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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197412643
Report Date: 09/18/2019
Date Signed: 09/18/2019 02:20:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:MILES FAMILY CHILD CAREFACILITY NUMBER:
197412643
ADMINISTRATOR:MILES, DEMETRI K.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 502-2981
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY:14CENSUS: 5DATE:
09/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:49 PM
MET WITH:Licensee_Demetri MilesTIME COMPLETED:
02:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Reiko Jones-Modeste conducted an unannounced annual random inspection at the facility listed above. LPA met with Licensee Demetri Miles, who guided analyst on a tour of the facility. Upon arrival were Licensee, Licensee Foster daughter(16 y/o) and five day care children. The Licensee states that one adult and two minor foster children currently reside in the home. All adults present in the home have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed child care home. A children’s roster was available for review.

This is a two-story home which consists of four bedrooms, three bathrooms, kitchen, living room, garage and backyard (fenced). The children use the bathroom located near the kitchen. The restroom that children use was observed safe and sanitary. Children’s areas include kitchen, living room, garage, downstairs bedroom and backyard. Per Licensee, areas off limits to children and parents include: upstairs. Where children less than five years old are in care, stairs are to be fenced or barricaded. LPA observed stairs barricaded for safety.

All areas identified on the facility sketch that are accessible for children to use were inspected for safety, comfort, and cleanliness. There is telephone service via a cellphone which remains at the facility during operating hours. There is ventilation and heating (central). LPA observed a fireplace in the living room barricade.

The home was observed clean and orderly. There are appropriate toys available for children, free of sharp edges and unbroken. Appropriate sleeping arrangements (mats) were observed.

Detergents, cleaning compounds, medications, and other items which could pose a danger to children were observed accessible to children in the garage. LPA observed poisons locked in the in the outdoor shed. Licensee understands that storage areas for poisons must be locked with a key or combination lock.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MILES FAMILY CHILD CARE
FACILITY NUMBER: 197412643
VISIT DATE: 09/18/2019
NARRATIVE
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Children’s records for Child 3-5 were not available. See LIC 857.

Incidental Medical Services (IMS):
The licensee states that she will not provide IMS. Per licensee, there are no children enrolled that require IMS at this time. Incidental Medical Services (IMS) policy was discussed. 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 (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: http://www.ada.gov/childqanda.htm.

LPA advised the licensee to access forms, regulations and quarterly updates on line at: www.ccld.ca.gov.

Based on the LPA’s observations and records review, the following deficiencies listed on the attached LIC 809D (deficiency page) are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited must be cleared to protect the children’s health & safety.

The Notice of Site Visit (LIC 9213) – must remain posted for 30 days during the hours of operation after each site visit made by a licensing representative. Failure to maintain posting as required will result in a civil penalty of $100.00.

Exit interview was conducted with Licensee, including, but not limited to Appeal Procedures, Site Visit and Initial Appeal Rights.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
Page: 3 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: MILES FAMILY CHILD CARE
FACILITY NUMBER: 197412643
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/30/2019
Section Cited

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Staff Immunizations

Based on LPAs record review this requirement has not been met as evidenced by Licensee provided no proof of immunization(measles, Tdap).

This poses a potential risk to the health and safety of children in care.
Type B
09/30/2019
Section Cited

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Mandated Reporter

Based on LPAs record review this requirement has not been met as evidenced by Licensee provided no proof of Mandated Reporter Certification.
This poses a potential risk to the health and safety of children in care.

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Type B
09/30/2019
Section Cited

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Children's Records

Based on LPAs record review this requirement has not been met as evidenced by Child #3-5 did not have a file available at the facility.

This poses a potential risk to the health and safety of children in care.
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: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2019
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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: MILES FAMILY CHILD CARE
FACILITY NUMBER: 197412643
VISIT DATE: 09/18/2019
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The valve on the required 2A 10BC fire extinguisher indicates fully charged. Smoke and carbon monoxide detectors were tested and operable.

Licensee states that there are no firearms stored in the home. The licensee provides food for children in care.

Currently, children use the back yard for outdoor play time. The outdoor play area was observed fenced. LPA observed appropriate toys and equipment used for children. LPA did not observe any objects that can pose a danger to children in the outdoor yard. The licensee states that supervision is always provided.

LPA observed proof of preventive health practices including Pediatric First Aid and CPR certificate. Certificate expires May 2020. There are first aid supplies available.

The Licensee does not have proof of immunization against influenza, pertussis, and measles.
Licensee did not provide proof of the Mandated Reporter AB 1207 compliant Child Care Training Certificate.

All homes shall conduct fire and disaster drills at least once every six months and document the date and time of each drill. LPA observed a Disaster Drill log posted.



Per Licensee there are no pets at the facility during operating hours. Smoking is prohibited in a licensed Family Child Care Home. Per Licensee, no one smokes in the home. Emergency Disaster Plan and the Facility License were observed and posted.

LPA did not observe the following items during the inspection: Infant Walkers, Johnny Jumpers, Saucer Chairs, and/or any other item that fall into these categories are not permitted in a family child care facility.



Licensee states that she is not currently caring for infants. Licensee states that if an infant is enrolled, the infant will sleep in the downstairs bedroom where they are constantly supervised. Licensee was advised infants are to sleep in a standard crib only, where they are constantly supervised. LPA discussed with Licensee the Child Care Provider’s Guide to Safe Sleep to reduce the risk of SUID by American Academy of Pediatrics. LPA also consulted and explained Child Abuse Reporting, Updated Parent’s Rights Poster with Complaint Hotline information, Never Shake a Baby, and Safe Sleeping practices.
SUPERVISOR'S NAME: Trevino CochranTELEPHONE: (323) 981-3385
LICENSING EVALUATOR NAME: Reiko JonesTELEPHONE: (323) 558-2739
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4