197415662--1--1--1-

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197415662
Report Date: 10/24/2022
Date Signed:

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/15/2022 and conducted by Evaluator Miriam Cohen

COMPLAINT CONTROL NUMBER: 30-CC-20220815092244

FACILITY NAME:	SMITH & MERRITT FAMILY CHILD CARE HOME		FACILITY NUMBER:	197415662
ADMINISTRATOR:	SMITH, JACQUELYN M.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 704-9305
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY:	14	CENSUS: 8	DATE:	10/24/2022
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Temeka Merrit, Designated Personnel		TIME COMPLETED:	01:57 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is not preventing the spread of COVID
Facility does not serve nutriture’s meals to daycare children
Facility is not clean and sanitized

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 10/24/2022 @ 2:06 PM, Licensing Program Analyst (LPA), Miriam Cohen conducted an unannounced visit and met with licensee, Jaquelyn Smith, for the purpose of delivering the finding concerning the mentioned allegations.
Based upon the following observations below, facts revealed that, there is not a preponderance of the evidence to support that the facility committed the allegations: Facility is not preventing the spread of COVID, Facility does not serve nutriture’s meals to daycare children, and Facility is not clean and sanitized.
A. Visual observations during initial visit on 08/24/2022 and delivery of finding visit today, 10/24/2022
1. LPA observed facility with sanitation areas equipped with hand sanitizer, mask, gloves, and a thermometer, located inside and outside of the facility
2. LPA observed copy of menus posted on the refrigerator
B. Verbal Interviews with three parents of children enrolled in the facility, two children, two staff workers, and the licensee – did not indicated facility serving non nutritious meals

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 30-CC-20220815092244

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: SMITH & MERRITT FAMILY CHILD CARE HOME	FACILITY NUMBER: 197415662
	VISIT DATE: 10/24/2022

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

C. Written declaration from the licensee
D. Current receipts of grocery bills and floor carpet services
E. Consultation with management

Therefore, the following conclusion has been determined concerning the above allegations: UNSUBSTANTIATED - A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

SUPERVISOR'S NAME: Maureen Neal	TELEPHONE: (424) 301-3042
LICENSING EVALUATOR NAME: Miriam Cohen	TELEPHONE: (424) 301-3058
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 5