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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198400351
Report Date: 03/18/2022
Date Signed: 03/18/2022 11:00:05 AM

Document Has Been Signed on 03/18/2022 11:00 AM - 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, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME:GILES FAMILY CHILD CAREFACILITY NUMBER:
198400351
ADMINISTRATOR:GILES, CHARLOTTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 832-1911
CITY:LAKEWOODSTATE: CAZIP CODE:
90712
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/18/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Licensee, Charlotte GilesTIME COMPLETED:
11:00 AM
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 March 18, 2022 at 9:10 am, Licensing Program Analyst (LPA) Monique Ayala conducted an announced inspection to the facility above and met with Licensee, Charlotte Giles. The purpose of the inspection was to ensure that the facility is deemed safe to resume operation after being on inactive status. Licensee requested to be placed on inactive status as of December 8, 2021.

The facility is licensed as a Large Family Day Care Home (up to 14 children). A fire clearance was granted on December 4, 2020. At the time of the inspection, individuals residing in the home was discussed and assessed. The operating hours will be Tuesday, Wednesday, and Thursday from 8:15 am to 4:00 pm. The licensee will be providing care for children ages, 2 years old to 5 years old.

All areas identified on the facility sketch were inspected. This facility is a single story home that consists of 3 bedrooms, 2 bathrooms, living room, kitchen, garage and fenced backyard.

Areas that are accessible to children include: living room, kitchen, one bathroom, one bedroom and the fenced backyard. Per licensee, the children will utilize the fenced backyard for outdoor activity.

Areas off-limits to children include: two bedrooms, one bathroom, and garage. LPA observed the off-limit areas made inaccessible. Licensee was advised that off-limit areas must be made inaccessible to children during operating hours.

LPA observed the following documents posted in a prominent, publicly accessible area at the facility: Facility License, Notification of Parents' Rights Poster (PUB 394), Earthquake Preparedness Checklist (LIC 9148), and Emergency Disaster Plan (LIC 610A).
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2022
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GILES FAMILY CHILD CARE
FACILITY NUMBER: 198400351
VISIT DATE: 03/18/2022
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
Areas used by children were inspected for safety, comfort, cleanliness and telephone service. The home does not have a fire place or any wall heaters. The home has central air and heating that is operable. Detergents, cleaning compounds, medicines, sharp objects and hazardous items that can pose a danger to children are inaccessible. Licensee was advised that if any poisons are purchased, it is required to be locked with a key or combination lock.

Per licensee, the home does not have any firearms, weapons, or bodies of water. LPA observed a chicken coop in the backyard that was fenced and made inaccessible to children. LPA observed age appropriate toys and napping equipment. LPA observed electrical outlet covers throughout the home. LPA observed the required fire extinguisher (2A-10BC) that is fully charged and last serviced on January 3, 2022. Smoke and carbon monoxide detectors were tested by the licensee and are operable. First Aid kit is available and located in the laundry room area. Licensee has a no-touch thermometer readily available. Licensee was advised that if food is brought from the children’s home, all containers must be labeled with the child’s name and properly stored or refrigerated.

Licensee has proof of Pediatric First Aid/CPR certification (expires 10/24/2020), and immunization against pertussis (Tdap), measles (MMR), and TB clearance. Licensee has a current record for declination of influenza vaccination. Licensee completed the Childcare Health & Safety Training with the Nutrition component on 05/12/2018 and Lead Poisoning Prevention for Child Care Providers on 11/10/2020. Licensee completed the Mandated Reporter training (AB 1207) on 11/06/2020. Licensee was advised that the mandated reporter training must be completed every 2 years and is available at www.mandatedreporterca.com.

Licensee was advised to report any possible exposures and/or positive cases of COVID-19 to the Regional Office. Licensee was also advised that staff and families must be notified immediately of any possible cases of COVID-19 while maintaining confidentiality.

Incidental Medical Services (IMS) policy was also 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 Americans with Disabilities Act (ADA) was provided: U.S. 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.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CENTER DR 200B
MONTEREY PARK, CA 91754
FACILITY NAME: GILES FAMILY CHILD CARE
FACILITY NUMBER: 198400351
VISIT DATE: 03/18/2022
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 advised licensee on how to access forms, regulations, quarterly updates, and Provider Information Notices (PINs) on the Department website at www.ccld.ca.gov.

During the inspection, the licensee provided an updated Application for a Family Child Care Home License (LIC 279) to update the facility email address, operating days and hours, and ages of children to be served.

Licensee was informed that she may resume operation as soon as an updated license is issued to the provider. No further follow-up is required at this time.

An exit interview was conducted and a copy of this report was provided to the licensee.
SUPERVISORS NAME: Valarie Cook
LICENSING EVALUATOR NAME: Monique Ayala
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3