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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376623110
Report Date: 08/30/2019
Date Signed: 08/30/2019 11:23:36 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MILLER, O & CARTER, I FAMILY CHILD CAREFACILITY NUMBER:
376623110
ADMINISTRATOR:MILLER & CARTERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 698-5407
CITY:LEMON GROVESTATE: CAZIP CODE:
91945
CAPACITY:14CENSUS: 3DATE:
08/30/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Onika Miller and Ingrid CarterTIME COMPLETED:
11:20 AM
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Licensing Program Analyst (LPA) Jo Ann Legaspi conducted an unannounced inspection with the Licensees. The home was toured and inspected to ensure a safe environment for the care and supervision of children. The daycare consists of four (4) bedrooms, one (1) bathroom, and kitchen. It has one floor. Present in the home were the Licensees and three (3) children. The fire extinguisher, carbon monoxide and smoke detector satisfy requirements and are operational. The last safety drill was on 08/05/2019. Hazardous items were secured inaccessible to children. There are no bodies of water in the home. There are no weapons in the home, per the Licensees. A review of staff records indicates all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. First Aide and CPR certifications expire on 12/02/2019. Reviewed children records were observed to be complete.

The Licensees have provided adequate space for the children to eat, sleep and play within the home. The front fenced yard, living room, bathroom and all the bedrooms are used for child care. The Licensees have sufficient toys and available equipment. All equipment that is used should be used only as intended by the manufacturer. Outdoor activities are conducted in the fenced front yard. The Licensees acknowledged continuous, visual supervision is to be given to children whenever engaged in outdoor activities.

LPA provided and reviewed with Licensees Provider Information Notice (PIN) 19-06-CCP, which states the US Consumer Product Safety Commission has issued a safety recall of specific sleepers due to several infant deaths. LPA provided Licensees with PIN 19-02-CCP regarding Safe Sleep Awareness, additional written information and information resources about safe sleep techniques. LPA and Licensees discussed those methods of protected slumber. LPA provided and discussed with Licensees PIN 19-08-CCP, which describes new immunization requirements issued by the Department of Public Health. Licensee was also provided with written information regarding lead exposure as described in Assembly Bill 2370. LPA further provided and discussed with Licensees PIN 19-07-CCP, which provided information regarding radon toxicity and free testing. Also provided to the Licensees was the “Heart and Nutrition” newsletter. Licensees and LPA reviewed these
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
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 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MILLER, O & CARTER, I FAMILY CHILD CARE
FACILITY NUMBER: 376623110
VISIT DATE: 08/30/2019
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issues. LPA and Licensee discussed California Megan's Law. LPA provided the website: www.meganslaw.ca.gov. The Licensees were advised of their responsibility to be current on all regulatory changes by viewing the Community Care Licensing webpage at www.ccld.ca.gov. LPA advised the Licensees of the Child Care Advocate Program.

The providers were reminded of the following: report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, ensure that all adults living or working in the home have criminal background clearances to avoid civil penalties associated with this requirement; corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers are not allowed in day care.

The 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 Community Care Licensing. 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 provided the Licensees with the Notice of Site Visit – LIC 9213, which is to be posted for thirty (30) days.

Based on today's visit, no deficiencies were observed. An exit interview was conducted with the Licensee, who was provided a copy of their Licensee Rights (LIC 9058 1/16). Their signature on this form acknowledges receipt of these rights.
SUPERVISOR'S NAME: Tulam VuTELEPHONE: (619) 767-2205
LICENSING EVALUATOR NAME: JoAnn R LegaspiTELEPHONE: (619) 767-2239
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2019
LIC809 (FAS) - (06/04)
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