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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400336
Report Date: 10/24/2025
Date Signed: 10/24/2025 11:44:05 AM

Document Has Been Signed on 10/24/2025 11:44 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:ORDAZ FAMILY CHILD CAREFACILITY NUMBER:
198400336
ADMINISTRATOR/
DIRECTOR:		ORDAZ, DIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 484-9865
CITY:BELLSTATE: CAZIP CODE:
90201
CAPACITY: 14TOTAL ENROLLED CHILDREN: 13CENSUS: 3DATE:
10/24/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Diana OrdazTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 10/24/2025 Licensing Program Analysts (LPAs) J.Duran and P.Bowden conducted an unannounced Annual unnanounced Inspection at the above facility. LPA arrived at 9:30am and met with Diana Ordaz, Licensee, and explained the purpose of the visit. LPA toured the home and observed 3 (three) children (including 2 infants). LPA provided the inspection Entrance Checklist, LIC 126 to licensee. Also present was Consuelo Rodarte, Assistant. The licensee is within the capacity limitations.

Per licensee the hours of operation are Monday-Friday 7:00am-6:30pm. All adults present have obtained the required background clearance. Individuals residing in the home were discussed and noted.

This facility is a single family home that consists of two (2) bedrooms, one (1) bathroom, living room, dining room, kitchen, shaded and enclosed patio, and attached garage.

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.

Areas used by children include: Living room, dining room, kitchen, den, bathroom, and shaded patio and enclosed yard.

Areas off limits include: Bedroom 1 and bedroom 2, attached garage.

The home was observed to be clean and orderly and has central heating and air conditioning. There are outlet covers throughout the home. LPA observed knives and sharp objects in kitchen drawer with safety latch inaccessible to children in care. Cleaning products are stored in locked cabinet under kitchen sink as well as bathroom sink. Licensee was reminded to regularly check the safety locks to make sure they are working properly.

Page 1 – Report Continues

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Javier Duran
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/22/2025
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336
VISIT DATE: 10/24/2025
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The required (2A10BC) fire extinguisher service tag 01/16/2025 is located mounted in the kitchen. Smoke detectors and carbon monoxide detector was observed, tested and found to be operable.

LPA observed required posted documentation which included: Facility License, Publication (PUB) 394- Notification of Parent Rights and Licensing Form (LIC) 9148- Earthquake Preparedness form in the den where children in dropped off and picked up.

Toys and other age appropriate material available for children.


Licensee states that there are no poisons stored in the home and understands that all poisons must be lock, not only inaccessible to children. Licensee there are no firearms or weapons stored in the home. Per licensee, here are no pets in the home. Per licensee, children that become ill during care will be separated form the other children and wait in the living room, away from the other children. The bathroom that children use is located in the observed to be clean and free of hazards.

LPA reviewed the Safe sleep regulations PIN 20-24-CCP. including LIC 9227 Infant Sleep Plan for infants under 12 months, and Infant sleep log documenting 15-minute sleep checks for infants 0-24 months.

Currently, children are using the enclosed side yard and shaded patio for outdoor play. The outdoor play area was observed to be fenced with toys and other materials for children to play with. LPA did not observe any objects that could be hazardous to children in care. The are no pools, spas or other water features. There are no pets currently in the home.

Children’s records were reviewed for (LIC) 282- Affidavit Regarding Liability Insurance, Immunization's Records, LIC 700- Identification and Emergency Information, LIC 627- Consent for Medical Treatment, LIC 995A Notification of Parents’ Rights, and documentation of 15-minute Infant Sleep Check (0-24 months)

Licensee Mandated Reporter issued 09/25/2025, CPR exp 09/22/2027. Assistant Mandated Reporter issued 09/25/2025, CPR ep 09/24/2027.



LPA reviewed facility records including; LIC 9040- Facility Roster, LIC 610- Facility Disaster Plan. Last disaster drill conducted on 09/05/25.
Licensee was reminded that fire extinguisher needs to be serviced yearly. The home maintains telephone service via land line and cell phone.

Licensee was reminded to report any unusual incidents including changes to the household and if there are changes to areas used by children. Per licensee no children require medication. No children have food allergies.

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NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Javier Duran
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: ORDAZ FAMILY CHILD CARE
FACILITY NUMBER: 198400336
VISIT DATE: 10/24/2025
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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/

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

Licensee was reminded that all adults 18 and over living or working in the home, 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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

There are no deficiencies cited on this date.

Exit interview conducted and report was reviewed with the Licensee Diana Ordaz, Appeal Rights were discussed and a copy provided. A notice of site visit was given and must remain posted for 30 days

NAME OF LICENSING PROGRAM MANAGER: Karen Chambers
NAME OF LICENSING PROGRAM ANALYST: Javier Duran
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC809 (FAS) - (06/04)
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