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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191227276
Report Date: 08/16/2022
Date Signed: 08/16/2022 11:12:53 AM


Document Has Been Signed on 08/16/2022 11:12 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:HEIL FAMILY DAY CAREFACILITY NUMBER:
191227276
ADMINISTRATOR:HEIL, BELLE L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 722-2236
CITY:LANCASTERSTATE: CAZIP CODE:
93536
CAPACITY:14CENSUS: 6DATE:
08/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Belle Heil, Licensee TIME COMPLETED:
11:20 AM
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On 08/16/22 Licensing Program Analysts (LPAs) Justeene Tamayo and Andrew Alemoh met with Licensee, Belle Heil, who guided analyst on a tour of the facility for the One Year Required inspection. This is a two story, 4 bedroom, 3 bathroom home with kitchen/dining, family room, living room, laundry room and garage. There is a pool/spa or body of water on the premises. Upon arrival LPAs observed 5 preschool and 1 infant in care. Family members residing in the home include 2 adults (licensee and adult son) and no children. Facility operation are Monday-Friday 6AM-6 PM. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: Main care is provided in the living room, family room, and bedroom#1. Children use the bathroom in hallway next to bedroom #1. Children have access to the living room, family room, and bedroom #1. Off limit areas include all upstairs, bedrooms #2, #3, and #4, bathrooms #2 and #3 (upstairs), laundry room, and garage (has a key lock door knob). The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (under kitchen sink with safety latch), medicines (in upper kitchen cabinet) and hazardous items (sharp knives in upper kitchen pantry unreachable to children in care) that can pose a danger to children. LPAs observed the fireplace to be properly screened. Safe and age appropriate toys, play equipment and materials were observed. The smoke detector and carbon monoxide detector, Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, LPAs observed 6 infant swings on the premises. LPAs observed licensee put all recalled/prohibited items in the back yard area. LPAs reminded licensee no baby bouncer, saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment allowed on the premises. Facility has been cited a Type B Citation. Please see LIC809-D.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
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 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: HEIL FAMILY DAY CARE
FACILITY NUMBER: 191227276
VISIT DATE: 08/16/2022
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There is a designated area for ill children as necessary in bedroom #1. Per Licensee there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

Fire/Disaster Drill is complete and maintained current. Last fire/disaster drill was completed on 08/01/22.

Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). LPAs did not observe any hazardous items in the children's bathroom. Toilet and faucet are clean and operable.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are under the kitchen sink with safety latch. Breakfast, lunch, snacks and dinner are provided. Naps are provided on mats in the living room and family room area.

Outdoor: The backyard is safe for children. The backyard is completely fenced (with block cement). LPAs observed an in ground swimming pool barricaded with a black gate self latched pulling away from the swimming pool. LPAs observed the self latch gate to have a master lock following Title 22 regulations. LPAs observed the barbecue pit to be covered. LPA observed age appropriate toys. Per licensee, there are three pets on the premises. One pet stays upstairs at all times.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
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: HEIL FAMILY DAY CARE
FACILITY NUMBER: 191227276
VISIT DATE: 08/16/2022
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Advisory/Other: First Aid kit was observed with supplies readily available. Licensee could not find her CPR/First Aid. Licensee will receive a copy from University of Antelope Valley and send proof of completion no later than 08/26/22. Facility has been cited a Type B Citation. Please see LIC809-D. Licensee could not find her Mandated Reporter training certificate. Licensee will retake the training and send proof of copy to LPA Tamayo no later than today 08/16/22. There are no window cords accessible to children.

Documents Provided and or Discussed: Fire Drill Log, Roster, Forms to Keep in Your Home LIC311D, Safe Sleep PIN 20-24-CCP, and LIC 9227 Individual Sleeping Plan. LPAs discussed and provided a copy of the Safe Sleep PIN 20-24-CCP and LIC9227 Individual Sleeping Plan to licensee. Licensee stated currently does not have child care insurance.

Licensee Heil 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.

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

A notice of site visit was given to licensee and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the licensee Laureen Heil along with her appeal rights.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 08/16/2022 11:12 AM - It Cannot Be Edited

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: HEIL FAMILY DAY CARE
FACILITY NUMBER: 191227276

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102425(a)(1)
Infant Safe Sleep
(a) There shall be one crib or play yard for each infant who is unable to climb out of the crib or play yard. (1) All cribs or play yards shall meet the United States Consumer Product Safety Commission safety standards.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed 6 infant swings on the premises that have been recalled, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/16/2022
Plan of Correction
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LPAs observed licensee put all recalled/prohibited items outside. Per licensee she will get rid of them by the end of the day.
Type B
Section Cited
CCR
102416(c)
Personnel Requirements
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, record review, the licensee did not comply with the section cited above. Per licensee she could not find her current CPR/First Aid training, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/26/2022
Plan of Correction
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Licensee has contacted University of Antelope Valley for a copy of her CPR/First Aid card. Licensee will send proof of completion to LPA Tamayo no later than 08/26/22.

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4