<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304310490
Report Date: 08/06/2020
Date Signed: 08/06/2020 04:51:26 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MERCADO, MARIAFACILITY NUMBER:
304310490
ADMINISTRATOR:MERCADO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 826-4876
CITY:BUENA PARKSTATE: CAZIP CODE:
90620
CAPACITY:14CENSUS: 7DATE:
08/06/2020
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Maria Mercado, LicenseeTIME COMPLETED:
11:45 AM
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
Tele-visit

Licensing Program Analyst (LPA) Yesenia Villa and Licensing Program Manager (LPM) Judy Hanson conducted an announced virtual case management inspection on this day. The licensee was informed that due to COVID-19 and social distancing guidelines, the visit would be conducted via the application WhatsApp. The inspection was held in Spanish.

LPA Villa and LPM Hanson were greeted by Licensee Maria Mercado. Census was obtained there were 7_ children with the licensee. The facility was observed to be within ratio. All adults present in the home have obtained criminal background clearance.

The licensee was placed on probation from 07/12/2018-07/12/2020, including and limited to Personal Rights Violations, Lack of Supervision.

The purpose of this inspection is to provide Technical Assistance to the licensee, related to Covid-19 and to conduct a virtual tour of the family childcare home, before re-instating a clear licensee and removing the probationary status. During this inspection LPA Villa and LPM Hanson went over Title 22 Regulations, Personal Rights section 102423, Supervision Section 102417(a). LPA Villa also emailed the licensee COVID-19 resources, posters, flyers and most recent PIN20-18CCP.

An exit interview was conducted with the Licensee Maria Mercado in Spanish.

SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Yesenia VillaTELEPHONE: (714) 293-9465
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2020
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 1