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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153906189
Report Date: 03/04/2020
Date Signed: 03/05/2020 08:05:09 AM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:SANCHEZ, ALICIA FAMILY CHILD CAREFACILITY NUMBER:
153906189
ADMINISTRATOR:SANCHEZ, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 845-3236
CITY:LAMONTSTATE: CAZIP CODE:
93241
CAPACITY:14CENSUS: 0DATE:
03/04/2020
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:01 AM
MET WITH:Alicia Sanchez TIME 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 03/04/2020, at 9:01 AM Licensing Program Analysts (LPA) Esequiel Rodriguez made an unannounced Required inspection at the Sanchez Alicia Family Child Care Home facility to complete an inspection that was previously initiated on 02/13/20. During the previous inspection the Licensee was out of country. During today's inspection, the LPA met with Licensee Alicia Sanchez and stated the purpose for the inspection. Mrs. Sanchez acknowledged.

During the previous inspection the LPA only inspected the Physical Plant in which the entire physical plant met regulatory requirements. See LIC 809 report dated 02/13/20 for more.

During today's inspection, the LPA met with Licensee, Alicia Sanchez and stated the purpose for the inspection. The facility is licensed to provide care up to fourteen children. Currently there are no children present. The licensee indicated she ensures the facility does not go over the capacity specified on the license. Adults living in the home

Posted on a prominent place, by the main entrance, of the facility is the Parent's Board. It contains the following posted items: Emergency/Disaster Preparedness, Emergency Disaster Plan (610A); Earthquake Preparedness Checklist (LIC9148); Department's Complaint hotline; Notification of Parent's Rights, (Pub 394); and other safety information such Safe Sleep program, lead poisoning information, car seat law and never shake a baby information.

Per Licensee, fire and disaster drills are conducted at least every six months or sooner. The Facility maintains a log indicating when the emergency/type of drills are conducted. Posted on a prominent place is the License. Mrs. Sanchez is the primary caregiver and is present in the home more than 80% of the operating hours. The facility operating hours are Monday thru Saturday 04:00 AM to 06:00 PM and when children are present, they are always directly supervised. Purified water is always available while inside as well as outside in the playground.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SANCHEZ, ALICIA FAMILY CHILD CARE
FACILITY NUMBER: 153906189
VISIT DATE: 03/04/2020
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
Pg-3
Personnel Records were reviewed for the following: Unusual Incident/Injury Report (LIC 624B)
licensing office when reporting any incidents or injuries occurring during day care hours.
Child Care Facility Roster (LIC 9040); Notice of Employee Rights (LIC 9052); Statement Acknowledging Requirement to Report Suspected Child Abuse (LIC 9108); Property Owner/Landlord Consent Form (LIC 9149), Property Owner/Landlord Notification Form (LIC 9151), and deed or lease/rental agreement are not applicable. Licensee owns the home and has mortgage proof documentation on file.

The Licensee has proof of completion of 16 hours of Preventive Health and Safety Training before a license can be issued. The training include Pediatric Cardiopulmonary Resuscitation (CPR), Pediatric First Aid, Preventive Health Practices, and one hour of Pediatric Nutrition.

Also advise Licensee to sign up for CCL Quarterly Updates by emailing the Child Care Advocates at
childcareadvocatesprogram@dss.ca.gov or by calling (916) 654-1541 Licensee was informed the Palmdale Regional Office can be contacted for information at (661) 202-3318 Monday through Friday from 8:00 AM - 5:00 PM.

At the time of this inspection the facility program regarding Care and Supervision indicates the Licensee is well aware about her responsibility for providing an adequate system to protect children in care, which includes, but not limited to, monitoring food intake or special diets, assistance in diapering, toileting, dressing, grooming, other personal hygiene needs, taking medication, etc. The Licensee, the assistant and all adults in the Facility/home are properly fingerprinted and have documentation related to criminal record clearances and/or exemptions. The Licensee is aware about, reporting requirements. The children's personal rights are respected. The Facility Physical Plant: furniture, toys, flooring, cleanliness, etc., meet regulatory requirements. All required records, documentation related to Facility administration and functions, immunization, emergency contact information, etc., are up-to-date. The Staffing Ratio and Capacity (staffing ratios per number of children in care) do not exceed the terms specified on the license. Therefore, at the time of this inspection, the facility is in compliance with Title 22 regulations, and no deficiencies cited. LPA Rodriguez provided additional consultation regarding Community Care License Web applications.

Exit interview conducted and a copy of this Report, LIC 811 as well as the Notice of Site visit (LIC 9213) was provided to Mrs. Sanchez.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020
LIC809 (FAS) - (06/04)
Page: 3 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: SANCHEZ, ALICIA FAMILY CHILD CARE
FACILITY NUMBER: 153906189
VISIT DATE: 03/04/2020
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
Pg-2
The off-limits areas are the rooms, laundry room, all storage areas. LPA advise Licensee that Community Care Licensing (CCL) must be contacted prior to changing off-limits rooms/areas in the house. Storage areas used for poisons, detergents, cleaning compounds, medications and other items which could pose a danger to children are stored are inaccessible to children. The facility is clean, orderly, safe and sanitary, in good repair and with appropriate heating and ventilation.

Per Licensee, when a child has a contagious or symptoms of contagious disease, the child is not accepted for care. However, if the symptoms are noted after the child parents leave the facility, the child is immediately separated from others, and the parents or legal guardian are immediately notified. The home has an isolation area for sick children. There is an area of the home where children who are not feeling well are placed while they wait for their parents to pick them up.

The day care home provides lunch, snack throughout the day, and dinner as needed. The food is also inspected, in an ongoing basis, by the United States Department of Agriculture (USDA).

Licensee documents immunizations and maintains, and updates records for children in care.

The Licensee has a current Pediatric CPR/First Aid, and has attended the required Mandated Reporter training.. The facility annual fees are current.



Licensees provided proof of immunization against pertussis (TDAP), measles (MMR), and Influenza. All adults living in the home have current (TB) Tuberculosis clearance/assessment. Proof of Preventive Health Practices, including 1 hour on Childhood Nutrition was provided. Ms. The Licensee as well as her assistance have a current Mandated Reported Certificate and have completed training on preventive health practices including Pediatric First Aid and CPR. Licensee is aware about the requirements to report unusual

A review of the facility associations against Facility Report Summary (LIS 536) dated 03/03/2020 indicates that the licensee, and other individuals subject to a criminal record review have obtained a criminal record clearance or exemption prior to working, residing or volunteering in the licensed home/facility.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel RodriguezTELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3