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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198012129
Report Date: 10/01/2024
Date Signed: 10/01/2024 10:01:06 AM

Document Has Been Signed on 10/01/2024 10:01 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 SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MERRIMAN FAMILY CHILD CAREFACILITY NUMBER:
198012129
ADMINISTRATOR/
DIRECTOR:		MERRIMAN, LASHAUNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 756-6455
CITY:CARSONSTATE: CAZIP CODE:
90746
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 1DATE:
10/01/2024
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:MERRIMAN, LASHAUN / LICENSEETIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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 Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual continuation inspection to the above facility. LPA arrived at the facility and met with Lashaun Merriman, LPA gained entry to the facility.

Licensee notified LPA that she has 1 child in care and is waiting to be picked up due to child being ill. LPA observed one child. LPA observed a total of two adults (licensee and adult living in the home). All adults are fingerprinted cleared. Licensee stated has been ill herself and is closing for the day. Licensee stated isolation area for children waiting to get picked up is the living room area.

LPA observed fire extinguisher fully charged and purchased within in the one year and staircase had baby gate.

LPA will return at a later time due to Licensee closing for the day. Notice of site visit was given and must be posted for 30 days. An exit interview was conducted with Licensee Lashaun Merriman.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Ashley Calderon
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
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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