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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198000925
Report Date: 12/18/2024
Date Signed: 12/18/2024 02:25:28 PM

Document Has Been Signed on 12/18/2024 02:25 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:WELLS AND MERAZ MORALES FAMILY CHILD CAREFACILITY NUMBER:
198000925
ADMINISTRATOR/
DIRECTOR:		WELLS. ARLINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 493-5614
CITY:LONG BEACHSTATE: CAZIP CODE:
90815
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 8DATE:
12/18/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Co-Licensee - Sandra MerazTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) R. Derraco conducted an unannounced annual inspection to the above facility on 12/18/24. LPA arrived at the facility at 12:15 and met with Sandra Merza, who guided analyst on a tour of the facility. Also present during this inspection was an assistant S2 and Co-Licensee Arlin Wells. Per Licensee, there are 12 children that are currently enrolled. There were 8 children present upon arrival.

This is a one-story home which consists of 3 bedrooms, 2 bathrooms, kitchen, dining room, living room,garage, front yard and backyard (fenced). The off limit areas include 1 bedroom, 1 bathroom, and front yard. Per licensee, the front yard is only used during the summer season.

The main care are is located in the living room / dining area. LPA observed child sized tables, child sized chairs, couch, wall mounted television, children's reading material, age appropriate toys, and a wooden cubby locker for storing personal belongings. LPA did not observed sharp or pointy objects to be accessible to children in care. Sharp or pointy objects were observed to be stored above the stove and out of the reach of children in care/ Cleaning supplies were also observed kept in a cabinet above the kitchen counter. Per licensees, they provide food for children in care. Licensee's were advised that children who bring food from home must have their containers individually labelled and properly stored or refrigerated. Bedroom 1 was observed with 3 wooden Foundations cribs, and a wooden infant changing station. Bedroom 2 was observed with a Cosco playpen, a bed, dresser and a keyboard. The garage space was observed with additional child sized tables, child sized chairs, a sink, age appropriate toys and laundry appliances. Licensees understand that garage space can only be used as an activity space; children in care cannot nap or take meals in the garage space. The outdoor play area is located in the backyard. LPA observed the backyard to have perimeter fencing, a wooden play structure, plastic dramatic play sets, and outdoor play equipment. A pool was observed in the backyard play area. LPA observed a fence around the pool with a self closing gate that opens away from the pool. The fence was observed to be anchored into the ground
(page 1 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2024
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WELLS AND MERAZ MORALES FAMILY CHILD CARE
FACILITY NUMBER: 198000925
VISIT DATE: 12/18/2024
NARRATIVE
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and cement. A pad lock was observed on the latch of the gate. Emergency Disaster Plan, Parent’s Rights Poster and the Facility License were observed to be posted. Per licensee, isolation area for children showing signs of illness will be located in either bedroom 1 or bedroom 2 while the they await parent pick up. LPAs did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety,
comfort, and cleanliness. There is telephone service via a landline LPAs observed a wall heater to be barricaded in the day care area. The licensee understands that storage areas for poisons must be locked, not just made inacessible. The valve on the required 2A 10BC fire extinguisher indicates fully charged however license was unable to furnish a purchase receipt. Per licensee, it has been over a year since the fire extinguisher has been purchased. LPA advised licensees that a citation under California Code of Regulation (CCR) section 102417(g)(1). Smoke and carbon monoxide detectors were tested and are operable. There are no pets on the premises. Licensee states that there are no firearms stored in the home. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home.

The licensee states that she, and other personnel have not renewed their training on Pediatric First Aid and CPR. LPA advised licensee that a citation under CCR section 102416(c) will be issued. Licensee also states the they have not renewed Mandated Reporter AB 1207 compliant training. LPA advised licensee that a citation under Health and Safety Code (HSC) section 1596.8662(b)(1) will be issued. File review was observed to have proper mandated immunization records. Children’s records were reviewed, including emergency information. Licensee states that she is unable to locate C8's facility file at time of inspection. LPA advised licensee that a citation under CCR 102417(g)(7) will be issued. A current children’s roster was available for review.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.



LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep (page 2 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: WELLS AND MERAZ MORALES FAMILY CHILD CARE
FACILITY NUMBER: 198000925
VISIT DATE: 12/18/2024
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webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the licensee, Arlin Wells, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following deficiencies listed on the attached LIC 809 (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health & safety.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee, Arlin Wells.
(page 3 of 3)
SUPERVISORS NAME: Denise Gibbs
LICENSING EVALUATOR NAME: Randy Derraco
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 12/18/2024 02:25 PM - It Cannot Be Edited


Created By: Randy Derraco On 12/18/2024 at 01:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WELLS AND MERAZ MORALES FAMILY CHILD CARE
FACILITY NUMBER: 198000925

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not have a fire extinguisher that meets standards established by the State Fire Marshall which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Licensee states she will email LPA proof of a purchased fire extingusher within the year or fire extinguisher serviced.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensees and assistant did no complete renawal of mandated reporter training every two years which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Licensee states she will email LPA proof of Mandated Reporter AB1207 compliant training certificates by POC date.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Randy Derraco
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 12/18/2024 02:25 PM - It Cannot Be Edited


Created By: Randy Derraco On 12/18/2024 at 01:56 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: WELLS AND MERAZ MORALES FAMILY CHILD CARE
FACILITY NUMBER: 198000925

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensees and assistant did not complete training on pediated CPR and first aid which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Licensee states she will email LPA proof that Pediatric CPR and First aid has been completed by POC date.
Type B
Section Cited
CCR
102417(g)(7)
Operation of A Family Child Care Home
(7) An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not maintain emergency information card for C8 which poses a potential Health, safety and/or personal rights risk to persons in care.
POC Due Date: 12/27/2024
Plan of Correction
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Licensee states she will email LPA proof of child's personnel file kept at facility by POC date.
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:Denise Gibbs
LICENSING EVALUATOR NAME:Randy Derraco
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2024


LIC809 (FAS) - (06/04)
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