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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198020569
Report Date: 10/24/2024
Date Signed: 10/24/2024 04:01:11 PM

Document Has Been Signed on 10/24/2024 04:01 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MONROE FAMILY CHILD CAREFACILITY NUMBER:
198020569
ADMINISTRATOR/
DIRECTOR:		BRIA MONROEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 298-5201
CITY:TEMPLE CITYSTATE: CAZIP CODE:
91780
CAPACITY: 14TOTAL ENROLLED CHILDREN: 11CENSUS: 8DATE:
10/24/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:15 PM
MET WITH:Licensee's assistantTIME VISIT/
INSPECTION COMPLETED:
04:20 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
Licensing Program Analyst (LPA) Saul Valenzuela conducted a Case Management-Deficiencies visit on this date to address deficiencies revealed during a Complaint inspection on this date. There were eight children and a volunteer present.

LPA initially arrived to the facility at 2:00 p.m.- upon entry Licensee's assistant, informed LPA Valenzuela that Licensee Bria Monroe is not available at this time. LPA asked assistant if Licensee will be coming back to the home, assistant stated that Licensee will not be coming back to the home. Licensee's assistant stated that Licensee is "out of town" and will "come back in a few days". Licensee did not notify the department that they will be exceeding their temporary absence. LPA consulted with Licensee's assistant that Licensee must notify the department if they are going to exceed their temporary absence.

LPA cited Reporting Requirements due to Licensee not reporting an Unusual Incident Report that occurred on 9/3/2024. LPA discussed the Reporting Requirements with Licensee's assistant. LPA provided Licensee with the Monterey Park Regional Office Incident Reports email to ensure that reporting requirements are being met.

Based on the LPA’s observations, records review, and interviews, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.


-------------------------------------------------------- P.g. 1 of 2 -----------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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 3
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: MONROE FAMILY CHILD CARE
FACILITY NUMBER: 198020569
VISIT DATE: 10/24/2024
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
26
27
28
29
30
31
32
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee's assistant.

-------------------------------------------------------- P.g. 2 of 2 -----------------------------------------------------

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3
Document Has Been Signed on 10/24/2024 04:01 PM - It Cannot Be Edited


Created By: Saul Valenzuela On 10/24/2024 at 03:10 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MONROE FAMILY CHILD CARE
FACILITY NUMBER: 198020569

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/07/2024
Section Cited
CCR
101212(d)

1
2
3
4
5
6
7
101212 Reporting Requirements
(d) Upon the occurrence, .... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Licensee will review Title 22 Reporting Requirements and send LPA the LIC 624 via email by POC due date 11/07/2024.
8
9
10
11
12
13
14
Based on interview and observation, Licensee did not report an incident within the next working day and during its normal business hours. This poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
Type B
11/07/2024
Section Cited
CCR102417(a)

1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home
(a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times... Temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day.
1
2
3
4
5
6
7
Licensee will notify the LPA via email that they will exceed the temporary absence, and identfiy their replacement during their absence. Licensee will email LPA by POC due date 11/7/2024.
8
9
10
11
12
13
14
Based on interview and observation, Licensee did not notify the department that they will exceed the temporary absence. This poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
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:Brandi VanOosten
LICENSING EVALUATOR NAME:Saul Valenzuela
LICENSING EVALUATOR SIGNATURE:
DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/24/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3