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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334846538
Report Date: 04/11/2024
Date Signed: 04/11/2024 02:48:43 PM

Document Has Been Signed on 04/11/2024 02:48 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
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:MILTON FAMILY CHILD CAREFACILITY NUMBER:
334846538
ADMINISTRATOR/
DIRECTOR:
MILTON, LA'QUANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 343-3364
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/11/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:10 PM
MET WITH:La'Quanda MiltonTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On date and time listed, Licensing Program Analyst (LPA) Samuel Lopez arrived at the facility to conduct a pre-licensing follow up inspection. The initial inspection was conducted on 2/29/2024. At the conclusion of the initial inspection, a list of corrections was provided to the applicant and was advised that they needed to be completed within 30 days. During today's (4/11/2024) inspection the following was observed:

1. Pool fencing is five feet in height, the door/gate swings away from the pool, and is self latching/closing - meets Title 22 regulations at this time
2. Palm tree located in the back yard (east side) has been removed
3. Parent Poster Board was posted (LIC 610A, LIC 999A, PUB 394, Car Seat law (if applicable))
4. Applicant has completed the move from her previous place of residence

The application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 12, or 14 with parent notification. As agreed, upon by the licensee, all corrections are due within 30 days. If not received within 30 days from the date of this report, the application may be withdrawn.

Exit interview conducted and report was reviewed with the applicant La'Quanda Milton.
SUPERVISORS NAME: Aaron Ross
LICENSING EVALUATOR NAME: Samuel Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
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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