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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192000344
Report Date: 10/17/2024
Date Signed: 10/17/2024 03:19:24 PM


Document Has Been Signed on 10/17/2024 03:19 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:MERA FAMILY CHILD CAREFACILITY NUMBER:
192000344
ADMINISTRATOR:MERA, OLGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 231-6447
CITY:LOS ANGELESSTATE: CAZIP CODE:
90011
CAPACITY:14CENSUS: 3DATE:
10/17/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Olga MeraTIME COMPLETED:
03:45 PM
NARRATIVE
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On 10/17/2024, at 12:45 p.m., Licensing Program Analyst (LPA's) Joshua Ortega and Claudia Kam conducted an unannounced case management inspection and met with licensee Olga Mera. LPA disclosed the purpose of the inspection and was granted entry into the facility by Olga Mera. The purpose of today's inspection was increased monitoring plan visit.

This is a one story home which consists of 6 bedrooms, basement bedroom, and shed room in backyard for a total of 8 bedrooms. The home has 3 bathrooms, kitchen, dining room, living room, front yard (fenced), and backyard (fenced).

There were 3 children (1toddler and 2 infants) and 4 adults were present (1 staff, licensee and 2 adults). Upon review of rooms in the home there is 1 adult in room 6 is not cleared.

LPAs observed rooms in home and upon inspection we observed an additional room added in the back yard a Tuff Shed. Licensees son was observed in the addition. Basement room was observed furnished with bed, refrigerator and personal items, basement was not prior a living space at last inspection. Facility sketch will be updated per licensee. There is a total of 6 adults living in home. Licensee will update application to reflect all adults living in home.

The deficiency listed on the following page was observed by the LPA and is being cited in accordance with California Code of Regulations Title 22. Please see attached LIC 809-D. The deficiency that is being cited needs to be cleared to protect the children’s health & safety.
SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Joshua OrtegaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024
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 10/17/2024 03:19 PM - It Cannot Be Edited

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: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/17/2024
Section Cited
CCR
102370(d)

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102370 Criminal Record Clearance
(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:
This regulation was not met as evidenced by
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Per licensee she will have uncleared adult to stay with family member until she is cleared. She will not return until cleared. Effective 10/17/2024 will be cleared today.
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Based on LPAs record review and interview, Licensee did not have one individuals living in the home cleared. This poses an immediate health, safety, and personal rights risk 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: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Joshua OrtegaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5


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: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344
VISIT DATE: 10/17/2024
NARRATIVE
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The following citations are being cited today on the attached LIC 9099D.

LPAs informed Licensee Olga Mera that this report dated 10/17/2024 document one Type A citation which shall be posted for 30 consecutive days as there is/are immediate risk(s) to the health, safety, or personal rights of children in care.

Also, LPAs informed the Licensee to provide a copy of this licensing report dated 10/17/2024 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

A violation regarding criminal record clearance (2) warrants an immediate civil penalty of $500 max/person and is hereby assessed, see LIC 421IM.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with the Licensee, Olga Mera.

Page 2

SUPERVISOR'S NAME: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Joshua OrtegaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 10/17/2024 03:19 PM - It Cannot Be Edited

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: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2024
Section Cited
CCR
102416.3(a)(6)

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(a) Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: (6) Any change from an area of the family child care home previously identified as "off limits" to an area where care and supervision will be provided to children in care.
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She will report to department when making future changes. Will update sketch and submit to department. Will submit by 10/31/2024
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This requirement is not met as evidenced by:
Based on observation, interview and file review licensee there is no facility sketch which poses a potential health and safety risk or personal rights risk to children in care.
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Type B
10/17/2024
Section Cited
CCR102416.2(a)(2)

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The licensee shall report the following information to the department...(2) Any change in household composition including adults moving in and out of the home and anyone living in the home who reaches his or her 18th birthday
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will report changes and will notify changes of any adults moving in or out of home. will submit updated application by 10/31/2024
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This requirement is not met as evidenced by:
Based on observation, interview and file review licensee there is no information that was reported to department which poses a potential health and safety risk or personal rights risk 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: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Joshua OrtegaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5


Document Has Been Signed on 10/17/2024 03:19 PM - It Cannot Be Edited

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: MERA FAMILY CHILD CARE
FACILITY NUMBER: 192000344

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2024
Section Cited
CCR
102418(a)

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(a) Prior to admission to a family day care home, children shall be immunized against diseases as required by the California Code of Regulations, Title 17, beginning with Section 6000.
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Will provide department with proof of immunization by 10/31/2024
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This requirement is not met as evidenced by:
Based on observation, interview and file review licensee there is no immunization records for staff which poses a potential health and safety risk or personal rights risk 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: Karen ChambersTELEPHONE: (323) 981-3368
LICENSING EVALUATOR NAME: Joshua OrtegaTELEPHONE: (323) 981-3350
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2024
LIC809 (FAS) - (06/04)
Page: 5 of 5