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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002765
Report Date: 06/02/2026
Date Signed: 06/02/2026 04:32:56 PM

Document Has Been Signed on 06/02/2026 04:32 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ORELLANA AND VALLADARES AND VALLADARESFACILITY NUMBER:
198002765
ADMINISTRATOR/
DIRECTOR:
ORELLANA, MARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 997-0685
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 4DATE:
06/02/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:ORELLANA, MARLENE/ LICENSEETIME VISIT/
INSPECTION COMPLETED:
04:35 PM
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This is inspection was conducted in Spanish
Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual/ random inspection to the above facility. LPA arrived at the facility, identified self, and met with Licensee Marbelly Valladares who allowed LPA entrance into the facility. LPA disclosed purpose of today's visit.

Shortly after LPA met with Licensee Marlene Orellana. Licensee guided analyst on a tour of the facility. LPA observed 4 children (3 infants) with Licensee M.Orellana, and 2 staff assistants. A current LIC9040 children’s roster was available for review. Per Licensee, operation hours Monday through Friday 6:00am to 6:00pm. Individuals who reside in the home were noted and discussed.
This is a two-story home which consists of 5 bedrooms, 2 bathrooms, kitchen, dining room, living room, front yard and backyard (fenced).
The children use: the bathroom in activity room (indoor play area) near office area, classroom, napping area, bedroom next to the indoor play area (used for napping) and the fenced back yard playground area.
Areas off limits to children and parents include: all upstairs, downstairs- kitchen, dining room ,3 bedrooms located downstairs.
The staircase are blocked off by a self latching door. All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness.
LPA Calderon reviewed LIC9040 Children's Roster; observed current, Plan Of Correction cleared for deficiency given during annual 2025 and clearance given.
LPA reviewed sketch and address on and off limit rooms. This report reflects the sketch provide May 2021. The licensee provides food for children in care, the kitchen area is an off limit area.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2026
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.

LIC809 (FAS) - (09/23)
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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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORELLANA AND VALLADARES AND VALLADARES
FACILITY NUMBER: 198002765
VISIT DATE: 06/02/2026
NARRATIVE
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The restroom that children use was observed at 1:37pm was observed to have a cabinet under the sink - 3 cleaning supplies observed Pinsol, Disinfecting Spray and Toilet Lysol Bowl Cleaner it was immediately placed in the off limit area of the home that is inaccessible by a self latch inaccessible to the children in care, in addition at 1:36pm LPA observed personal medication of Licensee Orellana in the office area, it was placed immediately in the licensee medication basket that is on the office desk shelve. Moreover, at 1:38pm cleaning supply cabinet was observed with broken latch that cabinet door can be opened by pulling; deficiency cited for hazardous items cleaning supplies and medication. LPA informed licensee to assess the situation of were cleaning supplies, medication or any hazardous items are placed and to make them inaccessible to the children in care at all times for all ages as licensee stated that they care for after-school age children. LPA observed outside yard, no children playing in the backyard at 1:27pm LPA observed in a cubby by the day care entrance door in a green cubby a white spray bottle poison with the label Round Up Weed and Grass Killer; Licensee dumped the poison in an off limit yard space and at 1:38pm in the cleaning supply in the play room 2 Raid Poisons and a bate poison injection in the cabinet that had a broken latch, it was immediately placed in the off limit locked garage, deficiency cited. LPA did not observe any objects that can pose a danger to children on the outdoor yard that is used by the children, per Licensee children are supervised during outdoor play to ensure inaccessibility in off limit backyard and garage (observed locked) . During this visit Licensee Orellana tested carbon monoxide and smoke alarm. During visit, LPA observed 3 play yards, there was no firm mattress, it was only observed to have a thin pad and fitted sheet, deficiency cited. LPA did not observe any infant walkers, baby bouncers, inclined chairs, baby saucers, or any similar items at the facility. LPA Calderon observed age appropriate toys, materials and equipment for children in care. LPA observed 2 fireplaces on in the living room that is off limits and one fireplace in the play room, barricaded by a heavy treasure chest and screened by a glass protector. Licensee informed LPA fireplace is used during winter/cold days, it is a gas fireplace, LPA informed Licensee Orellana to securely make fireplace inaccessible with latch when in use and removes treasure chest.Children are using the back yard for outdoor play time, that is surrounded by a black gate. The outdoor play area was observed to be fenced. LPA observed that the outdoor yard has toys and other materials for children to play with. Infants 15 min sleep log was observed to be inconsistent with date and times for Child #1 , Child #2 and Child #3, pictures of documents were taken 2:05 - 2:06pm, deficiency cited. C1-C3 infants 0-12months did not have LIC9227 Infant Safe Sleep, deficiency cited.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORELLANA AND VALLADARES AND VALLADARES
FACILITY NUMBER: 198002765
VISIT DATE: 06/02/2026
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LPA reviewed (3) children files of the (3) infants present during visit. LPA Calderon reviewed required postings located in the play room, LPA observed PUB Notification of Parent Rights, Facility License and LPA provided to post Earthquake Preparedness form LIC9148 LPA reviewed Disaster/fire drill, last conducted on 4/15/2026. Fire extinguisher was last serviced on May 14, 2026. Licensee Orellana Mandated Reporter expires 8/10/26 and Pediatric 1st aid and cpr expires 12/20/26. Staff Assistant Mandated Reporter certificate observed expires, 10/29/27.
  • 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.
  • Licensees were 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 also informed licensees 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. PIN 22-05-CCP
  • 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/.
  • Licensees 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.


