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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198009356
Report Date: 06/09/2026
Date Signed: 06/09/2026 11:32:13 AM

Document Has Been Signed on 06/09/2026 11:32 AM - 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:JARA FAMILY CHILD CAREFACILITY NUMBER:
198009356
ADMINISTRATOR/
DIRECTOR:		JARA, OLIVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 814-1810
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 11DATE:
06/09/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Licensee Olivia JaraTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On Tuesday, June 9, 2026 9:15 a.m., Licensing Program Analysts (LPAs) C. Nguyen and J. Solorio-Campos conducted an unannounced annual inspection and met with licensee Olivia Jara, whom the purpose of the visit was explained, and guided LPAs on a tour of the facility. Entrance Checklist LIC 126 was provided. Licensee states that there are 14 children enrolled. LPAs observed 11 children and licensee’s spouse (assistant) present. LPAs observed facility to be within ratio for Large Family Child Care Home. Licensee stated operating hours are Monday - Friday from 7:00 a.m – 6:00 p.m.

This a two story home which consists of 4 bedrooms (3 bedrooms upstairs, 1 bedroom downstairs), 3 bathrooms (2 bathrooms upstairs, 1 downstairs), kitchen, dining room, 2 living rooms, a fireplace located in the living room across the kitchen which is covered with an iron mesh making it inaccessible to children in care, attached garage converted into daycare room, fenced front and backyard. Family members residing in the home were discussed (criminal record clearances on file). Names listed on Confidential Names LIC811. The LPAs toured all areas used by children during this visit. For ill isolation, licensee stated that the back living room is utilized while children get picked up by parents. Garage usage and limitation discussed with Licensee Jara during this visit.

Areas accessible to children were inspected as follows: kitchen, 2 living rooms (LR 1 and LR2), dining room, 1 bedroom (downstairs), 1 bathroom (downstairs), fenced back yard and attached garage (play area)
Areas off limits include: Second level is inaccessible to children (upstairs 3 bedrooms, 2 bathrooms), laundry room and front yard. LPAs observed the stairs leading to the second level has a gate, making it inaccessible to children.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/09/2026
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: JARA FAMILY CHILD CARE
FACILITY NUMBER: 198009356
VISIT DATE: 06/09/2026
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LPAs observed the following required postings in the entry way of the garage (play area): License, LIC 9148 Earthquake Preparedness Checklist, LIC 610A Emergency Disaster Plan, Pub 394 Notification of Parents Rights, and LIC 999 Facility sketch.

LPAs observed the facility to be clean and orderly with central air/heating and working phone via cell phone and landline. Licensee guided LPAs on a tour starting with door entrance where parents/children enter, which leads to the living room (LR1). LPAs observed an L shaped sofa and age-appropriate toys. Then LPAs observed stairs that lead to the upstairs second level with a child safety gate making it inaccessible to children. LPAs also inspected LR2 which is next to the open kitchen and observed the furniture, manipulatives and other age-appropriate materials that were well maintained and free of loose, sharp, and pointed parts. Per licensee, children nap in LR2 and LPAs observed mats as napping equipment and licensee stated she washes the sheets weekly. LR2 has a fireplace barricaded, making it inaccessible to children. Per licensee, infants nap in the playpen in 1 bedroom on the first level. LPAs observed 2 playpens with tight-fitted sheets and did not observe any loose articles in the playpens.

LPAs inspected the garage (play area) and observed a cubby where children store their personal belongings, each labeled with their name. LPAs observed toys, pretend play, puppets, blocks, tables, chairs, board games, books, and other age-appropriate toys that are well-maintained and free of sharp, loose, or pointed parts.



LPAs observed cleaning compound items, stored underneath the kitchen sink, and observed a childproof lock in place, making it inaccessible for children to open. LPAs observed the knives and sharp objects stored inside a high top cabinet above the refrigerator, making it inaccessible for children. Licensee stated that she provides breakfast, lunch, snack, and dinner and utilize a food program. LPAs informed licensee any food brought from the children's homes, the container shall be labeled with the child's name and properly stored or refrigerated. Licensee stated that there are no children with severe food allergies nor on medication.

The outdoor play yard entrance is through the kitchen’s sliding door. Per licensee, children are currently using the backyard for outdoor play time. The outdoor play area was observed to be fenced around the perimeter. LPAs observed that the outdoor yard has toys such as blocks, slides, tricycles, art materials, tables/chairs, and other age-appropriate toys for children to play with. The outdoor play yard is well-maintained and free of sharp or hazardous materials.
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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: JARA FAMILY CHILD CARE
FACILITY NUMBER: 198009356
VISIT DATE: 06/09/2026
NARRATIVE
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LPAs entered the bathroom and observed a working toilet, working sink with hand soap. LPAs reminded licensee and personal items (ex; shampoo, toothpaste, mouthwash, or items that fall into that category) must be made inaccessible to children.

LPAs asked the Licensee if there were any pets, poisons, firearms, or weapons, or bodies of water. Licensee stated they have 1 dog (breed: poodle) which was observed by LPAs to be in the laundry room with a keypad door knob, making them inaccessible to children during operating hours. Licensee stated they do not have any of the other above mentioned, and LPAs did not observe any. The licensee was informed that if any poisons (ex; drano, rat poison or items that fall into that category), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately. Licensee stated that if she did, she will keep them locked in the laundry room.

At time of inspection, LPAs observed the required 2A10BC fire extinguisher located in the garage and the valve on the green area indicating fully charged and last serviced on 7/12/2025. LPAs reminded licensee that fire extinguishers must be serviced yearly. LPAs observed the last emergency drill conducted on 6/3/2026. LPAs observed licensee test the carbon monoxide detector and smoke alarm combined (in the garage) and was operable. LPAs observed the first aid kit in the garage to be complete.

LPAs observed licensee’s Pediatric First Aid/ CPR certification and expires 06/29/2027, and has proof of immunization against Pertussis, MMR, and Influenza declination. Licensee and staff have completed the Child Abuse Mandated Reporter (AB 1207) training and expires 11/4/2026. Licensee was advised that Pediatric First Aid/ CPR certification and the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com.

LPAs also reviewed children’s roster, children files including sleep logs and licensee/staff files. LPAs observed the files to be complete.

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.


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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: JARA FAMILY CHILD CARE
FACILITY NUMBER: 198009356
VISIT DATE: 06/09/2026
NARRATIVE
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LPAs discussed the 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. LPAs also informed licensee of the importance of checking for and removing any 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.

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 child care by connecting them to child care 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.

During the exit interview, licensee confirmed that there are no Registered Sex Offenders living in the facility and LPAs completed the RSO profile in FAS.

At this time, the licensee is in compliance with California Title 22 Regulations. Therefore, there are no citations being issued today.

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. Appeal rights were provided.

Exit interview conducted and report was reviewed with licensee Olivia Jara.

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NAME OF LICENSING PROGRAM MANAGER: Katrina Chicote
NAME OF LICENSING PROGRAM ANALYST: Caroline Nguyen
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2026
LIC809 (FAS) - (06/04)
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