153908258-5-12-2023-12-CC-EROZ-CRS6LB-20230512205403

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153908258
Report Date: 05/12/2023
Date Signed: 05/12/2023 08:54:29 PM

Document Has Been Signed on 05/12/2023 08:54 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	LUCAS, TONYA FAMILY CHILD CARE		FACILITY NUMBER:	153908258
ADMINISTRATOR:	LUCAS, TONYA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 793-8112
CITY:	RIDGECREST	STATE: CA	ZIP CODE:	93555
CAPACITY:	14	CENSUS: 3	DATE:	05/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:36 AM
MET WITH:	Tonya Lucas, Licensee		TIME COMPLETED:	01:07 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 05/12/2023, at 10:36 a.m.. Licensing Program Analysts (LPA) Esequiel Rodriguez conducted an unannounced annual inspection at the Family Child Care Home to assess the Facility operation of their program and current physical plant status. Also, to evaluate the Facility's continuing ability to meet compliance with California Code of Regulations (CCR) Title 22, Health and Safety requirements, and other applicable State and Licensing Statutory requirements. LPA Rodriguez met with Licensee, Tonya Lucas. The LPA stated the reason for the inspection. The LPA provided a copy of the Entrance checklist form, LIC 126. Licensee indicated that the facility is in the process of closing, at this facility. The projected closure date is June 30th 2023. LPA Rodriguez told provider that to better assure and promote the health and safety of each individual being cared for in licensed setting, the Community Care Licensing Division's (CCLD) is focusing efforts on three priority areas: Prevention, Compliance, and Enforcement; Therefore, CCLD launched the Inspection Process Project (IPP) to meet these goals. As a result it developed the Compliance and Regulatory Enforcement (CARE) Tools for the Child Care Program which is being used during today's inspection. These does not impose any new requirement on the provider. At 10:54 a.m. LPA Rodriguez along with the Licensee conducted a walk trough of the entire family child care facility. The Facility license is posted on a prominent place of the Facility. The home is licensed to provide day care services to 14 children. The play yards or playpens used by the facility are made of material (mesh or fabric) that has not been banned or recalled by the United States Consumer Product Safety Commission.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LUCAS, TONYA FAMILY CHILD CARE	FACILITY NUMBER: 153908258
	VISIT DATE: 05/12/2023

NARRATIVE

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At the time of this inspection the home is in process of closing the facility, therefore, the home is not too orderly. However, it has appropriate heating and ventilation for safety and comfort. The home maintain telephone service (land line.) The facility has safe age appropriate toys, play equipment and materials for the children care to use. There are no fixtures, furniture, and/or equipment that have been banned or recalled by the United States Consumer Product Safety Commission present or accessible to children at the facility at the time of this inspection. Per Licensee, if food is brought from the children's homes, the container is labeled with the child's name and properly stored or refrigerated.

The facility needs some repairs (such roof leaks and other minor physical plant issues) The landlord has been notified of those issues to no avail. However, at the time of the inspection, the LPA did not observe defects or conditions which might endanger a child. The fireplace and open face heaters are properly screened to prevent access by children. The facility has an operational carbon monoxide detector and fire extinguisher which meet established standards. Poisons, detergents, cleaning compounds, medicines, firearms (no fire arms at this facility) and other items which could pose a danger if readily available to children are stored where they are locked and inaccessible to children. The facility will develop a written disaster plan of action for local known potential disasters, such as fire, flooding, earthquake, etc. The licensee document the drills, including the date and time of each drill. There are no baby walkers in the facility.

Smoking is prohibited on the premises of a family child care home. Currently, there is one infants in the program. Licensee and assistants are well aware of new regulatory requirements regarding the safe sleep regulatory requirements. Licensee knows that there must be one crib or play yard for each infant who is unable to climb out of the crib or play yard. The Licensee understands that crib(s) or play yards use by the facility must meet the United States Consumer Product Safety Commission safety standards.

The Facility does not have any bodies of water. The outdoor play areas are fenced and the children supervised by the licensee and/or assistants.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LUCAS, TONYA FAMILY CHILD CARE	FACILITY NUMBER: 153908258
	VISIT DATE: 05/12/2023

NARRATIVE

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Per Licensee, she is present in the home during child care time and ensure all children in care are supervised at all times. When circumstances requires her to be temporarily absent from the home, she arranges for a substitute adult to care for and supervise the children during her absence. Per Licensee, her temporary absences does not exceed 20 percent of the hours that the facility is providing care per day. Licensee states that when a child shows signs of illness he/she shall be separated from other children, and the nature of the illness is determined. If it is a communicable disease he/she shall be separated from other children until the infectious stage is over and or seek medical assistance and report the incident to appropriate parties. The Facility has a designated area to care for ill children that display signs of illness.

The licensee and assistants have completed or renewed their mandated reporter training and is current with required immunization or exemptions from immunization. The licensee has completed training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid. Records Licensee and assistant have been immunized against influenza, pertussis, and measles. Licensee is aware of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing on the day of the incident and/or within 24 hours of incident by telephone, fax and/or in writing to the Department. Licensee is familiar with the Unusual Incident Report form, LIC624B. The report unusual incident/injuries report can also be mailed to unusualIncidentreport@dss.ca.gov

Personnel records are maintained on Licensee and each assistant and contain the following all required information. All personnel records are maintained at the facility. Licensee and assistant(s) have been immunized against influenza, pertussis, and measles. There is an emergency information card maintained for each child in care, completed and up to date.

The Licensee and other persons associated to the facility have obtained appropriate clearance or a criminal record exemption as required by the Department.

Per Licensee, each child receiving services at the Facility are treated with dignity and respect. The children are provided with safe, healthful, and comfortable accommodations, furnishings, and equipment. There is no corporal or unusual punishment of any kind, infliction of pain, humiliation, intimidation, ridicule, coercion,

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: LUCAS, TONYA FAMILY CHILD CARE	FACILITY NUMBER: 153908258
	VISIT DATE: 05/12/2023

NARRATIVE

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threat, mental abuse, or other actions of a punitive nature, including, but not limited to: interference with eating, sleeping or toileting; or withholding shelter, clothing, medication or aids to physical functioning.

LPA encouraged licensee to become familiar with the CARE Tools and inspection processes by periodically visiting the Inspection Process Project and CARE Tools Website. The page will be updated regularly with information related to the new tools and related documents:
https://www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Overall, the Facility is in compliance per Title 22 regulations. During today's inspection the LPA observed no deficiencies that may hinder the health and safety of the children in care. No deficiencies cited during inspection.

An exit Interview was conducted and a discussion of observations and this report was conducted. View points were discussed.

The LPA provided additional information as to how to locate Provider Information Notices (PINs) Quarterly Updates, as well as Best Practices Related to the Provision of incidental Medical Services (IMS) per PIN 22-02-CCP dated February 4, 2022. The Licensee knows where to locate Child Care Training, and were to access the new background check system Guardian.

A copy of this Report, Review of Staff Records form (LIC 859) and Notice of Site Visit (LIC 9213) were provided to Licensee, Tonya Lucas.

SUPERVISOR'S NAME: Scott Herring	TELEPHONE: (661) 202-3314
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (661) 202-3321
LICENSING EVALUATOR SIGNATURE:	DATE: 05/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2023

LIC809 (FAS) - (06/04)

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