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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620963
Report Date: 02/04/2025
Date Signed: 02/04/2025 01:54:26 PM

Document Has Been Signed on 02/04/2025 01:54 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:MONTES, LAURAFACILITY NUMBER:
393620963
ADMINISTRATOR/
DIRECTOR:
MONTES, LAURAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 969-4139
CITY:STOCKTONSTATE: CAZIP CODE:
95219
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
02/04/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:20 PM
MET WITH:Montes, LauraTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On February 4th, 2025, at 1:20 PM, Licensing Program Analyst (LPA) David Nguyen met licensee, Laura Montes to conduct a proof-of-correction inspection to verify corrections of a Type-A deficiency cited on January 24th, 2025, and two (2) Type-B deficiencies cited on January 24th, 2025. The purpose of the proof-of-correction inspection was explained. LPA was granted entrance into daycare facility by licensee. There were ten (10) children present during today’s proof-of-correction inspection. Licensee’s daughter/assistant was also present at the time of the inspection.

On January 24th, 2025, the facility was cited for one (1) Type-A deficiency for not moving a napping infant to a crib or play yard as soon as possible when and if the infant fell asleep in the swing.

During today's inspection LPA toured on-limits areas. The Type-A deficiency cited on January 24th, 2025, for not moving a napping infant to a crib or play yard as soon as possible when and if the infant fell asleep in the swing was cleared on February 4th, 2025. Upon arrival, LPA observed an infant in the crib or play yard without loose articles during naptime.

On January 24th, 2025, the facility was cited for one (1) Type-B deficiency for not checking on the napping infant and completing the 15-minute napping log was cleared on February 4th, 2025. During today’s inspection, LPA reviewed the 15-minute napping logs.

In addition, on January 24th, 2025, the facility was cited for one (1) Type-B deficiency for not completing LIC9227—Individual Infant Sleeping Plan for infants under 12 months and retaining a copy of LIC9227—Individual Infant Sleeping Plan in the infant’s file at the Family Child Care Home facility was cleared on February 4th, 2025. During today’s inspection, LPA reviewed the infant’s file and observed a completed LIC9227—Individual Infant Sleeping Plan in the infant’s file at the Family Child Care Home facility.

Report continues on LIC809-C...(Page 2)

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MONTES, LAURA
FACILITY NUMBER: 393620963
VISIT DATE: 02/04/2025
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(Page 2)
An exit interview was conducted with licensee, Laura Montes. Appeal rights and a Notice of Site Visit were provided. Licensee’s signature on this form acknowledged the receipt of the form. A notice of site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during today’s inspection.

SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: David Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025
LIC809 (FAS) - (06/04)
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