157700038-7-17-2020-12-CC-EROZ-BRLGTC-20200717053716

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 157700038
Report Date: 07/14/2020
Date Signed: 07/17/2020 05:37:29 AM

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:	RAGAN FAMILY CHILD CARE		FACILITY NUMBER:	157700038
ADMINISTRATOR:	TEMESHA RAGAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 390-0657
CITY:	ROSAMOND	STATE: CA	ZIP CODE:	93560
CAPACITY:	14	CENSUS:	DATE:	07/14/2020
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Temesha Ragan		TIME COMPLETED:	11:29 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 07/14/2020, at 8:45 AM Licensing Program Analysts (LPA) Esequiel Rodriguez made an announced virtual televisit inspection with Applicant, Temesha Ragan for the purpose of conducting a facility Pre-Licensing Inspection prior to licensure for a Large Family Child Care Home, and to ensure the facility meets basic licensing requirements set forth by Title 22, Health and Safety and statutory requirements. The LPA met with Ms. Ragan and stated the purpose for the inspection. During the virtual teleinspection the LPA noted that the home is a single-story home. The home consists of four bedrooms, large kitchen, living room, two restrooms, garage/laundry area, driveway, front lawn and back yard. There are two pets in the home (a dog and cat) they have current vaccinations. The main areas use for daycare are the living room, family room, and back yard area. Off limit areas are the garage, laundry room area; master bedroom, main bedrooms. Currently, there are two adults and two children living in the home. See Confidential Names list (LIC811) dated 07/14/2020. The hours of operation are Monday thru Friday from 07:00 AM- 04:30 PM. The home It is neat, clean, safe and sanitary. There is a fireplace in the home. It meets all safety requirements. The home has central air and heater. The fire extinguisher is at least a 2A:10BC and is fully charged. The smoke alarms and carbon monoxide monitor are present and in good working conditions. There is a working and available telephone. The first aid kit is complete and available, and is store out of the reach of children. Kern County Fire Prevention Department granted the facility fire clearance on 07/02/20. All poisons are locked, and hazardous materials are kept inaccessible to children. Outdoor play area is free from defects or dangerous conditions; the outdoor play area is fenced and per licensee there will always be active supervision when the children are outside in the play area or when inside; play equipment is secure;

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020

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: RAGAN FAMILY CHILD CARE	FACILITY NUMBER: 157700038
	VISIT DATE: 07/14/2020

NARRATIVE

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toys and playthings are safe, clean, and appropriate for the age of the children; all sharp utensils and cutlery, cleaning supplies, medicines; drawers and cabinets with plastic bags, and sharp things or small things children can swallow; shampoo, mouthwash, toothpaste, medicines, perfumes/lotions/cosmetics, solvents, etc., are inaccessible to children in care; the refrigerator dishwasher, stove, microwave, etc., are clean. Toilet and faucets are clean, safe and operable; bathtub and shower are free of hazard. All electrical outlets are inaccessible to children.

The home has appropriate materials for napping (cots, mats, cribs and/or playpens) are available. All windows are free of cracks, bugs and debris. Hanging window blinds cords are inaccessible to children. The home has a designated area for children showing signs of illness and a plan to act accordingly. Smoking is prohibited in the facility premises. Per applicant, if food is brought from the children’s homes, the containers will be labeled with child’s name and properly stored or refrigerated.

The garage is off limits, nonetheless, per applicant, solvents, gasoline, oil, turpentine, paint, sharp tools, lawn mower, gardening tools, poisonous plants, abandoned machinery, old refrigerators/freezers, old vehicles, etc., will always be inaccessible to children.

The home does not have a swimming pool, spa, hot tub, fishpond, or any other bodies of water. Baby walkers, bouncers, jumpers, inclined sleepers and similar items will not be used for children in care and are kept inaccessible. Per applicant, there are no firearms or ammunition in the premises. A copy of home ownership will always be available at the home.

