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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157700043
Report Date: 03/11/2021
Date Signed: 03/11/2021 03:30:00 PM

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:HORTON FAMILY CHILD CAREFACILITY NUMBER:
157700043
ADMINISTRATOR:SHARYON HORTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 565-7243
CITY:ROSAMONDSTATE: CAZIP CODE:
93560
CAPACITY:14CENSUS: 2DATE:
03/11/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:34 AM
MET WITH:Applicant Sharyon HortonTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Brigitte Tsutaoka met with Applicant, Sharyon Horton, who guided analyst on a tour of the facility for a Large Family Child Care Pre-licensing Tele-Inspection with a capacity of 14 children. The inspection was conducted virtually using Facetime as a COVID-19 safety precaution. This is a two story 6 bedroom, 3 bathroom home with kitchen/dining, family room, living room, play room, laundry room, and garage. There is no pool, spa, or body of water on the premises. Family members residing in the home include 4 adults (applicant, applicant's spouse, and applicant's two adult grandchildren). Applicant's two minor grandchildren were present during inspection. Hours of operation are Monday through Friday, 6:00AM until 6:30PM. Incidental Medical Services (IMS) policy was discussed.

Main care is provided in family room (located next to the kitchen). Children use the bathroom in the back bedroom used as the sick room. Off limits areas include the entire upstairs (Bedroom #1 through #5, bathroom #2 and #3), laundry room, living room, play room, and garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (garage), medicines (master bedroom) and hazardous items (sharp knives in top kitchen cabinet) that can pose a danger to children. Applicant advised to place safety covers on all outlets throughout the home. Applicant agreed to place safety locks on lower kitchen cabinets to make inaccessible to children. Applicant reminded to conduct fire/earthquake drills every 6 months and document. A Roster was provided to Applicant to complete and maintain. Stairs have a gate.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
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 5
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: HORTON FAMILY CHILD CARE
FACILITY NUMBER: 157700043
VISIT DATE: 03/11/2021
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The backyard is completely fenced. There are age appropriate toys and play structures in good repair available to children. There are five dogs that stay in the two separate off-limits dog runs in the backyard. Applicant advised to keep dogs in dog run during day care hours and maintain cleanliness of backyard free of animal excrement. The backyard is completely fenced and side yards are made inaccessible to children by gate. Applicant agreed to install fence around charcoal grill to make inaccessible to children.

Per Applicant, there are no weapons or firearms on the premise. LPA did not observe any in the home at this time. There are age appropriate toys and age appropriate napping equipment (mats). The required fire extinguisher (2A10BC), smoke detector, and Carbon Monoxide detector are in operable condition. LPA observed pull-down fire alarm. Fire clearance is approved in file. Fireplace is screened. Home has central AC and heat. CPR/First Aid expire 11/21/2022. Preventive Health and Safety completed 12/01/2020. Lead prevention training completed 12/07/2020. Applicant agreed to purchase a complete first aid kit along with no-touch thermometer.



The following was discussed with the Applicant:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were reviewed. Applicant reminded that 100% supervision is required at all times to children in care. Applicant was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov . Applicant was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. Applicant was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child care home and in those areas of the family day care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: HORTON FAMILY CHILD CARE
FACILITY NUMBER: 157700043
VISIT DATE: 03/11/2021
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--Applicant is advised visit www.shotsforschool.org for Immunization information.
--Applicant was informed of responsibility to report suspected Child Abuse, 1-800-827-8724/760-243-6640
--Family Child Care Providers (Disaster Planning information): https://ccld.family-child-care-providers/disaster-planning-and-fire-safety/
--Child Care Videos: https://ccld.childcarevideos.org
--Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov
--Applicant advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.
--Provider Information Notice (PIN) Summary - PIN 18-02-CCP; Family Child Care Providers (Disaster Planning information):https://cccld.childcarevideos.org/family-child-care-providers/disaster-planning-and-fire-safety/

Applicant was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B. Pamphlet Information regarding SIDS, items that are not permitted in a licensed facility and Notification of Parent's Rights poster (Palmdale Regional Child Care Office) were provided. The "Notification of Parent's Rights" poster must be posted in an area of the home accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.

Incidental Medical Services (IMS) was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. A Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: HORTON FAMILY CHILD CARE
FACILITY NUMBER: 157700043
VISIT DATE: 03/11/2021
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Requirements for fingerprint clearances and associations were discussed with the Applicant. The applicant was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately.

Applicant informed to review Quarterly updates/regulations for 2015-2021 on the department website which includes information on: AB 1207 - all child care employees must complete mandated reporter training beginning January 1, 2018 and complete by March 30, 2018; AB 1387 - and AB 2236 process to request a formal review of deficiency and establishes an appeal process for civil penalties; SB 277 - require all children attending day care or school based programs to be immunized and will eliminate personal/religious belief exemptions; Summer 2015 - Incidental Medical Services information.

Applicant was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

The On Duty Worker is available for questions at 661-202-3318 Monday through Friday 8am-5pm. LPA provided consultation during the inspection.

COVID-19 Technical Assistant Tele-Inspection was completed during inspection.

SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: HORTON FAMILY CHILD CARE
FACILITY NUMBER: 157700043
VISIT DATE: 03/11/2021
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Before licensure the following must be completed:
1. Updated facility sketch with off-limits areas.
2. Purchase of complete first-aid kit and no-touch thermometer.
3. All outlets in accessible areas covered.
4. Child safety latch on fireplace
5. Install fence around charcoal grill.
6. Child safety latches on kitchen cabinets.

Once corrections have been verified, the application for a Large Family Child Care Home will be submitted for approval with a maximum capacity of 14 children with assistant. Applicant advised that all corrections are due within 30 days or the application may be withdrawn.

An exit interview was conducted, and a copy of this report was read and provided to the Applicant on this date. The report was emailed to Applicant with read receipt in lieu of signature as a COVID-19 safety precaution.
SUPERVISOR'S NAME: Carissa BellTELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte TsutaokaTELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5