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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400406
Report Date: 08/14/2025
Date Signed: 08/14/2025 04:33:17 PM

Document Has Been Signed on 08/14/2025 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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:OLIVER FAMILY CHILD CAREFACILITY NUMBER:
198400406
ADMINISTRATOR/
DIRECTOR:		MIA J OLIVERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 609-8173
CITY:LOS ANGELESSTATE: CAZIP CODE:
90062
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
08/14/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Licensee, Mia OliverTIME VISIT/
INSPECTION COMPLETED:
04:52 PM
NARRATIVE
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On 8/14/25, LPA L. Voong conducted an unannounced 3 Year Required Annual inspection at the above facility. At 10:10am, LPA met with Licensee Mia Oliver. LPA disclosed the purpose of the inspection and was granted entry into the facility. Licensee was provided a copy of the Facility Entrance Checklist. There were two (2) children present and three (3) cleared adults present during today's inspection. Licensee states that there are currently five (5) children enrolled. Licensee reports the facility's hours of operation Monday-Friday, 6:30am-5:30pm and will provide care for children ages six (6) weeks to 12 years. Licensee states that transportation is not currently provided to children, however, will start providing parents the option of providing transportation 8/18/25 for their children. Licensee states that facility does not provide overnight care. Per Licensee, isolation area is located in the left of the dining room area, where a soft mat is placed for children to rest while waiting to be picked up.

This is a single story home which consists of two (2) bedrooms, one (1) bathrooms, an office converted into a storage room, a living room, a dining room, a kitchen, a laundry room, an indoor patio (converted to a storage area), a garage for storage, a backyard, and a basement.

Areas accessible to children are: the living room (main care area) and bathroom.
Areas off-limits to children and parents includes: front yard, two (2) bedrooms, dining room (off-limits as of 8/14/25), kitchen, laundry room, backyard, garage, and basement. Access is prevented to off-limits areas with locks observed by LPA. All areas identified as accessible to children were inspected to ensure that they are clean and orderly with ventilation and heating for the safety and comfort of the children. Licensee states that a new indoor and outdoor facility sketch identifying updated off-limits area will be provided to LPA by 8/28/25.
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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2025
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 10
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 08/14/2025 04:33 PM - It Cannot Be Edited


Created By: Linda Voong On 08/14/2025 at 01:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(4)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above as evidenced by the kitchen contained poisons, detergents, cleaning compounts, knives, and other sharp and hazardous objects, that was accessible to children in care, which poses a potential health and safety risk to persons in care.
POC Due Date: 08/14/2025
Plan of Correction
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Licensee will install a baby gate to keep poisons, detergents, cleaning compounts, knives, and other sharp objects off-limits and inaccessible to children in care.
Type B
Section Cited
CCR
102417(g)(9)(A)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above as evidenced by upon inspection, Licensee did not have disaster drill log, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2025
Plan of Correction
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Licensee will provide proof of disaster drill log with evidence that disaster drill was performed/completed for the month of August 2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Linda Voong
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/14/2025 04:33 PM - It Cannot Be Edited


Created By: Linda Voong On 08/14/2025 at 01:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/14/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(m)(3)
Operation of A Family Child Care Home
(3) A file of affidavits signed by each parent with a child enrolled in the home. The affidavit shall state that the parent has been informed that the family child care home does not carry liability insurance or a bond according to standards established by the state.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in two (2) of two (2) children files, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/28/2025
Plan of Correction
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Licensee will provide proof of LIC 282 form signed by parent of two (2) of two (2) children by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Denise Gibbs
NAME OF LICENSING PROGRAM MANAGER:
Linda Voong
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 08/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/14/2025


LIC809 (FAS) - (06/04)
Page: 4 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406
VISIT DATE: 08/14/2025
NARRATIVE
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LPA observed required posted documentation on the parent board located behind the door of the front entrance which included:
Publication (PUB) 394- Notification of Parents Rights and Licensing Form LIC 9148- Earthquake Preparedness Form. LPA observed completed facility records including: LIC 9040- Facility Roster, and Emergency Disaster Plan. LPA printed a copy of the license with updated capacity and Licensee posted on the parent board. Licensee did not have a disaster drill log upon inspection. Per Licensee, proof of disaster drill log will be provided to LPA (with proof of completion of drill for August 2025), will be provided to LPA by 8/28/25.

