073409383-6-6-2023-02-CC-CCON-CSJVM5-20230606163257

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 073409383
Report Date: 06/06/2023
Date Signed: 06/06/2023 04:33:02 PM

Document Has Been Signed on 06/06/2023 04:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME:	MILLER, LAILAH		FACILITY NUMBER:	073409383
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 0	DATE:	06/06/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Lailah Miller		TIME COMPLETED:	04:47 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 Tuesday, June 6, 2023 at 2:15 PM, Licensing Program Analyst (LPA) Caroline Colson met with Lailah Miller for an announced prelicensing and technical assistance inspection. There are no day care children present. The facility was toured to conduct a health and safety inspection. All required forms were reviewed and provided to the applicant. Operating Hours are Mondays - Fridays and 8:00 AM to 5:00 PM. Indoor Space: The facility is located downstairs from applicant's home. The facility is a one story home. The home consist of a living room with dinning area, kitchen, three (3) bedrooms, one main bathroom and a master bathroom. There is a shared fenced carport which was converted into a fenced back yard. There are four (4) working smoke detectors. Mrs. Miller states that there are no firearms in the home. There are toys and play equipment available for the children. Her CPR and First Aid certificates are current and expire on October 15, 2024. She has her Mandated Reporter Training certificate and will expire on September 20, 2024. There is a First Aid Kit available. The isolation area will be living room. There are no pets. Outdoor Play Space: The fenced back yard will be used for outdoor play space. Off Limit Areas: The are no inaccessible areas. Please See LIC 809 C for Additional Information

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: MILLER, LAILAH	FACILITY NUMBER: 073409383
	VISIT DATE: 06/06/2023

NARRATIVE

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The following items need to be corrected by July 6, 2023:
1. Applicant needs to ensure that the fenced back yard is only being used by the children in care during business hours.
2. Applicant needs heat in the day care area to provide warmth and comfort to children.
3. Applicant needs to purchase a Carbon Monoxide detector.
4. Applicant needs to purchase a 2A10BC fire extinguisher or larger.
5. Applicant needs to post the Emergency Disaster Plan.
6. Applicant needs to update her lease agreement to reflect having the converted basement as apart of her home.
7. Applicant needs to purchase a fitted sheet.
8. Applicant needs to remove all hazardous items away from children in the first bedroom.

REMINDERS/RESOURCES

· CCLD Complaint Hotline, 1-844-LET-US-NO (1-844-538-8766) email: LetUsNo@dss.ca.gov

CCLD website address for obtaining licensing forms, training videos and other provider resources can be obtained at www.ccld.ca.gov

· Licensees may register to receive child care updates: www.myccl.ca.gov

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 ADA, available at: http://www.ada.gov/childquanda.htm

Please See LIC 809 C for Additional Information

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

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
BAY AREA-CC OAKLAND, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: MILLER, LAILAH	FACILITY NUMBER: 073409383
	VISIT DATE: 06/06/2023

NARRATIVE

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Family Child Care Homes

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Safe Sleep

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee, Lailah Miller, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Notice of Site Visit

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Mayla Mendoza	TELEPHONE: (510) 292-2724
LICENSING EVALUATOR NAME: Caroline Colson	TELEPHONE: (510) 725-7008
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2023

LIC809 (FAS) - (06/04)

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