198020465-10-3-2023-33-CC-BVON-CY9SSN-20231206130814

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198020465
Report Date: 10/03/2023
Date Signed: 10/03/2023 05:19:33 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK CC RO, 1000 CORPORATE CNTR DR. 200-B
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/29/2023 and conducted by Evaluator Thelma Razo

PUBLIC

COMPLAINT CONTROL NUMBER: 33-CC-20230929111319

FACILITY NAME:	MELO & REYES FAMILY CHILD CARE		FACILITY NUMBER:	198020465
ADMINISTRATOR:	E. MELO & S. REYES		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(626) 560-6683
CITY:	ALTADENA	STATE: CA	ZIP CODE:	91001
CAPACITY:	14	CENSUS: 9	DATE:	10/03/2023
		UNANNOUNCED	TIME BEGAN:	11:37 AM
MET WITH:	Scarlett Reyes, Licensee		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Unfingerprinted adult living in the home.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Thelma Razo conducted an unannounced Initial 10-Day visit to investigate an allegation that an unfingerprinted adult is living in the home. LPA met with Licensees Scarlett Reyes and Esperanza Melo and stated the purpose of the visit. Also present was an assistant Yeymy Terrazas and 9 children, 3 of whom were infants. According to licensees, there were 3 adults and four minors living in the home. LPA obtained a written Declaration from Licensee Scarlett Reyes indicating the names of the 3 adults living on the premises. A review of Licensing Facility Personnel Report Summary has indicated that one of the adults was not fingerprinted. Ms. Reyes has indicated that that adult has not been fingerprinted.
Based on LPA’s observations and interviews which were conducted and record review, the preponderance of the evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 & Chapter 1 is being cited on the attached LIC9099D.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 33-CC-20230929111319

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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: MELO & REYES FAMILY CHILD CARE	FACILITY NUMBER: 198020465
	VISIT DATE: 10/03/2023

NARRATIVE

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The notice of site visit was posted where the parent/guardian of children enter and exit the facility. A copy of this report shall also be posted where the parent/guardian of children enter and exit the facility. Both the notice of site visit and licensing report shall remain posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. A copy of this report shall be provided to the parent/guardian of children currently enrolled by the next business day or immediately upon their return. A copy of this report shall also be provided to the parent/guardian of any newly enrolled child for the next 12 months. A signed Acknowledgement of Receipt (LIC9224) shall be in each child’s file, acknowledging receipt.

An immediate civil penalty was assessed today. Exit interview held with Licensee Scarlett Reyes, Appeal Rights provided.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 33-CC-20230929111319

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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: MELO & REYES FAMILY CHILD CARE	FACILITY NUMBER: 198020465
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/03/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 10/04/2023 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: Obtain a California clearance or a criminal record exemption as required by the Department.	1 2 3 4 5 6 7	Licensees Melo and Reyes stated they will have the adult family member fingerprinted today. Proof will be submitted to LPA Razo also today. An immediate civil penalty will be accessed today in the amount of $100 and will continue until correction is submitted.
	8 9 10 11 12 13 14	This was not met as evidenced by: Record review and interviews with Licensees has indicated that there is one unfingerprinted adult living in the home. This poses an immediate health and safety risk to the children in care.	8 9 10 11 12 13 14	Note: civil penalty in the amount of $100/day, maximum of $500.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Brandi VanOosten
LICENSING EVALUATOR NAME: Thelma Razo
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2023

LIC9099 (FAS) - (06/04)

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