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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198002467
Report Date: 10/12/2023
Date Signed: 10/12/2023 09:27:40 AM

Document Has Been Signed on 10/12/2023 09:27 AM - 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 CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754
FACILITY NAME:LUIS, MELINDA FAMILY DAY CAREFACILITY NUMBER:
198002467
ADMINISTRATOR:LUIS, MELINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(323) 258-5330
CITY:LOS ANGELESSTATE: CAZIP CODE:
90065
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
10/12/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Licensee Melinda LuisTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Veronica Martinez Garza conducted an unannounced POC (plan of correction) inspection on 10/12/23 at 08:45 a.m. to ensure that the Type A deficiency cited on 09/29/23 has been cleared. LPA met with Melinda Luis, licensee who guided analyst on a tour of the facility. There were 04 child present during this inspection.

The following was observed:

-Licensee has converted the water fountain into a planter. LPA observed several pots and rocks on the bottom tiers and rocks on the top tier. LPA did not observe the water fountain to have running water. LPA also observed the licensee has maintained several plants on the floor and a gate around the fountain to make it further inaccessible to children in care. Licensee stated that she will add more plants to the water fountain. LPA took pictures.

Per Licensee, she plans on keeping the water fountain as a planter. LPA advised Licensee that if she decides to have the water fountain with running water, she must adhere to Title 22 regulations for bodies of water. LPA obtained a declaration LIC 855 from Licensee.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee, Melinda Luis. Appeal Rights were provided.
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SUPERVISORS NAME: Ana Chico
LICENSING EVALUATOR NAME: Veronica Martinez-Garza
LICENSING EVALUATOR SIGNATURE: DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/12/2023
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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