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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909374
Report Date: 10/17/2023
Date Signed: 10/18/2023 09:02:36 AM


Document Has Been Signed on 10/18/2023 09:02 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:PRADO, JACLYN FAMILY CHILD CAREFACILITY NUMBER:
153909374
ADMINISTRATOR:PRADO, JACLYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 404-6766
CITY:ARVINSTATE: CAZIP CODE:
93203
CAPACITY:14CENSUS: DATE:
10/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Jacklyn PradoTIME COMPLETED:
01:30 PM
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On 10/17/2023, Licensing Program Analyst (LPA) Beneroso conducted an unannounced Required 1-Year inspection at the Prado Family Child Care Home. Upon arrival, the LPA met with licensee, Jacklyn Prado who guided LPA on a tour of the facility. Family members residing in the home include 3 adults (licensee and licensee’s spouse and licensee’s daughter) and licensee’s minor child. All adults living in the house have been background cleared. Per the Licensee, hours of operation are a day Monday through Friday 4:30am – 5pm Per licensee, no overnight care is provided at the moment. Upon arrival, LPA observed 5 day care children in care.. Licensee is within the ratio for a large facility. Incidental Medical Services (IMS) were discussed.

Physical Plant:
This is a two-story, 5-bedrooms, 4-bathrooms home with a kitchen, living room, dining area, backyard, garage, and laundry room. The home was inspected for safety, comfort, cleanliness, telephone service, central air, and heat and ventilation. All windows are free of cracks, bugs, and debris. There are no cords hanging from the windows. All electrical outlets are covered.

Main Care Area: Main care is provided in the in the room #1 playroom and room#2. Children use the bathroom located inside room#2. LPA observed age-appropriate toys and furniture for the children. There are age-appropriate games and books on the premises. Per licensee, there is a designated area for ill/sick children in the main playroom in a corner where she supervises the child until picked up. Children nap in room#2.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:
DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/17/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374
VISIT DATE: 10/17/2023
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Stairs: The stairs are properly barricaded with a child safety gate.
Fireplace: The fireplace is located in the dining area and was observed to be properly barricaded with a glass screen.
Children's bathroom: Children use the bathroom located inside room#2. The bathroom was clean, sanitized, and in good repair. The bathroom was toured and inspected sink and toilet which is in operable condition. There are soaps that are kept in the lower cabinet and are secured with safety latches.

Kitchen/Dining Room: The kitchen does not have a physical barrier. LPA observed safety latches installed in the cabinets and drawers. Cleaning compounds and sharp knives are stored in an upper cabinet, inaccessible to children. Per licensee, she does currently have a food program. Meals offered: Breakfast, Lunch, AM snack, Lunch, PM Snack and Dinner.
Backyard/Outdoor areas: The backyard is completely fenced (cement block). The backyard has play equipment that is safe and in well repair. Per licensee and LPA’s observations, there are no bodies of water in the premises. There are is one pet in the home that is kept in the side yard, which remains locked with a padlock. Pet in the home has vaccination records kept in the facility’s files.

Off-limits: Off-limit areas include the entire second floor, bedrooms #3,#4 and #5, bathrooms #2, #3 and #4 are all made inaccessible by a child safety gate. Laundry room gives access to garage and is made inaccessible by a door safety knob .


Care and Supervision: Licensee is within the ratio for a large facility. The Licensee was reminded that supervision is always required for children in care.

Fire/Health/Safety: There is a cell phone kept charged and on the Licensee at all times.


Smoke Detectors and Carbon Monoxide were observed to be in operable conditions.
The First Aid kit was observed to be complete with supplies including thermometer, tweezers, scissors, gauze, bandages, cleansing pad/solution, and a first aid manual. LPA observed a required fire extinguisher (3A40BC) reading in Green and currently serviced. The facility currently does have childcare insurance. Per licensee, she currently does offers transportation, LPA observed car insurance current and up to date.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374
VISIT DATE: 10/17/2023
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Medications/ Hazardous Materials: Medications are stored in the master bathroom, made off-limits an inaccessible by door safety knobs. Cleaning compounds were observed to be kept in an upper cabinet in the kitchen. There are no arms in the home.
Incidental Medical Services (IMS): 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 Licensee will not be providing IMS to the children at this time.

Records: Children’s records were observed to be complete.

Licensee’s CPR/First Aid is maintained current, it expires on 07/2024. Mandated Reporter Certificate is maintained current and it expires on 06/26/24. Per Licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 10/10/2023. Per LPA’s observations, the Facility License, Emergency Disaster plan, Earthquake Preparedness and Parents Rights Poster were posted.

Documents Provided and or Discussed: Safe Sleep PIN 20-24-CCP and LIC9227 (Individual Sleeping Plan) and Sleep Logs.

Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe. Applicant was advised that all LIC forms can be found at: www.cdss.ca.gov/inforesources/forms-brochures/forms-alphabetic-list/i-l

Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PRADO, JACLYN FAMILY CHILD CARE
FACILITY NUMBER: 153909374
VISIT DATE: 10/17/2023
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Licensee Prado was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee Prado and discussed the Child Care Licensing Safe Sleep webpage at www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

There were no citations issued during inspection. A copy of this report was submitted electronically to licensee Prado and Notice of Site Visit (to be posted for 30 days). Exit interview conducted and report was reviewed with the licensee Prado, along with her appeal rights and Notice of Site Visit.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Barbara BenerosoTELEPHONE: (661) 202-3411
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC809 (FAS) - (06/04)
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