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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198019518
Report Date: 11/22/2024
Date Signed: 02/14/2025 02:04:02 PM

Document Has Been Signed on 02/14/2025 02:04 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
, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MONTIEL-CAJINA FAMILY CHILD CAREFACILITY NUMBER:
198019518
ADMINISTRATOR/
DIRECTOR:
DIANA MONTIEL CAJINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 531-7343
CITY:LOS ANGELESSTATE: CAZIP CODE:
90004
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
11/22/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Diana Montiel Cajina TIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Seung Lee conducted an unannounced required site inspection to ensure the health & safety standards as required by regulations governing family child care homes. Upon arrival, LPA met with Licensee, Diana Montiel Cajina and toured the facility. There were 0 children present. Individuals residing in the home is the licensee and licensee's husband. Licensee’s operating hours are Monday-Friday 8am-5pm.

Licensee provided LPA Lee with a current roster during the inspection. Licensee has a total of 11 children enrolled but only 4 children are full time. The Licensee stated that she closed early on this date due to personal reasons. All parents of children notified ahead of time. All areas identified on the facility sketch were inspected. This is a one story apartment which consists of 2 bedrooms, 1 restroom, kitchen, dining room, laundry room, and living room. The home was inspected for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.



Per Licensee, the complex does not have an outside area that is appropriate for children at this time. There are age appropriate toys and napping equipment on the premises.
Areas off limits include: 2 bedrooms, kitchen, and laundry room.
Areas used by children include: Living room, Dining room, and bathroom

The required fire extinguisher (2A10BC) is operational and was serviced 01/23/2024 as indicated on the Tag. Smoke detectors and carbon monoxide detectors are were located in the dining room, and are in operable condition. Per Licensee there are no weapons, firearms in the facility at this time. Licensee has two small dogs that reside in the off limits area of the facility during business hours. Disaster drill with children was last conducted on 08/12/2024. Licensee has Pediatric First Aid CPR renewed on 02/2025 and is good for two years.
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE: DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/22/2024
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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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: MONTIEL-CAJINA FAMILY CHILD CARE
FACILITY NUMBER: 198019518
VISIT DATE: 11/22/2024
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Children's Roster is readily available and updated . Children’s Files were reviewed.

The following were discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the presence of the children in care. Individuals within one month of their 18th birthday must be fingerprinted immediately. No smoking, No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category. LPA discussed disaster drills, posting requirements, children records requirements, mandated child abuse and injury/death reporting.

LPA reviewed SIDs, Never Shake A Baby, and safe sleeping practices. Infants should sleep mouth up, on their backs, free of clutter surrounding their sleeping space.

A qualified Assistant must be present and actively involved in caring for children whenever nine (9) or more children are present at the facility in a large family child care home.

Incidental Medical Services are not provided at this time. Licensee was informed to contact the department 30 days prior to enrolling any child with IMS needs.

LPA advised the Licensee to access forms and regulations on line at: www.ccld.ca.gov

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


Exit interview was conducted with Licensee Diana Montiel Cajina. Appeal rights discussed and explained
SUPERVISORS NAME: Christina Gabelman
LICENSING EVALUATOR NAME: Seung Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
LIC809 (FAS) - (06/04)
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