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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 045406862
Report Date: 09/10/2019
Date Signed: 09/10/2019 12:30:26 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:MCMILLAN, CHERYL FAMILY CHILD CARE HOMEFACILITY NUMBER:
045406862
ADMINISTRATOR:MCMILLAN, CHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 632-8666
CITY:GRIDLEYSTATE: CAZIP CODE:
95948
CAPACITY:14CENSUS: 8DATE:
09/10/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Cheryl McMillanTIME COMPLETED:
12:40 PM
NARRATIVE
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An annual random inspection was made to the facility by Licensing Program Analyst (LPA), Sandy Husband. A review of staff records on 9/10/19 indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. There are currently 2 adults living in the home.

During today’s inspection the home and grounds were toured. The licensee and assistant were supervising 8 children, and operating within the licensed capacity and ratio requirements. No children were observed left in any parked vehicle. The facility’s operating hours are 5 AM to 6 PM, Monday–Friday. The floor plan submitted by the licensee was reviewed and will be updated. The off-limits areas of the home are upstairs, master bedroom and kitchen except when children need to use the secondary bathroom and were made inaccessible by a gate. The home is clean, orderly and comfortable. There are safe toys and equipment available for children. There is a working telephone in the home. The licensee has current pediatric CPR and First Aid certification, which expire on 8/13/21. Items which could pose a danger to children (detergents, cleaning compounds, medications, etc.) are stored out of the reach of children. Poisons will be locked behind magnetically locked garage and kitchen cabinets. The staircase is barricaded with a latched gate. The fireplace is electric and does not need to be inaccessible. There is a working smoke detector, carbon monoxide detector and fire extinguisher, rated at least 2A10BC, in the home. The licensee stated there are no firearms and/or other dangerous weapons in the home, and none were observed during today's inspection. The
(Continued on LIC 809-C)
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: MCMILLAN, CHERYL FAMILY CHILD CARE HOME
FACILITY NUMBER: 045406862
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2019
Section Cited

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter
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training provide (MRT)...shall complete renewal mandated r
reporter training MRT every two years...This requirement is not met as evidenced by: based on S-1 and S-3 were missing proof of mandated reporter training.
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Type B
10/25/2019
Section Cited

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Application for License. Licensees and any adult in the home, shall provide evidence of a current tuberculosis (TB) clearance, performed and signed by a physician not more than one year prior to or seven days after first day of employ-
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 ment. This requirement was not met as evidenced by: based upon S2 and S3 were without a current TB test. This poses a potential risk to children in care.
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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.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: MCMILLAN, CHERYL FAMILY CHILD CARE HOME
FACILITY NUMBER: 045406862
VISIT DATE: 09/10/2019
NARRATIVE
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children use the front yard as the outdoor play area and it is fully fenced. There is an above ground hot tub in the back yard with a latched cover and the above ground pool has been removed and the facility sketch will be updated to reflect the change. 8 children's records were reviewed at 11:50 AM; required emergency information was observed to be on file. 3 staff files were reviewed at 12:10 PM. The licensee is not providing Incidental Medical Services (IMS) to children in care. The Incidental Medical Services (IMS) policy was discussed with the licensee. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

The following information regarding ADA was provided: US Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the licensee. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

The following violation(s) of the California Code of Regulations, Title 22; Division 12, were observed: see LIC 809D. Appeal Rights were provided.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:

DATE: 09/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: MCMILLAN, CHERYL FAMILY CHILD CARE HOME
FACILITY NUMBER: 045406862
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/10/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/24/2019
Section Cited

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Alteration to Existing Building or Grounds. Prior to any alteration, the licensee shall notify the Department of the proposed addition of a room to the family child care home. This requirement was not met as evidenced by: based upon licensee

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failed to notify the Department of a removal of a bedroom to open up the living room via major construction completed in 9/2018. This poses a potential risk to children in care.

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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.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Sandra HusbandTELEPHONE: 530-895-5822
LICENSING EVALUATOR SIGNATURE:
DATE: 09/10/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/10/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4