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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197493762
Report Date: 12/21/2021
Date Signed: 12/21/2021 04:39:30 PM

Document Has Been Signed on 12/21/2021 04:39 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, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MERRIMAN FAMILY CHILD CAREFACILITY NUMBER:
197493762
ADMINISTRATOR:MERRIMAN, RASCHANDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(310) 864-8689
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
12/21/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Raschand MerrimanTIME COMPLETED:
03:00 PM
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Licensing Program Analyst, V. Wheatley conducted a case management inspection and was greeted by the licensee's adult daughter. The licensee Raschand Merriman was not home upon arrival but arrived shortly. LPA observed two day care children on the premises. LPA also observed the licensee's two minor sons and minor daughter on the premises.

LPA Wheatley interviewed licensee and Staff #1 regarding a former employee Adult #1.
Licensee states Adult #1 is out of state and is not expected to return until after the new year.

Based on the interviews and information obtained there are no deficiencies cited.

Exit interview.
SUPERVISORS NAME: Maureen Neal
LICENSING EVALUATOR NAME: Veronica Wheatley
LICENSING EVALUATOR SIGNATURE: DATE: 12/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/21/2021
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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