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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304311628
Report Date: 02/27/2020
Date Signed: 02/27/2020 12:02:47 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:MILLEA, JOYFACILITY NUMBER:
304311628
ADMINISTRATOR:MILLEA, JOYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(714) 330-1628
CITY:HUNTINGTON BEACHSTATE: CAZIP CODE:
92646
CAPACITY:14CENSUS: 9DATE:
02/27/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:16 AM
MET WITH:Joy Millea - LicenseeTIME COMPLETED:
12:30 PM
NARRATIVE
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A case management inspection was conducted by Licensing Program Analyst (LPA) Gigi Mai and Licensing Program Manager (LPM), Judy Hanson met with licensee, Joy Millea. Present were the licensee and two assistants and 9 children present (7 preschoolers and 2 infants) in the facility today.

Currently there are 4 adult residents and 1 minor child living in the home. A review of the Facility Personnel Report Summary printed on 02/26/2020 and review of staff records indicates facility staff or individuals who require caregiver background checks have received a criminal record clearance, criminal record clearance transfer or exemption and a child abuse index clearance, except for Victoria Alcon-Cakus, start date of 02/05/2020, and Fiona Millea, resident since 01/21/2020.

The following violation of the California Code of Regulations, Title 22; Division 12, is being cited: 102370(d)(2) No criminal background clearance transfer for Victoria Alcon-Cakus and 102370(d)(1) No criminal record clearance for Fiona Millea. Civil penalties have been assessed. This report cites two Type A violation and shall be provided to parents/guardians of children currently in enrolled and to parents/guardians of children newly enrolled at the facility during the next 12 months. Parents/guardians must sign Form LIC9224 to be kept in each child's file.

Exit interview was conducted. Report reviewed and discussed. Notice of Site Visit was posted during the visit. Facility representative was informed that the notice of site visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100. The director was provided a copy of their appeal rights (LIC 9058 01/16) and their signature on this form acknowledges receipt of these rights. First level appeals should be sent to the regional manager at the address listed above. End of Report.
SUPERVISOR'S NAME: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Gigi MaiTELEPHONE: (714) 743-8565
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868

FACILITY NAME: MILLEA, JOY
FACILITY NUMBER: 304311628
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/27/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/27/2020
Section Cited

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102370(d)(1) Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department.
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This requirement was not met as evidenced by:
Based on interview, licensee failed to have her adult daughter, Fiona Millea, get criminal record clearance prior to residing in the home.

This poses an immediate safety risk to children in care. A civil penalty of $500 was assessed.
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Deficiency Dismissed
Type A
02/27/2020
Section Cited

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102370(d)(2) Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing, or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 102370(j).
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This requirement was not met as evidenced by: Based on interview, licensee failed to transfer criminal record clearance for assistant, Victoria Alcon-Cakus.

This poses an immediate safety risk to children in care. A civil penalty of $500 was assessed.
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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: Judy HansonTELEPHONE: (714) 703-2807
LICENSING EVALUATOR NAME: Gigi MaiTELEPHONE: (714) 743-8565
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2020
LIC809 (FAS) - (06/04)
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