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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700409
Report Date: 06/08/2020
Date Signed: 06/08/2020 11:58:58 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MILLER FAMILY CHILD CAREFACILITY NUMBER:
197700409
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:8CENSUS: 6DATE:
06/08/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:BEVERLY MILLERTIME COMPLETED:
12:00 PM
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On 6/8/2020 at 10:45 AM, Licensing Program Analyst (LPA) Loyce Phillips conducted an announced case management Tele-Visit inspection. LPA is conducting a Tele-Visit inspection as licensee is requesting to increase her capacity to 14 children. LPA spoke to applicant, Beverly Miller, who guided LPA on a virtual tour of the home via FaceTime. Present during today's inspection were Licensee and 6 day care children.

Licensee relocated and pre license inspection was conducted on 3/24/2020. Licensee originally applied for 14, but due to COVID-19 fire inspection was put on hold. LPA, Phillips conducted the relocation pre license inspection and licensed the child home for 8 children. The fire department has inspected the home and a fire clearance for 14 children has been granted effective 6/3/2020. Days/hours of operation are 7 days a week less than 24 hours. Licensee is aware that there must be an awake staff present when children are in care. Licensee informed LPA that she is currently enrolled in the food program. The home provides breakfast, lunch, dinner, and two snacks for children in care. Licensee was reminded with a capacity increase she must have a qualified assistant present whenever she has more than 8 children in care.



The home is set up as follows: This a two story home with 5 bedrooms, 3 bathrooms, living room, dining room, kitchen, laundry room, family room and attached garage. Per applicant the following areas of the home will be utilized for the Family Child Care: The living room, dining room, bathroom #1 adjacent to the family room in the hallway to the right.

The off-limits areas of the home include the entire upstairs which includes 4 bedrooms, 2 bathrooms and laundry room. The remaining off-limits areas includes the kitchen, family room, backyard and attached garage. A safety gate is in place, making upstairs inaccessible. The garage and bedroom #1 are made inaccessible by child safety doorknobs. The kitchen and family room are inaccessible by child safety gate. The home has central air conditioning and heat. All sharp knives are kept in a container in an upper kitchen cabinet. Poisons and medications are made inaccessible kept in the laundry room and master bedroom. Bathrooms were toured and inspected, sinks and toilets are in operable condition.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MILLER FAMILY CHILD CARE
FACILITY NUMBER: 197700409
VISIT DATE: 06/08/2020
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The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. There are age appropriate toys and equipment on the premises. LPA did not observe a fireplace or any bodies of water at the home. Per the licensee there are no weapons or firearms of any kind in the home at this time, nor did the LPA observe any weapons during the inspection.

The facility’s fire extinguisher (2A10BC) met the State Fire Marshal standards. The receipt reviewed for proof of purchase indicated the fire extinguisher was purchased from Home Depot on 5/21/2020. Licensee tested the smoke and carbon monoxide detectors and LPA found them to be in operable condition. The parent board was reviewed and had all the required forms posted and accessible to parents.

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



The following were discussed: There is an effective 24/7 ban on smoking tobacco in a home that is licensed as a family day care home, and in those areas of the family day care home where children are present. Baby walkers, baby jumpers, baby exersaucers, baby bouncers/rockers and any other item that falls into that category are not permitted in the facility. The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements.

The licensee was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than one week.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MILLER FAMILY CHILD CARE
FACILITY NUMBER: 197700409
VISIT DATE: 06/08/2020
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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Applicants must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

The licensee was reminded it is his/her responsibility to visit the departments website to obtain licensing forms, Quarterly Updates, and Provider Information Notices (PINs): www.ccld.ca.gov

Child Care Advocates:
To sign up for our Quarterly Updates please email the Child Care Advocates at
childcareadvocatesprogram@dss.ca.gov & (916) 654-1541.

The home is approved for 14 children and ready to be license.

An exit interview was conducted, a copy of this report was read and emailed for read receipt to licensee, Beverly Miller.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2020
LIC809 (FAS) - (06/04)
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