Licensee states that there are no bodies of water around the premises. LPA did not observe any bodies of water at the time of inspection.
Licensee states that there are no weapons or firearms in the home.
Licensee states that area no smokers in the home.

At 10:00am, LPA toured the facility. Upon entrance, LPA observed an office to the right of the entrance. Licensee states that this is an office that has been converted into storage. Licensee states that the office is off-limits to children, however, door was not locked upon inspection making it accessible to children in care. Licensee states that a baby gate will be purchased to separate living room from the office to ensure that the office is off-limits to children in care. Proof of purchase and installation will be provided to LPA by 8/28/25.

At 10:15am, LPA observed the living room (main care area) with age-appropriate toys, books, three tables with chairs, manipulatives, an imaginary play kitchen, three large cabinets containing educational toys, games, and blocks, etc. There are two soft green carpets placed on the floor under the play kitchen and the round table for children's comfort. There is a faux fireplace that Licensee states is for decoration and is not used, and is completely blocked off by shelving. Licensee states that the living room is where children nap and eat.

At 10:25am, LPA observed the dining room to have a large table to the right of the room with a large tv mounted on the wall above the table. LPA observed age-appropriate toys and a pretend play area, manipulatives, shelving with books and toys, and cubbies towards the back of the dining room. In front of the large table is an office desk and chair. LPA observed books and other items piled up on the office desk and
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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
Page: 6 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406
VISIT DATE: 08/14/2025
NARRATIVE
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table. The Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the age of children in care. Per Licensee, items will be cleared out and in the meantime, the dining room will be off-limits to children in care. Licensee states that a baby gate will be purchased and will be installed to
separate the living room from the dining room (off-limits area). Licensee states that proof of purchase and installation will be provided to LPA by 8/28/25.

At 10:35am, to the left of the dining room, LPA observed doors covered up with cloth and blocked off by a chair and a pretend play set. LPA looked through the glass through the doors and observed household items. Licensee stated that the space is an indoor enclosed patio that is used for storage and stated that the patio is off-limits to children in care. Licensee stated that a skeleton key will be purchased to lock the room to ensure that the patio area is off-limits to children in care. Licensee states that proof of purchase and installation will be provided to LPA by 8/28/25.

At 10:45am, LPA observed the bathroom. Licensee states that the bathroom is accessible to children in care. Licensee states that the hallway is off-limits, however, will be used as a pass-through area for children to use the bathroom. Licensee states that a baby lock will be purchased and installed for the medicine cabinet to ensure that the items inside are inaccessible to children in care. Proof of purchase and installation will be provided to LPA by 8/28/25.

At 10:55a, LPA observed bedroom #1 and bedroom #2 to be locked upon inspection and off-limits to children in care. Licensee states that a baby door knob will be purchased and installed on bedroom #1. Licensee states that proof of purchase and installation will be provided to LPA by 8/28/25.

LPA observed the carbon monoxide and smoke detectors located in the hallway to be in working order during inspection.

At 11:00am, LPA observed the kitchen to have shelving to the left upon entering. The shelving contained poisons, cleaning products, and hazardous chemicals. To the right LPA observed the sink area to have knives and other sharp objects. LPA observed the kitchen to be accessible, which poses a potential health, safety or personal rights risk to persons in care. Licensee stated that the kitchen is off-limits. LPA informed

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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
Page: 7 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406
VISIT DATE: 08/14/2025
NARRATIVE
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Licensee that off-limits areas are to be blocked off and/or locked away out of reach from children in care. Licensee acknowledged understanding and stated that a baby gate was usually put up, however, it may be broken. Licensee was informed of best practices. LPA stated that baby gate must be installed during program hours and when children are in care. On 8/14/25, Licensee cleared proof of correction (POC) as evidenced by: Licensee installed a baby gate to separate the dining room from the hallway and kitchen.

