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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197495273
Report Date: 05/08/2024
Date Signed: 05/08/2024 01:41:46 PM

Document Has Been Signed on 05/08/2024 01:41 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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME:MIRANDA FAMILY CHILDCAREFACILITY NUMBER:
197495273
ADMINISTRATOR/
DIRECTOR:
FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
05/08/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:YURITZI MIRANDA, LICENSEETIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 05/08/2024, Licensing Program Analyst (LPA) Lisa Clayton conducted a Case Management - Licensee Initiated for a Capacity Increase. LPA Clayton met with Licensee Yuritzi Miranda. LPA Clayton observed 4 children being supervised and cared for appropriately by licensee and a fingerprint cleared assistant. The facility intends to operate Monday through Friday 8:00am to 5:00pm. Licensee provides breakfast, lunch, am/pm snacks and water.

Capacity as specified on the license is being maintained.

The home is neat and clean with heating and ventilation for safety and comfort. LPA observed age-appropriate safe toys and furnishings inside and outside. LPA Clayton confirmed the FCCH has a working phone 949-993-6514.

This is a single-family home which consists of the following: 4 bedrooms, 2 full bathrooms, living room, dining room, kitchen, laundry room, family room (office), fenced front and backyard, and detached garage.

Licensee has requested the OFF-LIMIT AREAS are as follows: the kitchen, laundry room, office, bedroom #4, bathroom #2 and the detached garage all of which is inaccessible to children in care by child safety gates, closed and/or locked doors and visual supervision.

Licensee has requested the following rooms be ON-LIMITS: the living room (day care room), dining room (day care eating room), bedroom #1 (day care class/nap room), bathroom #1, bedroom #2 (infant room), bedroom #3 (day care activity room), and the fenced back yard. The ISOLATION AREA will be in the living room.

Per licensee there are no firearms in the home. There are no pools, jacuzzi, hot tubs, ponds, or bodies of water on the premises. Any poisons, detergents/cleaning compounds, medication and hazardous items that can pose a danger to children are inaccessible. Bathrooms have locked drawers and cabinets. Showers are empty of household items. The living room has a screened fireplace, making it inaccessible to children.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE: DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MIRANDA FAMILY CHILDCARE
FACILITY NUMBER: 197495273
VISIT DATE: 05/08/2024
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There are no firearms or ammunition on the premises. All poisons are kept in a locked storage area. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

The home has a fully charged 2A:10B:C Fire Extinguisher, a working carbon monoxide detector, and 2 working smoke detectors. The Facility received a clearance from the LA City Fire Department on 04/25/2024.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children.

A review of records indicates that both Licensee and her assistants Mandated Reporter Training and CPR/First Aid certificates are current, and both are in compliance with the immunization law which pertains to day care providers.

LPA reviewed 5 children’s files and observed them to be in compliance as they contained current contact information for authorized representatives and/or relatives who can assume responsibility for the child, and signed Parent’s Rights.



California Law requires Family Child Care Home Licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children must be properly maintained, and fire/disaster drill every six months must be documented. Please report Telephone number changes and/or if you move from home.

Licensee was reminded that all adults 18 and over living in the home, persons who provide care and supervision to children, and staff who have contact with children, 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.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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
L.A. DAYCARE-NO.WEST, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245
FACILITY NAME: MIRANDA FAMILY CHILDCARE
FACILITY NUMBER: 197495273
VISIT DATE: 05/08/2024
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LPA discussed the safe sleep regulations with Licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resources. LPA also informed applicant 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.

Incidental Medical Services (IMS) are not currently being provided. For IMS information, see PIN 22-02-CCP. 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 was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&R) throughout California.

During the exit interview, Licensee Yuritzi Miranda confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.



Based on today’s inspection, this home is approved for a Capacity Increase pending manager approval.

No deficiencies were cited today, Per Title 22, Division 12, Chapter 3, of the California Code of Regulations.

An exit interview was conducted, a copy of this report was read and provided to the Licensee Yuritzi Miranda. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Karren Starks
LICENSING EVALUATOR NAME: Lisa Clayton
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC809 (FAS) - (06/04)
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