<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192000344
Report Date: 08/19/2021
Date Signed: 08/19/2021 04:29:42 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MERA FAMILY CHILD CAREFACILITY NUMBER:
192000344
ADMINISTRATOR:MERA, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
3232316447
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:14CENSUS: 1DATE:
08/19/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:50 PM
MET WITH:Olga Mera, LicenseeTIME COMPLETED:
04:40 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
Prior to entrance to the facility, LPA Mayra Rivera conducted a Covid 19 assessment and based on the licensee responses to the facility assessment questions, LPA Rivera determined safe to proceed. On Wednesday, August 19, 2021 at 1:55 PM, Licensing Program Analyst (LPA) Mayra Rivera conducted an unannounced annual inspection and met with Licensee Olga Mera who guided LPA Rivera on a tour of the facility.

During the inspection, one child was present and assistant, Mayra Lopez. Family members residing in the home was discussed with licensee and are cleared. Operating hours are Monday to Friday, 8:00 am to 5pm and care for children ages 0 to 12 years.

This is a two story home which consists of 8 bedrooms, 3 bathrooms, kitchen, dining room, living room, front yard (fenced), and backyard (fenced). Areas that are accessible to children and identified on the facility sketch were inspected by LPA Rivera; living room, bathroom (by living room), living room, room #1 by the living room and front yard.

Areas off limits to children include- bedrooms, upstairs, backyard, and kitchen. At 2:03 PM, LPA observed a safety gate barrier in place between the kitchen and living room to prevent children entering the kitchen and second floor. LPA observed the bedrooms doors closed and locked.

At 2:09 PM LPA Rivera entered the daycare room area to inspect for safety, comfort, cleanliness, ventilation and working phone (cell phone). For ventilation, Licensee uses fans, opens the windows and for heat Licensee stated she uses a portable heater fan. LPA asked if the heater fan turn orange and Licensee stated "yes." LPA informed those portable heaters are not allowed due to hazard burn. LPA advised to replace the portable heater with a heater that has a fire proof screen and or child proof. barrier to prevent an injury/burn.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344
VISIT DATE: 08/19/2021
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
26
27
28
29
30
31
32
LPA observed the furniture and children materials to be in good condition and age appropriate. At 2:19 PM, LPA Rivera entered the restroom and observed the toilet, running water, hand soap and paper towels. LPA observed the bottom cabinets closed and did not observe detergents, cleaning compounds, medications, and other items which could pose a danger to children. LPA observed the restroom to be in good condition.

At 2:24 PM LPA observed cleaning compounds items stored inside the bottom sink cabinets with a child proof lock in place making it inaccessible to children. Licensee understands that any poisons or firearms must be locked with a key or combination lock. For drinking water, LPA observed water jugs and individual cups.

LPA Rivera asked if there are any pets, poisons, firearms, weapons or bodies of water. Licensee stated she has one pet (dog), no firearms, weapons nor bodies of water. LPA did not observe firearms or weapons nor bodies of water. Licensee was advised that if any poisons (ex; drano, rat poison or items with skull hazard symbol), firearms and weapons are purchased, it is required to be locked with a key or combination lock and firearm and ammunition must be stored separately.



At 2:32 PM LPA Rivera observed the required 2A10BC fire extinguisher located in the kitchen the valve on the green area indicating fully charged and serviced on 01/12/2021. LPA observed the smoke detector and carbon monoxide located in the hallway and asked licensee to press on the button. LPA heard the sound of the smoke/carbon alarm which indicates the it's operating. LPA informed licensee combo smoke/carbon alarm form brand Kiddie has been recalled. LPA observed the alarm not to be Kiddie brand.

LPA observed licensee and assistant incorrect CPR certification. LPA informed licensee the required certification is Pediatric First Aid/CPR-Adult-Child-Infant. Licensee has proof of immunization against pertussis, MMR and LPA received influenza declination dated 8/19/2021. Licensee nor the assistant have not completed the mandated reporter (AB 1207) training. Licensee was advised that the mandated reporter training must be completed every 2 years, and is available at www.mandatedreporterca.com. and in Spanish.

At 2:38 PM LPA observed on the bulletin wall the children's facility roaster, LIC 610 Emergency Disaster plan, Parents Rights, License, facility sketch and earthquake/fire drill log and last drill conducted on 8/16/2021.

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344
VISIT DATE: 08/19/2021
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
26
27
28
29
30
31
32
At 2:45 PM, LPA Rivera inspected the outdoor area for safety, comfort and cleanliness. The facility was observed to be free of flies, insects and rodents. LPA observed the outdoor playground equipment in safe condition, free of sharp, lose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA observed a sail shade triangle in place and provides adequate shade in the yard.

The following was discussed

INFANT CARE: LPA Rivera reviewed and discussed Safe Sleeping Practices information with licensee and a plan for supervising sleeping infants. LPA advised the licensee to sleep infants in an area where infants can be directly supervised. Place infants on their backs to sleep, on a firm mattress with fitted sheet that fits snugly in crib or play yard. LPA also advised against sleeping infants in a separate room with no direct supervision and no pillows, crib bumpers, swaddling, head covered, and pacifiers must not have anything attached. Safe sleep brochure was provided.

LPA Rivera also reviewed Sudden Infant Death Syndrome (SIDS), Never Shake A Baby, and Lead Exposure information with licensee. LPA also explained to licensee that car seat, stroller are only and only for transportation, highchair is only and only for feeding and stated items cannot be misused. No smoking, No infant walkers, No Johnny jumpers, No saucer chairs, No trampolines and any other item that falls into this category are not permitted in a family child care facility.



Medication: Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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: http://www.ada.gov/childqanda.htm

Licensee stated currently has no children with medication.

LPAs advised the licensee how to access forms, regulations and quarterly updates , and Providers Information Notices (PIN) online at: www.ccld.ca.gov

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344
VISIT DATE: 08/19/2021
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
26
27
28
29
30
31
32
LPA issued Children's Record Review (LIC 857) and the Confidential Names List ( LIC 811)to licensee during the inspection. The Confidential Names List documents staff file that was reviewed during this inspection. LPA observe incorrect LIC 627 Consent for Medical treatment in the child's file. LPA Rivera provided LIC forms that are required and LIC 311D Forms to be kept in Family Child Care. LPA also provided safe sleep flyer.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.



Licensee has been given a technical violation listed on the following pages. Exit interview was conducted and plans of correction were reviewed and developed with Licensee Olga Mera with due date September 3, 2021. Appeal rights explained & provided. A copy of this report and appeal rights were discussed and left with licensee, Olga Mera whose signature on this form confirms receipt of these documents.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Mayra RiveraTELEPHONE: (323) 629-7782
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4