Emergency supplies are maintained in the laundry room. Emergency drills will be conducted every six months or more often depending on the date of enrollment of the children and a written log will be maintain. The applicant is aware of current Safe Sleep Awareness information. Although the facility, at this time, will not provide Incidental Medical Services (IMS) such as: Administration of Blood Glucose Monitoring; Inhaled Medications; Epi-Pen and Epi-pen Jr. Insulin Shots; Gastronomy Tube Feeding and Care; or carrying out other medical order, the LPA explained that prior to providing any of the above IMS the facility is to complete a “Plan for Providing IMS” this plan must be approved by the Department. The American with Disabilities Act (ADA) and California disability laws were discussed.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020

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: RAGAN FAMILY CHILD CARE	FACILITY NUMBER: 157700038
	VISIT DATE: 07/14/2020

NARRATIVE

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Disability laws require a child care facility undertake an individualized assessment of a situation if the child care facility receives a request to provide incidental medical service as an accommodation to a child with disability.

The applicant has current Mandate Reporter certificate and has current pediatric first aid and CPR. Posted on parent’s board are the Emergency Disaster Plan (LIC 610A); the Earthquake Preparedness Checklist (LIC
9148), Notification of Parents' Rights Poster (PUB 394.) When licensed, the Facility License, (LIC 203) will also be posted in an area of the home where it can be easily seen. LPA explained that the Notice of Site Visit (LIC 9213) must remain posted for 30 days (during the hours that children are in care) after each site visit by a licensing representative. Also, any licensing report documenting a type “A” citation must be posted for 30 days during the hours that children are in care, and any licensing report or other document verifying compliance or non-compliance with the Department’s order to correct a Type “A” deficiency must be posted for 30 days during the hours that children are in care.

All adults living in the home and assistant have received appropriate background clearance and child abuse central index (CACI) check and/or exemption. Requirements for fingerprint clearances and associations were discussed and verified with the licensee.

LPA Rodriguez explained and went over the LIC 311D (Forms and Record to Keep in Your Family Child Care Home form) and told applicant that during future home inspections, the Licensing Program Analyst will also review all the required forms and information that you must keep on file in your home.

LPA remind Applicant that she shall familiarize with the guidelines established by the American Academy of Pediatrics to help reduce the risk of Sudden Infant Death Syndrome (SIDS) when caring for infants.

Applicant was advised to often review Community Care Licensing (CCL) Child Care section of the public Community Care Licensing web site at https://www.cdss.ca.gov/inforesources/child-care-licensing because it contains the most current up-to-date information regarding CCL Quarterly Updates, forms, regulations, Corona virus Disease (COVID-19) and Provider Information Notices (PINS). The LPA told the applicant that it

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RAGAN FAMILY CHILD CARE	FACILITY NUMBER: 157700038
	VISIT DATE: 07/14/2020

NARRATIVE

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is the licensee responsibility to know the regulations as well as anyone who assists in providing care. Also that the inaccessibility of hazards and active supervision must be constantly reassessed depending on the children in care. In addition, CCLD has established a dedicated e-mail address to receive public inquiries related to COVID-19, cclcovid-19info@dss.ca.gov

The Applicant was advised of the requirement to maintain a current contact phone number and to submit written reports of unusual incidents and/or injuries report (UIR) by telephone, fax, mail or email within the next business day following the occurrence during the operation of family day care home. Additionally, if reported to CCL by telephone, submit written report within seven (7) calendar days of the event. Describe what happened and be specific. Include Child's name, date of birth/age, sex and date of admission; date and nature of the event; Attending physician's name and findings and treatment, if any, and Disposition of the case; enter date, month and when the child's authorized representative was notified, etc. If available, use Unusual Incident/Injury Report - Family Child Care Home form LIC624B. Keep a copy of the report submitted to CCL in the (affected) child's record.

At the time of this preinspection, the facility was in compliance with Title 22 regulatory requirements and is ready for licensure.

LPA Esequiel Rodriguez inform the applicant that a copy of the original Facility Evaluation Report (LIC 809) will be scanned and email it to her for signature, and to keep a copy for her files. Once the applicant signs the complete report it will be scanned, and e-mailed back to this LPA for filing.

Exit Interview conducted.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Esequiel Rodriguez	TELEPHONE: (323) 981-3315
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2020

LIC809 (FAS) - (06/04)

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