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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198021840
Report Date: 09/11/2025
Date Signed: 09/11/2025 02:54:48 PM

Document Has Been Signed on 09/11/2025 02:54 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:ORTA SANCHEZ FAMILY CHILD CAREFACILITY NUMBER:
198021840
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
09/11/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Rosalinda Orta and Martha MejiaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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This inspection was conducted in Spanish

Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an announced Pre-Licensing inspection at the above facility on 09/11/25 at 12:45 p.m. The purpose of this visit is to inspect and evaluate the facility for initial licensure applicants Rosalinda Orta and Martha Mejia are applying for a Small Family Child Care Home license. At approximately 12:50 p.m. applicants guided LPA on a tour of the facility. Operation hours will be Monday through Sunday 23 hours a day. Applicants stated that they will care for children 4 months to 12 years old.

All areas identified on the facility sketch were inspected, including but not limited to, off-limit areas.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, living room, dining room, kitchen, and back patio. Per applicants, family members residing in the home are 2 adults and 0 minors. According to the applicants, there are no pets on the premises. All individuals present or living in the home have obtained a criminal record clearance or exemption prior to working, residing, or volunteering in a licensed home. Individuals living in the home are identified on the attached LIC811.

• Day care areas: living room, 2 bathrooms, 2 bedrooms, kitchen, dining room, and patio.

• Off limit areas: 1 bedroom.

**Rooms that are off-limits need to be made inaccessible during operating hours** The Applicants does understand that licensing staff may have access to off-limit areas during inspection visit if necessary.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2025
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: ORTA SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198021840
VISIT DATE: 09/11/2025
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Areas that will be used by children were inspected for safety, comfort, and cleanliness. Tour began in the living room where LPA observed age-appropriate toys and materials for children. LPA also observed that the living room is fully covered in foam floor tiles and an inwall cabinet where LPA observed forms/documentation visible to parents or guardians. The inwall cabinet has several drawers and was observed to have child proof latches. Applicants then guided LPA to the front bedroom where LPA observed 2 cribs that meet title 22 regulations. Per applicants, older children will nap on cots and LPA observed stored cots in the closet of the front bedroom. LPA then toured the bathroom which is adjacent to the front bedroom. LPA observed the children’s bathroom safe and in sanitary conditions. In the front bathroom LPA also observed a changing table against the wall and door that leads to the second bedroom. The changing table prevents children from having access to the 2nd bedroom. LPA was then guided to the living room which leads to the kitchen. According to the applicants, children will have access to the kitchen. There is a well mounted child proof gate that was placed between the living room and kitchen. LPA toured the kitchen and observed applicants placed child proof latches on the kitchen cabinets and placed knives in a top cabinet inaccessible to children. The kitchen leads to the dining room, 1 bathroom, 2 bedrooms, and back patio. LPA also observed a second mounted child proof gate. LPA toured the 2nd bedroom where LPA observed furniture and a lock at the top right of the door to ensure that the bedroom is inaccessible to children. Applicants stated the second (middle) bedroom will be off-limits to children. Down the hallway from the second bedroom there is 1 bathroom where LPA observed it safe and in sanitary conditions. On the hallway there is a wall heater that was properly barricaded. The 3rd bedroom is at the end of the hallway. Applicants have converted the bedroom into an activity room. LPA observed age-appropriate toys, materials, and equipment for children. LPA also observed an emergency window that remains locked. According to the applicants, there is a ladder nearby in case of an emergency and the facility has to vacate through the window. LPA returned to the hallway and toured the dining room which is adjacent to the kitchen. LPA observed a dining room table with chairs. Children will walk through the dining room to access the back patio.

Per applicants, there are no poisons on the premises. The applicants were advised that any poisons must be locked with a key or combination lock.

LPA observed (2) fire extinguisher between the living room and kitchen and the other one near the second bedroom. The 2A10BC fire extinguishers were fully charged and were serviced on 09/11/25 per the attached service tag. Applicants were advised that the Fire Extinguishers must be serviced yearly or purchase a new one and keep receipt.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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: ORTA SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198021840
VISIT DATE: 09/11/2025
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Per applicants, food will be provided to all children in care. Applicants were advised that if food is brought from the children’s homes, all containers must be labeled with the child’s name and properly stored or refrigerated.