Licensee states that meals are sometimes prepared on-site, food is purchased sometimes, and children bring their lunch at other times. LPA informed that meals brought from home should be clearly labeled with children's names. Licensee acknowledged understanding.

Per Licensee, children in care do not have medications. However, if children do have medications, they will be locked away in off-limits area in the kitchen.

At 11:20am, LPA Voong observed the fire extinguisher in the kitchen. Licensee states that it has not been serviced in two years. LPA advised that fire extinguishers should be serviced or purchased yearly and a service tag or proof of purchase is to be attached to the fire extinguisher. Licensee confirmed acknowledgement and will provide proof of service or proof of purchase to LPA by 8/28/25.

At 11:30am, LPA observed the laundry room. Licensee states that the laundry room is off limits.

At 11:35am, LPA Voong observed the backyard area. Licensee states that the backyard is off-limits until further notice. Licensee informed LPA that children are taken to the park for outdoor play. LPA informed Licensee that if Licensee decides to change off-limits status of the backyard area, Licensee is to inform LPA and/or the Regional Office (RO) and a new facility sketch must be submitted. Licensee confirmed acknowledgement of understanding.

Per Licensee, Licensee has two (2) dogs. Licensee confirmed that dogs are locked away during program and when children are in care. LPA observed dogs to be locked in off-limits area.


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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
Page: 8 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406
VISIT DATE: 08/14/2025
NARRATIVE
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At 11:55am, LPA Voong reviewed children files. LPA reviewed the following missing documentation with Licensee:
  • LIC 282: Affidavit Regarding Liability Insurance

LPA advised Licensee on best practices for children's files.

At 12:20pm, LPA Voong reviewed staff files. Licensee confirmed associated employees with facility. LPA reviewed the following missing documentation with Licensee:
  • CPR Certification: Expiration 8/12/25- 2 of 2 staff
  • Influenza or Declination of Influenza- 2 of 2 staff
  • LIC 9052: Notice of Employee Rights- 1 of 1 staff
LPA advised Licensee on best practices regarding staff files.

Type B Violations: Licensee states that Proof of Correction (POC) will be provided to LPA Voong by 8/28/25 via email/mail.

Licensee states that there are currently no infants enrolled. LPA reviewed Infant Sleeping Plan-LIC 9927 and 15 Minute Infant Sleep Chart and Staff Ratios with Licensee. Per Licensee's request, LPA will provide a copy of the Staff/Child Ratio Regulations to Licensee by 8/21/25.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


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NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
Page: 9 of 10
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: OLIVER FAMILY CHILD CARE
FACILITY NUMBER: 198400406
VISIT DATE: 08/14/2025
NARRATIVE
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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 resource. LPA also informed Licensee 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.

IF A FACILITY IS CURRENTLY PROVIDING IMS, USE AS FOLLOWS:


This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Licensee Mia Oliver was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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

Based on this information, the following deficiencies on the attached LIC 809D are being cited in accordance with California Code of Regulations Title 22. Deficiencies that are being cited need to be cleared to protect the children’s health and safety.

A notice of site visit was given and must remain posted for 30 days. Appeal rights provided to Licensee.

Exit interview conducted and report was reviewed with the Licensee Mia Oliver.

................................................Page 6 of 6...Report Ends Here........................................................

NAME OF LICENSING PROGRAM MANAGER: Denise Gibbs
NAME OF LICENSING PROGRAM ANALYST: Linda Voong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2025
LIC809 (FAS) - (06/04)
Page: 10 of 10