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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 334842185
Report Date: 11/16/2023
Date Signed: 11/16/2023 04:05:03 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2023 and conducted by Evaluator Jessica M Rubio
PUBLIC
COMPLAINT CONTROL NUMBER: 10-CC-20231017105710
FACILITY NAME:MERLO FAMILY CHILD CAREFACILITY NUMBER:
334842185
ADMINISTRATOR:MERLO, BERTHAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 722-5125
CITY:LAKE ELSINORESTATE: CAZIP CODE:
92530
CAPACITY:14CENSUS: 6DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Bertha MerloTIME COMPLETED:
04:15 PM
ALLEGATION(S):
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Licensee did not meet day care child’s toileting needs
INVESTIGATION FINDINGS:
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On November 16, 2023 at 3:30 pm, Licensing Program Analyst (LPA) Jessica Rubio arrived unannounced to Merlo Family Child Care Home (FCCH) to deliver the investigative finding for the allegation above. LPA met with Licensee Bertha Merlo and assistant (A1). On October 24, 2023 at 2:23 pm, LPA Rubio opened the investigation. During the investigation LPA conducted interviews with Licensee, A1 and parent 2 (P2) of child (C1).

On October 17, 2023, a complaint was received alleging licensee did not meet day care child’s toileting needs; specifically, that on September 10, 2023, C1 had redness on their genital area due to having soiled underwear. Confidential interviews conducted revealed C1 attended the FCCH on September 10, 2023, from approximately 7:00 am until approximately 5:30/6:00 pm when C1 was picked up by P2. It was later discovered at approximately 7:30/7:45 pm that C1 had redness in their genital area and dirty underwear.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 10-CC-20231017105710
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: MERLO FAMILY CHILD CARE
FACILITY NUMBER: 334842185
VISIT DATE: 11/16/2023
NARRATIVE
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All interviews revealed that C1 is potty trained, however does ask for assistance to be cleaned after having a bowel movement. LIC stated C1 did have a bowel movement that day while in LIC’s care and LIC did clean C1 after. The interview further revealed that C1 did not have any redness or rash at the time LIC saw and cleaned C1 that day and interviews revealed that C1 did not complain about any discomfort while in care of LIC or P2.

Based on interviews, the allegation that licensee did not meet C1’s toileting needs may have occurred, however is not supported or proven by evidence. Therefore, the above allegation is unsubstantiated. A copy of this report, LIC 811 Confidential Names List and appeal rights were given and explained to Licensee Bertha Merlo.
SUPERVISORS NAME: Pauline Beschorner
LICENSING EVALUATOR NAME: Jessica M Rubio
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4