During the exit interview, the Licensee Marlene Orellana, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.
A notice of site visit was given and must remain posted for 30 days.
Exit interview conducted and report was reviewed with the licensee Marlene Orellana.
NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2026
LIC809 (FAS) - (06/04)
Page: 6 of 6
Document Has Been Signed on 06/02/2026 04:32 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/02/2026 at 03:55 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ORELLANA AND VALLADARES AND VALLADARES

FACILITY NUMBER: 198002765

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/02/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon observation at 1:37pm was observed in the children's restroom under the cabinet sink - 3 cleaning supplies observed Pinsol, Disinfecting Spray and Toilet Lysol Bowl Cleaner, in addition at 1:36pm LPA observed personal medication of Licensee Orellana in the office area table top. At 1:38pm cleaning supply cabinet was observed with broken latch that cabinet door can be opened by pulling; exposing hazardous items cleaning supplies and poisons. Lastly, LPA observed in a cubby by the day care entrance door in a green cubby a white spray bottle poison with the label Round Up Weed and Grass Killer and at 1:38pm in the cleaning supply in the play room 2 Raid Poisons and a bate poison injection in the cabinet; the licensee did not comply with the section cited above in [4] out of [4] hazardous items cleaning supplies , poisons and personal medication which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/08/2026
Plan of Correction
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Medication during visit was placed in the office shelve out of reach to children present. Cleaning supplies in bathroom placed in the off limit section of the home behind the self latch door,3 poisons stored in the locked garage, and 1 poison dumped out. Licensee will put latches on the cabinet under the bathroom sink cabinet and on the cabinet in the playroom that holds cleaning supplies, pictures will be sent to LPA Calderon by poc due date.
Type B
Section Cited
CCR
102425(a)(3)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (3) Mattresses shall be firm and covered with a fitted sheet that is appropriate to the mattress size, fits tightly on the mattress, and overlaps the underside of the mattress so it cannot be dislodged.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon's observation 3 play yards had only a pad with no firm mattress for infants present who use the play yards for sleeping, the licensee did not comply with the section cited above in [3] out of [3] play yards that require firm mattresses which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/08/2026
Plan of Correction
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Per Licensee, will purchase 3 firm mattress for the 3 play yards used for infants and send photos and description of item to LPA Calderon by poc due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/02/2026 04:32 PM - It Cannot Be Edited


Created By: Ashley Calderon On 06/02/2026 at 03:55 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
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: ORELLANA AND VALLADARES AND VALLADARES

FACILITY NUMBER: 198002765

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/02/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(c)(2)
Infant Safe Sleep
An Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be completed for each infant up to 12 months of age the provider has in care and included in the infant's file at the facility. The Individual Infant Sleeping Plan [LIC 9227 (3/20)] shall be maintained in the infant’s file and shall be available to the Department for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on per record review LPA Calderon did not observe LIC9227 Indiv. Infant Safe Sleep for child 1- child 3, the licensee did not comply with the section cited above in [3] out of [3] did not have form for 0-12mth which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee will give (infants ) Child 1- Child 3 - parents LIC9227 Indiv. Infant Safe Sleep form to complete and provide copies to LPA Calderon by poc due date.
Type B
Section Cited
CCR
102425(j)(2)(D)(c)
Infant Safe Sleep
Documentation shall be maintained in the infant’s file and be available to the Department for review. Documentation shall include the following: Time of each 15-minute check

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA Calderon record review Child 1 -Child 3 did not have consistent 15 min sleep log for infants, the licensee did not comply with the section cited above in [3] out of [3] inconsistent 15 min sleep log which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/12/2026
Plan of Correction
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Licensee will submit Child 1-Child 3, 15 min log contestant with dates and time from June 3 - 11 , 2026 and submit by poc due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Warren Birks
NAME OF LICENSING PROGRAM MANAGER:
Ashley Calderon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2026


LIC809 (FAS) - (06/04)
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