bedrooms.

Based on observation the following deficiency is being cited as type A deficiency.
Title 22 regulations Personal Rights 102423(a)(2).

The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

Exit interview conducted with Licensee. Appeal rights were provided.

SUPERVISOR'S NAME: Valarie CookTELEPHONE: (323) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2023
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 01/18/2023 12:54 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: MONTERROSO FAMILY CHILD CARE
FACILITY NUMBER: 198011080

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/19/2023
Section Cited

1
2
3
4
5
6
7
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived...by the licensee... These rights include...(2)To receive safe, healthful, and comfortable accommodations, furnishings, and equipment.
1
2
3
4
5
6
7
Licensee moved child 1 from the stroller to a play yard in an on limits bedroom.
8
9
10
11
12
13
14
This requirement is not met as evidenced by based on observation Licensee did not provide safe accomodations for Child 1 who LPAs observed sleeping in a stroller in an off limits bedroom. This poses an immediate threat to the health and safety of children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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) 513-3828
LICENSING EVALUATOR NAME: Jeanette EstradaTELEPHONE: (323) 229-6521
LICENSING EVALUATOR SIGNATURE:
DATE: 01/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/18/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2