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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400559
Report Date: 05/07/2025
Date Signed: 05/07/2025 01:54:49 PM

Document Has Been Signed on 05/07/2025 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MONROY FAMILY CHILD CAREFACILITY NUMBER:
198400559
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
05/07/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Jennifer Monroy, LicenseeTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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Licensing Program Analysts (LPAs) Franchesca White and Linda Voong arrived at the above facility for the purpose of an unannounced 3yr annual inspection and Capacity Increase. LPA White announced the purpose of the visit and was granted entry into the home by Licensee Jennifer Monroy. The hours of operation are 8:00 a.m. to 5:30 p.m. (Monday - Friday), The ages of the children served are 2 months to 5 years old. There are 10 children enrolled and 6 children present at the time of inspection. All adults in the home were discussed and have current criminal background clearance. The following documents were observed on the Parent Board: License, Parents' Rights, and the Emergency Disaster Plan. The Earthquake Preparedness document was not available at the time of inspection. The Disaster Drill was available at the time of inspection with the last drill conducted on 4/11/2025. The facility roster was available during today's inspection and is current.

Licensee applied for a capacity increase on 2/3/2025. The fire clearance was granted on 5/1/2025. Licensee has LIC 9149 Landlord Consent on file. Licensee understands because she has consent upon approval from a Licensing Program Manager (LPM) she will be granted the maximum capacity (14) of a Large Family Child Care home.

All life saving devices were inspected and were operable at the time of inspection. The dual smoke & carbon monoxide detector is located in the main care space on the left wall. The 2A 10BC fire extinguisher is located in the off limits kitchen near the front entrance of the home. The proof of purchase receipt is dated 8/2024 and is kept in the files. LPA White advised that the purchase receipt be taped to the bottom of the Fire extinguisher, and the fire extinguisher should be serviced or a new fire extinguisher purchased each year.
.........................................Report Continues 1 of 5 Pages.........................................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/07/2025
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: MONROY FAMILY CHILD CARE
FACILITY NUMBER: 198400559
VISIT DATE: 05/07/2025
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The First Aid kit was observed to be mounted on the wall at the entrance of the home. The licensee states that Bedroom 4 will be used as an isolation area for sick children waiting to be picked up by a parent/guardian.

All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single-story home that consists of four bedrooms, two bathrooms, dining room, living room, kitchen, and backyard. Areas that will be used by children were inspected for safety, comfort, cleanliness, telephone service (cell phone), ventilation and heating. Living Room (located upon entry) as Main Care Area, Bathroom 1 (located at hallway entrance to the left), and Bedroom 4 (located to the rear of the home) as access to backyard and sick/isolation area only. Areas off limits to children and parents are Bedrooms 1,2,3, and the kitchen/dining room.

At 10:00 a.m., LPAs observed the main care area to have a child size table with 6 chairs. There is a couch to the right of the entrance of the home. There are storage containers filled with soft play toys, and a open-faced storage case with resources and activities for the children. There are cubbies for the children's belongings located under the mounted flat screen tv. There is a book case located to the left next to the baby gate that makes the rest of the home inaccessible to children in care. To the left of the main care area is the off limits kitchen and dining area that is made inaccessible to children and parents by the use of a baby gate. The kitchen was inspected for cleanliness and safety for the children in care. All lower cabinets were made inaccessible by the use of child safety locks. Licensee states that she provides food and cooks for the children in care. Licensee states that the mai care area is used for napping.

At 10:15 a.m. LPAs observed an open facing wall heater to be barricaded at the time of inspection. All off limits bedrooms were observed to have signs on them stating that they are off limits, and the doors were locked.

At 10:25 a.m., LPAs observed the bathroom to have one sink, one toilet, a mounted changing table and supplies. LPAs observed the cabinets to be made inaccessible to children in care with the use of child safety locks. There is hand washing soap, toilet paper and a paper towel dispenser.

At 10:35 a.m., LPAs observed Bedroom 4 to have a large bed, off limits bathroom, and a sliding door that leads to the back yard.
...................................................................Report continues 2 of 5 Pages.............................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
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: MONROY FAMILY CHILD CARE
FACILITY NUMBER: 198400559
VISIT DATE: 05/07/2025
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At 10:40 a.m., LPAs observed the outdoor play area perimeter to be completely fenced with a section of the play area separated with a wooden fence from the driveway for the safety of the children. The play area is completely shaded using a material tarp. The play area was observed to have toy cars, dramatic play areas and age appropriate plastic slides for the children. There are storage bins that are made inaccessible to children in care with the use of a key lock.

LPAs observed one dog and one cat. Licensee states that the dog is kept in an off limits area of the home. LPAs did not observe any bodies of water. Licensee states there are no weapons in the home. LPAs did not observe any firearms or weapons in the home.

At 11:00 a.m., LPA Voong reviewed the children's files. Documents that were missing from the files (LIC 282, Infant Sleep Plan) were explained to Licensee, and a warning (technical violation) was given so that Licensee understands the potential risk to the health and safety of the children in care. Licensee states that the referral agency requires different documentation. LPA Voong advised that Licensee has both documents for Child Care Licensing and the referral agency. Licensee states that she will provide proof of the corrected files on or before May 21, 2025.

At 11:45 a.m., LPA Voong reviewed the staff files. All staff files had the department required documents. The Licensee had immunization records available during today's inspection. The following documents were available during today's inspection:
Mandated Reporter Training Certificate: 1/4/26 (expiration date) / CPR 1st Aid: 6/2025 (expiration date) Licensee was reminded that the expiration date is coming up.

The Assistant's (Staff 2) file was reviewed and all the department required documents at the time of inspection. Immunization records were current and available during today's inspection. The following documents were available during today's inspection: Mandated Reporter Training: 6/25/26 (expiration date) / CPR 1st Aid: 6/2025 (Expiration Date). LPA Voong informed Licensee that the due date was approaching.

At 12:25 a.m., LPAs observed the children during nap time.
.................................................Report Continues 3 of 5 Pages....................................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC809 (FAS) - (06/04)
Page: 4 of 10
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: MONROY FAMILY CHILD CARE
FACILITY NUMBER: 198400559
VISIT DATE: 05/07/2025
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 LPA Voong informed Licensee that children should lay on a sheet protecting them from the cot as a best practice. LPA Voong provided assistance with the requirements for infant safe sleep, and what can not be in the pack-n-playpen with the child. Licensee agreed.

The following were discussed:
All areas used by children were inspected for safety, comfort, cleanliness, telephone service (cell phone), ventilation and heating (central air and heat).

Licensee Jennifer Monroy was reminded that all adults 18 and over, 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.

LPA discussed the safe sleep regulations with licensee Jennifer Monroy 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 licensee [or facility representative] 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.

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/.

............................................Report Continues 4 of 5 Pages......................................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC809 (FAS) - (06/04)
Page: 6 of 10
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: MONROY FAMILY CHILD CARE
FACILITY NUMBER: 198400559
VISIT DATE: 05/07/2025
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Licensee Jennifer Monroy was informed of the MyChildCarePlan.org website; 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.

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

Based on today's observations, interviews, and record review there will be no deficiencies cited in accordance with California Title 22 regulations.

A notice of site visit was given and must remain posted for 30 days. Failure to post will result in a $100 civil penalty

Exit interview conducted and report was reviewed with the licensee Jennifer Monroy. PIN 22-05-CCP Page Six.

A copy of the report and the appeal rights was given to Licensee Jennifer Monroy.

........................................................Report Ends Here 5 of 5 Pages..............................................................
NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Franchesca White
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC809 (FAS) - (06/04)
Page: 5 of 10