203810322-7-7-2026-04-CC-SVGZ-DVRQPQ-20260707122107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203810322
Report Date: 07/07/2026
Date Signed: 07/07/2026 12:21:29 PM

Document Has Been Signed on 07/07/2026 12:21 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	MONARCH GROVE CDC		FACILITY NUMBER:	203810322
ADMINISTRATOR/ DIRECTOR:	GOMEZ, AMBER		FACILITY TYPE:	860
ADDRESS:	11222 HIGHWAY 41		TELEPHONE:	(209) 230-8853
CITY:	MADERA	STATE: CA	ZIP CODE:	93636
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	07/07/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	AMBER GOMEZ		TIME VISIT/ INSPECTION COMPLETED:	12:35 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	On 07/07/2026, Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an announced Pre-Licensing inspection for a new license. This facility is a converted residence now operating as a child care center. Parking is available in front of the center, and a pathway leads to the first building on the property, that is the child care center. Upon arrival, LPA met with Applicant, Amber Gomez. Applicant is requesting to be licensed for 15 preschoolers 2 years through 5 years of age in Classrooms 1, 2, 3, 4, & 5. Hours of operation will be Monday through Friday from 7:30am through 5:00pm and will be open year round. All indoor and outdoor activity space utilized for the children was inspected today. LPA informed Amber Gomez that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, Amber Gomez stated that they will be in a higher cabinet located in the kitchen. A fully equipped first aid kit is located in Classroom #3 and the kitchen. There is an operational carbon monoxide detector on site located Classroom #3. All required licensing documents were observed posted in the entrance hallway. Children will be signed in and out at the main entrance using Bright Wheel online system. LPA continued to tour the facility and measured all indoor and outdoor activity space. LPA observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots/mats, bookshelves, and other activity supplies for the children. Drinking water is available in the classrooms via two, three gallon jugs that have a push down water dispenser that children will be able to freely use with disposable cups. (Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MONARCH GROVE CDC	FACILITY NUMBER: 203810322
	VISIT DATE: 07/07/2026

NARRATIVE

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Children will also have their own personal water bottle. LPA observed all hazardous items to be inaccessible to children. Applicant stated that there are no bodies of water, any water features, or weapons on the property. Fire clearance was granted on 06/29/2026 by the Madera County Fire Department.

Preschool Indoor Activity Space:
The total indoor activity space measures approximately 833 square feet, which will accommodate Applicant’s request for 15 preschool children.

LPA observed a total of 2 sinks and 1 toilet available for children’s use. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be the Staff Office. LPA did observe a changing table that is located in the back of the Staff Office. Per observation the chaining table is not suited for preschool age children. Applicant, Amber Gomez stated that she will not use diaper changing table for enrolled children. Applicant stated that she will use a floor mat for children in care that need diaper changing, and will be within arms length form a sink in the children's bathroom. LPA observed in Classroom #1 a fireplace that did not have a screen or barrier. Applicant stated they will obtain one. During the testing of water temperature, LPA was made aware by the Applicant that the facility currently does not have propane. Applicant explained that there is no warm water or heating. Applicant stated they will provide proof to the Department once they have obtained a refill of their propane tank for the facility. LPA observed that the kitchen window had a crack facing the outdoor activity area for children, in the covered patio. Applicant stated that they will be replacing the window.

The facility currently has a fully fenced playground area. Fencing is made of iron, wood, and metal in various sides of the fence that is at least four feet high.

Preschool Outdoor Activity Space:
The total outdoor activity space measures approximately 2088 square feet, which will accommodate Applicant’s request for 15 preschool children.

Shade is provided via a covered patio. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is adequate cushioning in fall zones of small climbers provided by woodchips. LPA observed that there are various large boulders in the children’s yard. LPA reviewed with applicant that children will need to be fully supervised during outdoor play as per regulations to ensure health and safety. Applicant stated they understood.
(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MONARCH GROVE CDC	FACILITY NUMBER: 203810322
	VISIT DATE: 07/07/2026

NARRATIVE

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Outdoor drinking water is available via children’s personal water bottles and a water jug and disposable cups. LPA observed all hazardous items on the playground to be inaccessible to children. LPA observed one wooden door and iron gate that lead to the adjacent building in the back of the play area. The door and gate lead to the back house. Applicant stated that the door and gate is locked at all times and that children will not have access to the back house. LPA also observed a second wooden door that leads to another side yard, Applicant stated that the side yard is placed off limits and that they will ensure it is inaccessible to children in care. Applicant was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

Facility will provide breakfast and snacks. Applicant has informed the Department that parents will bring children their own packed lunch. The kitchen area currently includes stove, microwave, oven, sink, and dishwashing machine. The kitchen area and food storage areas were observed free of rodents and/or vermin. Food was observed to be properly stored separate from cleaning materials. LPA observed that the refrigerator did not have thermometer, LPA reviewed with applicant that it would be best to obtain one to ensure that all foods and beverages are at a desired temperature as per regulations. LPA observed that the kitchen was not made inaccessible. Applicant stated that they will install two safety gates to ensure children do not have access to kitchen from the Hallway/Cubby area and the kitchen itself. LPA did not observe any hazardous items in the kitchen during the inspection.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.
(Continue on LIC809-C)

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MONARCH GROVE CDC	FACILITY NUMBER: 203810322
	VISIT DATE: 07/07/2026

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes 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 Applicant the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was 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 communication.

The following corrections are needed prior to the issuance of the license:
• The applicant will install a barrier or cover for the fireplace located in Classroom #1 to ensure children do not have access to it.
• The applicant will repair or replace the cracked kitchen window.
• The applicant will obtain additional sleeping mats/cots to ensure there are enough for the requested capacity of 15 children, plus one for the isolation area.
• The applicant will provide proof to the Department that the facility has adequate propane to meet the heating and hot water needs for children in care.
• The applicant will remove all pesticides and store them in an area that is secured with a lock and key.
• The applicant will put latches on the shower glass doors that are located in the children's restroom.
Applicant will submit photograph proof of corrections to the Department.

An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Applicant, Amber Gomez. Applicant, Amber Gomez understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.
Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues.

NAME OF LICENSING PROGRAM MANAGER: Belinda Devall
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/07/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2026

LIC809 (FAS) - (06/04)

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