197412111-7-24-2023-30-CC-SPOL-CTXVQ8-20230721163754

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197412111
Report Date: 07/21/2023
Date Signed: 07/24/2023 09:24:19 AM

Document Has Been Signed on 07/24/2023 09:24 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
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	MITCHELL-MILLER FAMILY CHILD CARE		FACILITY NUMBER:	197412111
ADMINISTRATOR:	MITCHELL-MILLER		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 270-8434
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90056
CAPACITY:	14	CENSUS: 3	DATE:	07/21/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Diedre Mitchell-Miller, Licensee		TIME COMPLETED:	05:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Shandra Powell conducted an unannounced annual inspection on 07/21/2023. A Risk Assessment for COVID-19 was completed. LPA met with Diedre Mitchell-Miller, Licensee. A copy of the Entrance Checklist for Child Care homes form (LIC 126) was provided to the licensee upon entry. Licensee stated the facility is operating 6 days a week and 24hrs a day. The licensee stated that she has 9 children enrolled of which 2 are infants. LPA reminded licensee a Assistant must be present when more than 8 children are in care. No assistant present during inspection. This is a one story home 2 bedrooms and 1 bathroom. Per Licensee one other adult reside in the Family Child Care Home. All Adults present, residing and working in the home are fingerprint cleared and associated to the facility. Licensee, guided analyst on a tour of the facility inside and outside of the home. LPA observed Facility License, Notification of Parents Rights (PUB 394) and Earthquake Preparedness (LIC9148) posted on parent board in childcare room (dining room). Documents were publicly accessible at facility. LPA reviewed the Emergency Disaster Plan (LIC610A), Facility Roster (LIC 9040) and Fire/Earthquake Drill Log (last drill conducted on June 28th 2023). Licensee stated the isolation area for ill children is located in the Living Room of the home.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MITCHELL-MILLER FAMILY CHILD CARE	FACILITY NUMBER: 197412111
	VISIT DATE: 07/21/2023

NARRATIVE

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The home was inspected for safety, comfort, cleanliness, telephone service (Land line), heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children.

The home is a one story home with 2 bedrooms (off limits) all bedrooms are made inaccessible by locked bedroom doors. 1 bathroom (on limits) Living and Dining Room and Kitchen (on limits) Front yard (off limits) Back yard (on limits.) Day care is provided in the living/dining room of the home.

The children eat, nap(cots) and play in the day care room areas. LPA observed a child gate to entrance of the hallway. LPA reminded licensee when children bring food or drink items into the home during childcare hours they must be labeled and properly stored.

Home utilizes central heat and ceiling fans for a cooling and heating source. Hazardous materials in the kitchen and bathrooms are inaccessible to children.

According to the Licensee, there are no weapons or firearms at the home; None were observed by LPA.

The home has a fireplace that is barricaded. Age appropriate toys, cubbies and child table and chairs were observed. LPA discussed weapons in the home. The Licensee does not have any guns or weapons in the home or on the premises. Kitchen drawers do not have latches but items were inaccessible, all sharp items are placed in cabinets above refrigerator.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MITCHELL-MILLER FAMILY CHILD CARE	FACILITY NUMBER: 197412111
	VISIT DATE: 07/21/2023

NARRATIVE

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LPA observed a fire extinguisher which is at least a 2A:10BC LPA reviewed receipt showing date of purchase within a year. LPA reminded licensee that the fire extinguisher must be serviced yearly and or a new fire extinguisher must be bought. Smoke/Carbon Monoxide detector was inspected and tested during inspection.

During inspection LPA observed a full complete First Aid Kit in the home. Current CPR/First Aid certification was available for review for licensee expires 08/20/2024. LPA observed a updated Mandated Reporter Training Certificate for licensee dated 02/12/2023.

LPA reviewed children's file during today's inspection and observed the following LIC 700 (Identification and Emergency Information), LIC 627 (Consent for Emergency Medical Treatment), LIC 995A (Notification of Parents' Rights). Files were complete.

There are no bodies of water at the home. The outside play area is supervised by the licensee in the back yard.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MITCHELL-MILLER FAMILY CHILD CARE	FACILITY NUMBER: 197412111
	VISIT DATE: 07/21/2023

NARRATIVE

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LPA reminded licensee only drivers licensed for the type of vehicle to be operated shall be permitted to transport children in care.

The manufacturer's rated seating capacity of the vehicle shall not be exceeded.

Motor vehicles used to transport children in care shall be maintained in safe operating condition.

All vehicle occupants must be secured in an appropriate restraint system.

Children shall not be left in parked vehicles.
When transporting infants in any motor vehicle, the licensee shall secure the infants in a car seat, designed for infants, which is secured in the vehicle in accordance with manufacturer's instructions.

The licensee or registrant shall maintain one of the following:

(1) Liability insurance kept in force covering injury to clients and guests in the amount of at least one hundred thousand dollars ($100,000) per occurrence and three hundred thousand dollars ($300,000) in the total annual aggregate, sustained on account of the negligence of the licensee or its employees.

No deficiencies will be cited today.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: MITCHELL-MILLER FAMILY CHILD CARE	FACILITY NUMBER: 197412111
	VISIT DATE: 07/21/2023

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA reviewed LIC9227 Individual Infant Sleeping Plan and 15 Min Sleeping Log during inspection.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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 (USDOJ) 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, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.
To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee D. Mitchell-Miller.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) -30-3038
LICENSING EVALUATOR NAME: Shandra Powell	TELEPHONE: (424) 301-3053
LICENSING EVALUATOR SIGNATURE:	DATE: 07/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023

LIC809 (FAS) - (06/04)

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