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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198007291
Report Date: 07/19/2019
Date Signed: 07/19/2019 12:37:07 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:MEYERS FAMILY DAY CAREFACILITY NUMBER:
198007291
ADMINISTRATOR:MEYERS, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 841-8403
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY:14CENSUS: 10DATE:
07/19/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:21 PM
MET WITH:Alma MeyersTIME COMPLETED:
12:50 PM
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A Plan of Correction inspection was conducted by Licensing Program Analyst (LPA) Timothy Fields to ensure licensee is in compliance with Title 22 California Code of Regulations, Staff Ratio and Capacity, which was cited on 7/9/19. LPA inspected the living room, kitchen, bedrooms, bathrooms, garage, and backyard. During todays inspection LPA observed four infants and six preschool age children. Licensee was observed to be in compliance on this date.

Exit interview was conducted with licensee Alma Meyers. A copy of the report and notice of site visit was provided.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019
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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