198401555-7-28-2026-54-CC-ACAN-DWER5H-20260728124311

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198401555
Report Date: 07/28/2026
Date Signed: 07/28/2026 12:43:35 PM

Document Has Been Signed on 07/28/2026 12:43 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:	FIELDS FAMILY CHILD CARE		FACILITY NUMBER:	198401555
ADMINISTRATOR/ DIRECTOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 6	CENSUS: 6	DATE:	07/28/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:40 AM
MET WITH:	LICENSEE FIELDS, MYKEVA MONIQUE		TIME VISIT/ INSPECTION COMPLETED:	12:45 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	Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced annual random inspection to the above mentioned address on 07/28/26 at 9:33 AM. LPA met with Licensee, Mikeva Fields, who allowed LPA entrance into the facility. LPA disclosed purpose of today's visit. Purpose of this visit was inspect home for the Licensees request of a Large Family Child Care (F.C.C)- Cap 12 (no landlord consent at this time). Currently, the home is a Small F.C.C; licensed for a Capacity of 6. Currently, the facility hours of operation hours is Monday through Saturday, 7:00 AM to 7:00 AM. Licensee serves children ages 0 months to 12 years old. Currently, facility has no overnight care children. The Fire Dept granted clearance for a Large FCC with an inspection date 7/7/2026. LPA observed two adults (Licensee and Husband) and 6 day care children present; during inspection. Per Licensee Fields currently, no infants present. Licensee's two children who live in the home were present; LIC 279B verified for list of children who reside in the home. Individuals residing in the home have been noted and discussed. LPA Calderon conducted a tour of the facility alongside Mikeva Fields. All areas identified on the facility sketch were inspected, including but not limited to, off limit areas. This is a single story house that consists of: 3 bedrooms, 2 bathrooms, Living Room, Family Room, Dining Room, Kitchen / Laundry Area, Garage, Front yard and a fenced Backyard. The off limit areas include 2 bedrooms, 1 bathroom and garage.

Warren Birks
Ashley Calderon
	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

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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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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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: FIELDS FAMILY CHILD CARE	FACILITY NUMBER: 198401555
	VISIT DATE: 07/28/2026

NARRATIVE

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Main day care area is located in the bedroom that connects to the outdoor play area; cots were observed for napping arrangements. Family room observed to has a secured fireplace that is inaccessible to the children in care by a retractable mesh safety gate; Licensee plans to use this area for infants when infants are enrolled. LPA observed in the day care age appropriate toys, a wooden cubby locker for personal storage, children's reading material, child sized tables and child sized chairs. Kitchen area was observed to have no sharp or pointy objects accessible to the children in care, located in inaccessible drawers with latches. Licensee understands that children whom bring food from home must have containers individually labeled and properly stored or refrigerated; per Licensee, currently on a food program. The living room and the dining area were observed furnished and no hazards were observed. The bathroom was observed to be clean with an operable sink, faucet, and toilet. The home has ventilation via a window mounted air conditioning unit in the day care bedroom, central air and heating; vents observed out of reach for children in care. The outdoor play area for children is the front yard and the backyard, additional age appropriate toys, outdoor play equipment, backyard furniture, and two barbeque grills (observed covered), back yard fenced and front yard (not fenced). Per Licensee, the main play area is the backyard and front yard is used occasionally. A retractable mesh gate was observed on both sides of the house making it inaccessible to children playing in the backyard play area. Areas used by children were inspected for safety, comfort, cleanliness. LPA observed operable telephone service. Detergents, cleaning compounds and hazardous items that can pose a danger to children are made inaccessible on a shelf above the laundry appliances. The Licensee understands that any poisons must be locked, not just inaccessible; facility has poison in locked area. Parent board with required postages to be posted in a prominent area were observed at the entrance in the front of the home. LPA observed one pet dog on the premises (interacts with the children in care) and a pet turtle in an aquarium on top of a desk located in the dining area. Per Licensee Fields, there are no firearms or weapons stored in the home (none observed by LPA) and LPA did not observe any bodies of water on premises. LPA observed a 2A10 BC fire extinguisher in the home with a service tag dated 05/08/26. Smoke and carbon monoxide detector were tested and are operable.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

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
MONTEREY PARK SW RO, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754

FACILITY NAME: FIELDS FAMILY CHILD CARE	FACILITY NUMBER: 198401555
	VISIT DATE: 07/28/2026

NARRATIVE

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Licensee has completed the required Health and Safety Training with Nutrition and Lead Training, Mandated Reporter Training expires 5/20/2028 and Pediatric First Aid and CPR expires 7/18/2028. Licensee's husband assists at the day care, file was reviewed and is qualified to be alone with the children. Licensee . LPA reviewed 4 children records, all had required documentation's.

Consultation was given on Liability Insurance the Facility is in the process of getting Liability Insurance and is aware that the LIC282 Affidavit Reg. Liability Insurance to be used if facility does not obtain insurance.

The Licensee has not obtained a signed Property Owner/Landlord Consent form (LIC9149). Without this consent, the applicant understands that, once licensed, they can operate with a maximum capacity of 12 children for a Large Family Day Care. If property owner/landlord consent is obtained in the future, the applicant is advised that a new Application for a Family Child Care Home License (LIC 279) must be submitted with a change of capacity fee.

Per California Code of Regulation Title 22, there were 0 deficiencies cited.

The Licensee understands that she is required to comply with the terms and limitations stated on the current license.

Exit interview conducted and report was reviewed with Licensee, Mikeva Fields.

NAME OF LICENSING PROGRAM MANAGER: Warren Birks
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 07/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2026

LIC809 (FAS) - (06/04)

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