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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334845674
Report Date: 03/26/2021
Date Signed: 03/29/2021 08:00:29 AM

Document Has Been Signed on 03/29/2021 08:00 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME:WILEY FAMILY CHILD CAREFACILITY NUMBER:
334845674
ADMINISTRATOR:MICHEALLE MAREE WILEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(951) 235-2197
CITY:RIVERSIDESTATE: CAZIP CODE:
92506
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 2DATE:
03/26/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Michealle Wiley, Licensee TIME COMPLETED:
09:30 AM
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Due to COVID-19, Licensing Program Analyst (LPA) Sharleen Robinson conducted Case Management visit/Tele-inspection with Licensee Michealle Wiley. LPA met with the Licensee via FaceTime. Licensee's provisional large license expired March 25, 2021. Licensee is currently licensed as a large license. The purpose of this inspection is to ensure the facility is in compliance. There were 2 children in care under the supervision of licensee and 1 staff member. Licensee toured LPA through the day care areas, records were reviewed and the following was observed and/or discussed:

Normal days and hours of operation are Monday through -Friday 5:30AM-5:30PM. Appropriate fire extinguisher, smoke detector and carbon monoxide detector present, all hazardous items inaccessible, toxins locked, no guns or weapons present, the home had a working telephone, provided appropriate heating and ventilation, appeared to be clean and organized. Stairs are barricaded, fire place is screened. Verification of control of property on file. Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster were posted. Documentation of fire drills on file, the last drill was conducted 1/12/21. The backyard is fenced, there is an in-ground pool located in the backyard; the pool is properly fenced with a removable pool fence that is over 5 feet tall with a self-closing, self-latching gate that opens away from the pool. The pool fencing is in compliance with Title 22 Regulations. Licensee understands all bodies of water including ponds, above ground pools and spas, in-ground pools and spas, and some fountains must be properly covered or fenced per title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar products must be emptied immediately after use and stored in an upright position when not in use. There is a trampoline on the premises, licensee stated it is used by children in care. The trampoline and its surrounding cover appear to be in good repair with no tares or exposed springs. The licensee agrees to only use the trampoline in accordance with the manufacturer’s guidelines and will provide adequate supervision to all children in care.
See LIC809C for the remainder of the report>>>>>>
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Sharleen Robinson
LICENSING EVALUATOR SIGNATURE: DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501
FACILITY NAME: WILEY FAMILY CHILD CARE
FACILITY NUMBER: 334845674
VISIT DATE: 03/26/2021
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A review of staff records on March 24, 2021 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 3/21/23. Current roster on file, child record reviewed, it is in compliance. Licensee’s record reviewed, it is in compliance. Incidental medical services discussed. Off limit areas include downstairs bedroom #1 made inaccessible by door knob cover, all bedrooms upstairs, they are made inaccessible by doorknob locks, the remainder of the upstairs is made inaccessible by stair gate/ barricade, bathroom #2 made inaccessible by stair gate and door knob lock, the garage is made inaccessible by double dead bolts, side yard (north) iron gates separate the back and front yards, side yard (south) iron gates separate the back yard and driveway, front yard is inaccessible by the front door that has a locking device.

An exit interview was conducted via FaceTime, LPA Robinson provided the Licensee with a copy of this report and Notice of Site Visit via email, LPA asked the Licensee to acknowledge receipt of the email. An electronic “read receipt” was also attached. The electronic read receipt of the emailed report acknowledges receipt of this report. A copy of this report was emailed to Licensee during this Tele-inspection on March 26, 2021.
SUPERVISORS NAME: Kimberly Williams
LICENSING EVALUATOR NAME: Sharleen Robinson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2021
LIC809 (FAS) - (06/04)
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