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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364844040
Report Date: 07/29/2022
Date Signed: 07/29/2022 12:26:11 PM


Document Has Been Signed on 07/29/2022 12:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:MEZA FAMILY CHILD CAREFACILITY NUMBER:
364844040
ADMINISTRATOR:REBECCA MEZAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 377-5227
CITY:UPLANDSTATE: CAZIP CODE:
91786
CAPACITY:14CENSUS: 10DATE:
07/29/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:54 AM
MET WITH:Rebecca Meza, LicenseeTIME COMPLETED:
12:45 PM
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
On 07/29/2022, Licensing Program Analysts (LPA) Kay Phillips and Elyse Jones arrived at the facility for another purpose. The facility was toured, a census was taken, and files were reviewed. LPA Turner met with the licensee, Rebecca Meza, regarding the following: a complaint was received on 07/12/2022 that staff was transporting children. During the course of the investigation, Staff #1 confirmed transporting approximately ten children at the facility in the facility vehicle with an expired license. The licensee confirmed sending Staff Member #1 with approximately ten children, acknowledging being out of ratio. However, the licensee denied knowing the driver's license was expired. LPA Turner advised the licensee of her responsibility to ensure that all employees transporting children enrolled at the facility have a verifiable license.

Please see LIC 809D for deficiencies.

Exit interview conducted and report was reviewed with the licensee, Rebecca Meza.



Appeal rights and a Notice of Site Visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISOR'S NAME: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene TurnerTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2022
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 2


Document Has Been Signed on 07/29/2022 12:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: MEZA FAMILY CHILD CARE
FACILITY NUMBER: 364844040

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/01/2022
Section Cited

1
2
3
4
5
6
7
Operation of a Family Child Care Home: Only drivers licensed for the type of vehicle to be operated shall be permitted to transport children in care.

This requirement was not met as evidenced by...
8
9
10
11
12
13
14
Staff member #1 confirmed to LPA Zeron of their driver's license being expired and confirmed transporting children on the expired license. This is an immediate risk to Health, Safety & Personal Rights to the children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Aaron RossTELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Karrene TurnerTELEPHONE: 951-970-1161
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2