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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198017744
Report Date: 08/26/2022
Date Signed: 08/26/2022 04:20:44 PM

Document Has Been Signed on 08/26/2022 04:20 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:MONTOYA FAMILY CHILD CAREFACILITY NUMBER:
198017744
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
08/26/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Ernestina Montoya, LicenseeTIME COMPLETED:
03:15 PM
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Inspection conducted in Spanish

Licensing Program Analyst (LPA) Alicia Mooberry conducted a facility inspection on this date to insure the deficiencies cited on 8/8/22 have been corrected. LPA arrived at 1:15pm and met with Licensee, Ernestina Montoya. Licensee allowed LPA to enter but stated they will be leaving shortly due to a family situation. LPA conducted a partial tour of the home including living room, kitchen and enclosed patio. There were 2 children in care including 1 infant. The infant was observed to be held by Rebeca Pescador, Assistant. LPA observed no deficiencies in the areas inspected.

Due to time constraints and licensee unavailability, this inspection will be continued at a later date. Per licensee request, LPA provided guidance on the Department's inspection authority, licensee appeal rights and provided LPA and Regional Office contact information. LPA was unable to obtain Licensee signature.



LPA will email this report with 'Read Receipt' which will act as a digital signature acknowledging the receipt of the information on this report.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Alicia Mooberry
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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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