426215860-8-13-2020-17-CC-CPAN-BSFUFW-20200813153324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 426215860
Report Date: 08/13/2020
Date Signed: 08/13/2020 03:33:58 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME:	MILTIMORE FCC AKA LOVING LITTLES		FACILITY NUMBER:	426215860
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 14	DATE:	08/13/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Lisa Miltimore		TIME COMPLETED:	12:30 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	On August 13, 2020 at 11:30 AM, Licensing Program Analyst (LPA) Christian Patterson conducted an announced Case Management Inspection to the facility in order to complete an Increase of Capacity Inspection. Due to COVID-19 and Department of Public Health (DPH) guidelines of social distancing, a tele-inspection will occur. LPA met with Licensee Lisa Miltimore and explained the purpose of the visit. A tour of the facility was conducted inside and outside of the facility.Licensee is currently utilizing the PIN 20-04 State Wide Waiver to temporarily increase her capacity to up to 14 children with at least one assistant. Licensee has a two story home with a child proof gate at the top and bottom of the stairs. The kitchen, dining room and bathroom upstairs will be accessible to children during day care hours. The master bedroom with en suite bath is off limits and is made inaccessible by latches at the top of the doors. The fireplace was properly screened. The balcony is made inaccessible by a patio door pin. The upstairs and downstairs bathroom to be used by children were observed to be clean and free of toxins. There are three rooms downstairs which will be used for child care. LPA observed clean, safe, age appropriate toys and pack n play cribs. All hazardous items are stored inaccessible to children in care. Licensee stated there are no guns or ammunition in the home. The backyard is completely fenced and has cement, grass and shade area. LPA did not observe any bodies of water. Fire Clearance was received on 07/30/2020. The 2A10BC regulation fire extinguisher was purchased on 08/15/2019. LPA observed functioning smoke and carbon monoxide detectors in the home. Preventative Health & Safety and Nutrition Training was completed on 08/09/2019. Applicant First Aid/CPR certificates is valid until 05/2021. Applicant AB 1207 Mandated Reporter Training Certificate expires 05/2021. Applicant provided mortgage statement to verify control of property. LPA discussed and verified SB 792 (Child Care Employee and Volunteer: Immunization and Tuberculosis Requirements). Applicant was informed walkers, bouncers and any similar object that restricts children's movement are prohibited from licensed facilities.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian Patterson	TELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020

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, 6500 HOLLISTER AVE., SUITE 200
GOLETA, CA 93117

FACILITY NAME: MILTIMORE FCC AKA LOVING LITTLES	FACILITY NUMBER: 426215860
	VISIT DATE: 08/13/2020

NARRATIVE

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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

Licensee is reminded that they are responsible for knowing the regulations for a Family Child Care Home and that Licensing information can be accessed online at www.ccld.ca.gov.

There were no deficiencies cited today. The LIC 9213 (Notice of Site Visit) was mailed to the Licensee.

The facility is licensed for a capacity of 14 children effective today, 08/13/2020.

SUPERVISOR'S NAME: Ana Tolentino	TELEPHONE: (805) 562-0347
LICENSING EVALUATOR NAME: Christian Patterson	TELEPHONE: (805) 315-8362
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020

LIC809 (FAS) - (06/04)

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