<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376627041
Report Date: 08/23/2021
Date Signed: 08/23/2021 06:30:08 PM

Document Has Been Signed on 08/23/2021 06:30 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, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:MILORD, GUERLYNE FAMILY CHILD CAREFACILITY NUMBER:
376627041
ADMINISTRATOR:GUERLYNE MILORDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(619) 508-6231
CITY:SAN DIEGOSTATE: CAZIP CODE:
92105
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: DATE:
08/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Guerlyne And Marc MilordTIME COMPLETED:
06:30 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 August 23, 2021, at 2:30PM, Licensing Program Analyst (LPA), Luigi Gargaro, conducted an unannounced annual required inspection and met with the licensee, Guerlyne Milord. Ms. Milord speaks very limited English so her spouse, Marc Milord, who assists in the facility and returned home after analyst arrived, provided translation between her and the analyst. LPA disclosed the purpose of the inspection and was granted entry into the facility by the licensee and her husband. Nine children were present in the facility under the supervision of Ms. Milord and her minor assistant daughter when analyst arrived. There were also three adults and two children belonging to them who were visiting the family during analyst's inspection who left shortly after he arrived. This facility is a one story, four bedroom, two bathroom home. Licensee and her husband accompanied LPA inside and out of the facility during this inspection. The following areas used for child care are: the kitchen, dining/living room area, the first and second bedrooms and the first bathroom. Off limits areas are the third and fourth bedrooms and the second bathroom and are inaccessible through use of locking door knobs. Applicant understands that during day care hours all off limits rooms should be closed and locked or made off limits with door knob covers or installed security devices so that they are inaccessible to children.

The fire extinguisher, smoke detector, and carbon monoxide detector met requirements. Most hazardous items were inaccessible to children. The licensee has toys, play equipment and materials available. The home has a fenced front yard, however, a portion of the area is occupied with personal items and equipment that potentially constitute a tripping and falling hazard for children in care. The licensee is in the process of clearing the front yard to the day care and will have the yard cleared within the week. The children may use the cleared portion of the yard in the meantime under the direct supervision of the licensee.

No bodies of water observed on the premises during the inspection. Licensee stated there are no weapons in the home. A review of staff records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse clearances or exemptions. Licensee’s First Aid and CPR certifications expire on March of 2022. Mr. Milord's certifications expire on April of 2023. Licensee and her spouse did not have required immunizations records available for review today. Licensee and her spouse are currently exempt from Mandated Reporter Training. Facility roster was not available for review today. The last fire and disaster drills were conducted and documented on 06/21/21. Licensee currently has no infants under 12 months in care but analyst previously provided her with a copy of the safe sleep regulations for her to review at a future date.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2021
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 4
Document Has Been Signed on 08/23/2021 06:30 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 08/23/2021 at 04:40 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MILORD, GUERLYNE FAMILY CHILD CARE
FACILITY NUMBER: 376627041

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2021
Section Cited
CCR
102417(g)(4)

1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (g)(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 was not met as evidenced by:
1
2
3
4
5
6
7
Licensee spouse stated that he will latch all the kitchen cabinets this evening before the day care children return and send analyst a photo demonstrating that the latches have been installed and the cabinets are inaccessible.
8
9
10
11
12
13
14
Based on analyst observation, analyst found insect repellent powder in unlatched cabinets beneath the kitchen sink. As children were found to be closely supervised today with two adults and minor helper in the home, this was determined to be a potential risk to children in care.
8
9
10
11
12
13
14
Type B
08/30/2021
Section Cited
CCR102417(g)

1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (g) The home shall be free from defects or conditions which might endanger a child. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee spouse was in the process today of starting to load all personal items in a truck and having them removed. Licensee spouse states he will complete the removal of all items and send analyst a photo demonstrating that the yard is completely cleared by 08/30/21.
8
9
10
11
12
13
14
Based on analyst observation, portion of front yard was overcrowded with personal items that can cause tripping and falling hazards. Having an overcrowded portion of a play yard is a potential risk to children in care.
8
9
10
11
12
13
14
Until all the items are completely removed, children will be allowed to use the cleared portion of the yard under the direct supervision of the licensee and/or her spouse at all times.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2021


LIC809 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: MILORD, GUERLYNE FAMILY CHILD CARE
FACILITY NUMBER: 376627041
VISIT DATE: 08/23/2021
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
26
27
28
29
30
31
32
LPA provided and discussed the following: Report suspected child abuse and neglect, maintain children’s records according to regulation, post all required forms, and ensure that all adults residing or working in the home have criminal background clearances or exemptions. Licensee was reminded that corporal punishment, smoking, exersaucers, bouncy seats, walkers, and jumpers and/or similar equipment are not allowed in daycare. Licensee was also provided handouts with information regarding upcoming Safe Sleep Regulations/SIDS, Lead exposure and Shaken Baby Syndrome. LPA and Licensee discussed California Megan's Law and LPA provided: www.meganslaw.ca.gov.

LPA discussed and provided Licensee with the following: child care advocates email address: childcareadvocatesprogram@dss.ca.gov . In addition, for general questions or questions regarding licensing requirements contact the Child Care Licensing Duty Line at (619) 767-2248.

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

Four type B deficiencies, California Code of Regulations, (Title 22, Division 12 & Chapter 3), are being cited on the attached LIC 809-D.

An exit interview was conducted with the licensee. The licensee was provided a copy of their appeal rights (LIC 9058 12/15) and their signature on this form acknowledges receipt of these rights.

LPA provided notice of site visit and observed it being posted at the facility.
SUPERVISORS NAME: Jason Garay
LICENSING EVALUATOR NAME: Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021
LIC809 (FAS) - (06/04)
Page: 4 of 4
Document Has Been Signed on 08/23/2021 06:30 PM - It Cannot Be Edited


Created By: Luigi Gargaro On 08/23/2021 at 05:25 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
, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108

FACILITY NAME: MILORD, GUERLYNE FAMILY CHILD CARE
FACILITY NUMBER: 376627041

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2021
Section Cited
CCR
102417(g)(8)

1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (g)(8) Each family child care home shall have a current roster of children as specified in Health and Safety Code Section 1596.841. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee states a roster will be complieted and submitted to analyst for review by 08/30/21 to complete the correction.
8
9
10
11
12
13
14
Based on analyst record review, licensee did not have a copy of the facility roster available for review during today's visit. Not having a facility roster available for review at any given time is a potential risk to children in care.
8
9
10
11
12
13
14
Type B
09/23/2021
Section Cited
HSC1597.622(a)(1)

1
2
3
4
5
6
7
1597.622 Immunization Requirements (a)(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee states she will locate her and her spouses immunization record containing the required shots for licensing or obtain required shots from medical provider and submit copies of those records to analyst by 09/23/21.
8
9
10
11
12
13
14
Based on analyst record review, licensee did not have a record copy of her and her helper spouse's required immunizations on file at the facility. Not having proof of required immunizations is a potential risk to children in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Jason Garay
LICENSING EVALUATOR NAME:Luigi Gargaro
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2021


LIC809 (FAS) - (06/04)
Page: 3 of 4