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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304314163
Report Date: 10/09/2023
Date Signed: 10/09/2023 03:16:13 PM

Document Has Been Signed on 10/09/2023 03:16 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
ORANGE COUNTY CC RO, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MONTANO, EMILIAFACILITY NUMBER:
304314163
ADMINISTRATOR:MONTANO, EMILIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 848-7840
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92647
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 6DATE:
10/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Licensee Emilia MontanoTIME COMPLETED:
02:30 PM
NARRATIVE
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On 10/09/2023, Licensing Program Analyst (LPA) Romy Castanon conducted a Case Management due to deficiencies observed during today's inspection. LPA Castanon met with Licensee Emilia Montano. LPA observed a 6 daycare children, Assistant #1 (A1) and Assistant #2. Emilia's own 3 three children were also present during the visit.
A review of the Facility Personnel Report Summary on 10/09/2023 indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

During LPA’s tour of the facility, LPA observed Licensee cleaning spilled liquid on the floor of the kitchen. There were 3 infants being fed in the daycare room (home's den) by Assistant #1 and Assistant #2. LPA asked A1 if only 3 infants were in attendance, A1 stated, the other children were playing outside. LPA opened the sliding door and observed 3 preschool age children playing on the right side of the backyard unsupervised and not within sight of A1's position. LPA stayed in the backyard and waited approximately 5 minutes for Licensee to join the children outside. Licensee stated she was outside but was called inside to clean and asked A1 to keep an eye out for the children. LPA explained the risks of leaving the children unattended outdoors.

Based on LPA’s observation and interview with Licensee, the facility is being cited in accordance with California Code of Regulations, Title 22, Division 12, Section 102417(g)(6) Operation of a Family Child Care Home.

Appeal Rights were discussed. The facility representative was provided a copy of their appeal rights (LIC 9058) and their signature on this form acknowledges receipt of these rights. All appeals must be in writing and received by the Regional Office within 15 business days. A notice of site visit was given and must remain posted for 30 days. Exit interview was conducted and report was reviewed with Licensee Emilia Montano. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Licensee shall have LIC9224 (Acknowledgement of Receipt) signed and kept in each child's file. (End of Report)
SUPERVISORS NAME: Patricia Magana
LICENSING EVALUATOR NAME: Romelia M Castanon
LICENSING EVALUATOR SIGNATURE: DATE: 10/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/09/2023
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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Document Has Been Signed on 10/09/2023 03:16 PM - It Cannot Be Edited


Created By: Romelia M Castanon On 10/09/2023 at 02:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MONTANO, EMILIA
FACILITY NUMBER: 304314163

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/10/2023
Section Cited
CCR
102417(g)(6)

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102417 Operation of a Family Child Care Home (g) The home shall be free from defects...Safety precautions shall include but not be limited to:(6) ... outdoor play shall be supervised by the licensee or caregiver. This requirement was not met as evidenced by:
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LPA provided consultation with Licensee regarding the risks of leaving children unsupervised in outdoor play areas. Licensee provided LPA with a plan to keep the children safe and supervised at all times. Written plan was signed by Licensee and Assistants.
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LPA's observations and interview with Licensee. Upon LPA's arrival, Licensee was cleaning in the kitchen, Assistants were caring for 3 infants in the daycare room and 3 preschool age children were left unsupervised in the backyard. This is an immediate risk to the health, safety or personal rights to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Patricia Magana
LICENSING EVALUATOR NAME:Romelia M Castanon
LICENSING EVALUATOR SIGNATURE:
DATE: 10/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/09/2023


LIC809 (FAS) - (06/04)
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