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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 192003036
Report Date: 02/26/2020
Date Signed: 02/26/2020 04:16:34 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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:MEYERS FAMILY CHILD CAREFACILITY NUMBER:
192003036
ADMINISTRATOR:MEYERS, MARYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 919-1296
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:14CENSUS: 8DATE:
02/26/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Licensee, Mary MeyersTIME COMPLETED:
04:25 PM
NARRATIVE
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A. Gontarek and C. Reyes, Licensing Program Analysts (LPA) conducted a case management inspection to the above facility. LPAs met with Mary Meyers, Licensee, who gave LPAs a tour of the facility indoors and outdoors during this inspection. There were 8 children present at the time of arrival, one being an infant and the rest of the children in care were toddlers.

Per interview, it was stated by Licensee who disclosed that sometimes only one staff is at the facility during nap time when there are more then 8 children. When licensee was interviewed she stated center regulations and not family child care regulations when she was explaining about the ratio and the capacity requirements.

During the tour, LPAs observed cleaning solutions, and bleach, in a unlocked cabinet in the front hallway which was accessible to the children in care. During the inspection, the Licensee removed the cleaning compounds and bleach and placed them in the kitchen area on the top shelf.

The department received an incident report dated February 13th, 2020 by telephone by Licensee. The incident occurred on February 10th, 2020. The Licensee failed to report the incident timely. Licensee stated that she met with parents of children involved in the incident Tuesday, February 11th at about 5:15 PM. She attempted calling the department one time, and she stated she was placed on hold for over 30 minutes, hung up and did not try calling again until Thursday, 02/13/2020 because she was busy with the day care.

Licensee states her e-mail address is mrmerrysunshine@gmail.com




SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020
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 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MEYERS FAMILY CHILD CARE
FACILITY NUMBER: 192003036
VISIT DATE: 02/26/2020
NARRATIVE
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Based on this information, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22.

Title 22, Division 12 Chapter 1 Article 06. Continuing Requirements:
102416.5 Staffing Ratio and Capacity
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home . Small and Large capacity handout was given to Licensee and explained.

102417 Operation of a Family Child Care Home
The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children and shall be stored where they are inaccessible to children.

102416.2 Reporting Requirements:
The licensee shall report the following information the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm).

Deficiencies that are being cited need to be corrected to protect the children’s health & safety.

An exit interview conducted with licensee, appeal rights, progressive civil penalties were explained including a copy of this report was given to the licensee and LIC 9213—Notice of Site Visit was posted during this visit. Notice of Site Visit must be posted for 30 days. Failure to post required visit reports for 30 consecutive days will result in immediate civil penalty assessment of $100.
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020
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
CCLD Regional Office, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME: MEYERS FAMILY CHILD CARE
FACILITY NUMBER: 192003036
VISIT DATE: 02/26/2020
NARRATIVE
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Upon receipt, Licensee shall post the Notice of Site Visit (LIC 9213) and the citation page of the licensing report. The 809D page and the Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain posting as required will result in the issuance of a citation and the assessment of a $100 civil penalty per day.

A copy of this report shall be provided to the parents/guardians of the children currently enrolled by the next business day or immediately upon return. A copy of this report shall also be provided to the parents/guardians of any children newly enrolled at the facility for the next 12 months. The LIC 9224 Acknowledgement of Receipt of Licensing Reports must be maintained in each child's file immediately upon receipt from the parent
SUPERVISOR'S NAME: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2020
LIC809 (FAS) - (06/04)
Page: 3 of 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MEYERS FAMILY CHILD CARE
FACILITY NUMBER: 192003036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/26/2020
Section Cited

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Staffing Ratio and Capacity:
If no assistant provider is present at a Large Family Child Care Home, then the licensee shall comply with the capacity requirements for a Small Family Child Care Home.

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This requirement is not met as evidenced by per interview, it was stated by Licensee who disclosed that sometimes only one staff is at the facility during nap time when there are more then 8 children. This is an immediate risk to the heath and safety of 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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2020
LIC809 (FAS) - (06/04)
Page: 4 of 5
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 CNTR DR. 200-B
MONTEREY PARK, CA 91754

FACILITY NAME: MEYERS FAMILY CHILD CARE
FACILITY NUMBER: 192003036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/26/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2020
Section Cited

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Operation of a Family Child Care Home: The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children and shall be stored
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where they are inaccessible to children.
This requirement is not met as evidenced by LPAs observed cleaning solutions, and bleach, in a unlocked cabinet in the front hallway which was accessible to the children in care. This poses a potential health and safety risk to the children in care.
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Type B
03/04/2020
Section Cited

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Reporting Requirements:
The licensee shall report the following information to the Department by telephone or fax within the Department's next business day and during normal working hours (8am to 5pm). This requirement is not met as evidenced by the department receiving an incident report dated 2/13/20 by telephone
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by Licensee. The incident occurred on 2/10/20. The Licensee failed to report the incident timely as she stated by trying to call one time on 2/12/20 and was placed on hold and hung up.

This poses a potential health and safety risk to the children in care.
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occurrence of the event. Licensee stated she will watch the videos focusing on Child Care Reporting Requirements and has already sent the unusual incident report in. Licensee will also send a written letter on what was learned from the video by the POC date.
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: Claudia GuangorenaTELEPHONE: (323) 981-3417
LICENSING EVALUATOR NAME: Cynthia ReyesTELEPHONE: (323) 981-3369
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2020
LIC809 (FAS) - (06/04)
Page: 5 of 5