LPA observed a combined smoke and carbon monoxide detectors in operable condition.

At 01:05 p.m. LPA toured the back patio that will be used for outdoor play. LPA observed that there are several stairs leading to the patio. There is adequate shade and age-appropriate play equipment for children in care. LPA did not observe any objects that could be hazardous to children in care. Applicant understands that children should be supervised at all times.

The applicants have completed the required Health and Safety Training, Nutrition Training and Pediatric First Aid and CPR expires on 03/25/27 (Rosalinda) and 05/2027(Martha). Applicants have first aid supplies.

Telephone service is via a cellphone. The applicants will ensure there is always a phone available during operation hours. Per applicants, there are no weapons, firearms, or bodies of water during the inspection.

The following was discussed with the applicants:

Applicants were reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

In the absence of the licensee a qualified adult must be present supervising the children; a qualified adult is an individual who has a valid and current Pediatric First Aid and CPR training, Immunization (TB, TDAP, MMR, Influenza), mandated reporter training and a valid criminal record clearance associated to the facility license.

Inspection Authority: All adults living and working in the home shall be made of aware of the Departments right to inspection the home, which includes, but is not limited to the right to enter the home when children are being cared for, interview children and adults and review documentation.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC809 (FAS) - (06/04)
Page: 4 of 6
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: ORTA SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198021840
VISIT DATE: 09/11/2025
NARRATIVE
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Immunization Requirement: H&S 1597.622: Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. The applicants have proof of immunizations. Applicants understands that each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year and record must be kept of vaccine or declination letter.

Mandated Reporter Training: H&S 1596.8662: Beginning January 1, 2018, all licensed providers, applicants, directors, and employees to complete training as specified on mandated reporter duties. Mandated Reporter Training must be taken every two years. Training is available at: www.mandatedreporterca.com

Per applicants, they do not carry liability insurance or a bond in accordance with standard established by Family Child Care statue. Signed statements (LIC282) will be on children’s files. The law requires Family Child Care provider to carry liability insurance or bond in the amount of $300,000 annually or to maintain the signed statement in the facility file.

LPA discussed the safe sleep regulations with the applicants and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPA also informed applicant 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. LPA provided PUB 271 Preventing Shaken Baby Syndrome/Abusive Head Trauma and PIN 20-24-CCP.

No infant walkers, No baby bouncers, No Johnny jumpers, No exersaucers and any other item that falls into that category.

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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with the applicants the LIC 311D, Forms/Records to Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted. Entrance Checklist was provided to the applicant.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: ORTA SANCHEZ FAMILY CHILD CARE
FACILITY NUMBER: 198021840
VISIT DATE: 09/11/2025
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On this date, 08/28/25, the California Attorney General - Megan’s Law website was searched for information on sex offenders required to register with local law enforcement under California's Megan's Law. No registered sex offenders were found at the facility addresses. Under state law, some registered sex offenders are not subject to public disclosure; therefore, they may not have been included in this search. However, the Department conducts a monthly cross reference of each address on record for all registered sex offenders against all CCLD facility addresses pursuant to information shared by California DOJ.

Applicants were informed of the MyChildCarePlan.org site, 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

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email.

The applicants provided proof of control of property. Because the applicants rent the home, proof of landlord notification is required. The LPA observed the Property Owner/Landlord Notification form (LIC9151) that the applicants confirms were provided to the property owner/landlord. The applicants obtained a signed Property Owner/Landlord Consent form (LIC 9149).

Applicants provided an updated LIC 279 requested to update their last name. LPA obtained the original LIC 279 and will process their request upon return to the Regional Office.

Facility is ready to be licensed. Once licensed, the applicant is required to adhere to the terms and limitations stated on the license.

The applicant’s signature on this report acknowledges that they have signed the Application for a Family Child Care Home License (LIC 279) under the penalty of perjury that the statements on the application and any attachments are correct.

Exit interview conducted and report was reviewed with applicants Rosalinda Orta and Martha Mejia.

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NAME OF LICENSING PROGRAM MANAGER: Ana Chico
NAME OF LICENSING PROGRAM ANALYST: Veronica Martinez-Garza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC809 (FAS) - (06/04)
Page: 6 of 6