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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198007291
Report Date: 07/09/2019
Date Signed: 09/26/2019 02:44:49 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/02/2019 and conducted by Evaluator Timothy Fields
PUBLIC
COMPLAINT CONTROL NUMBER: 54-CC-20190702143345
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: 17DATE:
07/09/2019
UNANNOUNCEDTIME BEGAN:
02:47 PM
MET WITH:Alma MeyersTIME COMPLETED:
05:10 PM
ALLEGATION(S):
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9
Licensee is over capacity
INVESTIGATION FINDINGS:
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13
A Complaint investigation was conducted by Licensing Program Analyst (LPA) Timothy Fields for the purpose investigating the above allegation. LPA met with licensee Alma Meyers who guided LPA on a tour of the facility. Upon arrival LPA observed 13 children in the living room. LPA observed three additional children sleeping in two separate bedrooms.

Licensee's assistant age 17 arrived shortly after touring the home. Licensee's two additional assistants/daughters were also present. Licensee states two of the children in the bedroom are her grandchildren and their mother was present at the time of the inspection. Licensee denies being over capacity while caring for children at the park

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted with licensee. Appeal Rights provided and explained. Notice of Site Visit must be posted for (30) days. Failure to do so may result in a $100.00 civil penalty.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
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 5
Control Number 54-CC-20190702143345
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: MEYERS FAMILY DAY CARE
FACILITY NUMBER: 198007291
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
CCR
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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: Trevino CochranTELEPHONE: (323) 981-3350
LICENSING EVALUATOR NAME: Timothy FieldsTELEPHONE: (323) 981-3431
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2019
LIC9099 (FAS) - (06/04)
Page: 5 of 5