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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197404424
Report Date: 02/11/2020
Date Signed: 02/11/2020 10:37:50 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:OLMEDO FAMILY CHILD CAREFACILITY NUMBER:
197404424
ADMINISTRATOR:OLMEDO, FLORESMILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 449-8464
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: 5DATE:
02/11/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:33 AM
MET WITH:Floresmila Olmedo TIME COMPLETED:
10:39 AM
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Licensing Program Analyst (LPA) Victoria Hunt met with licensee Floresmila Olmedo, who guided analyst on a tour of the facility for an required 1 year random inspection. During the time of this inspection licensee had five children in care. Children were observed to be actively playing in the playroom located in the by the front door. The licensee's assistant was present during the time of this inspection. Residing in the home includes: adult (licensee), and (1) other adult. Per LIS, facility annual fees are current. All adults living in the home have been background cleared. Licensee was operating facility within ratio during the time of inspection. Licensee was observed providing adequate supervision at the time of the inspection. This facility operates from 6:00 am- 6:00 pm Monday thru Friday.

This family child care facility is a two-story home with 5 bedrooms, 3 bathrooms. There is a kitchen, living room, dining room, family room, laundry room, and an attached garage. The garage was inspected during this inspection. The garage was observed to locked during the time of this inspection by a child proof security knob that was located on the door. The garage is used for storage only, the garage is off limits to children.



Main care is conducted in the, family room (playroom), downstairs bedroom (infant napping room), and the back yard. In the family room, LPA observed age appropriate toys and furniture for the children. There are cubbies and storage shelves in which games and toys are stored on.

In the living room there is a TV which plays educational videos for the children. Learning and educational material was observed to be posted throughout the walls of the playroom. The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children. LPA observed in the kitchen area that all cabinets and drawers are securely locked by child proof latches or magnetic locks.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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: OLMEDO FAMILY CHILD CARE
FACILITY NUMBER: 197404424
VISIT DATE: 02/11/2020
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All cabinets in the kitchen were inspected hazardous and or dangerous items are not accessible to children. There is room in which infant children nap on the right side of the home. LPA observed (2) play pins and (1) crib along with changing table for infants. A stroller was also observed to be in the room. All napping equipment was in good and sanitary condition.

Children utilize a bathroom that located in the hallway next to the napping room downstairs. The bathroom was observed to be free and clear of hazardous items. The bathroom was observed to have working toilet, sink, and an ample supply of towels and soap accessible for the children to use. There was one cabinet door was that was observed to be locked via a child proof latch. All other drawers were observed to have extra changing diapers. The bathroom was clean, sanitized and in good repair.

All cleaning compounds/detergents were stored so that they are inaccessible to children. All cleaning compounds are stored in the laundry room which is upstairs and inaccessible to children.

Child have access to the backyard area. There is cover patio that leads to the backyard. The backyard is concrete with dirt landscaping. The backyard is completely surrounded by wooden and brick fencing at least 5 feet high. LPA observed several toys in the back yard area in which children have access to ( a small tumbler/climber, bikes, water table, and play kitchens). There is a basketball play apparatus on the right side of the home. All toys were inspected and were in good condition free of cracks or loose articles. On the left side of the home there is a metal gate partial gate that was observed to be lock, in which a storage shed was observed.

Licensing documents were observed to be posted in the family room (playroom area). All electrical outlets were properly covered. The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector and carbon monoxide in operational condition. There is a fire extinguisher, 2A10BC that meets fire marshal standards. The fire extinguisher was operational during the visit. The home has a working telephone service available. Per licensee, disaster/fire drills are conducted every six months. LPA observed disaster/fire drill log as current.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 2 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: OLMEDO FAMILY CHILD CARE
FACILITY NUMBER: 197404424
VISIT DATE: 02/11/2020
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This home was clean, orderly and comfortable for children in care. This facility has a first aid kit on premises. LPA observed that licensee has a valid Pediatric CPR and First Aid card that expires on 11/2020. Licensee's assistant Sobeida Renslow Pediatric CPR and First Aid card that expires on 09/2021. Copy obtained for file. This facility has a current roster. All children records were reviewed and were complete.

Per licensee there are no weapons or firearms on the premise. There are no pools or bodies of water on premises at this facility. Area off limit include: all bedrooms and bathrooms upstairs, garage, and laundry room. A security gate was observed to be on the staircase that leads to the upstairs bedrooms. The security gate was locked and in good condition.

Licensee is not providing any medical services to children. 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 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

The following was discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the home. Individuals within one month of their 18th birthday must be fingerprinted immediately or at least within 30 days or less of turning 18.
LPA reviewed children records, records were complete.

There shall be no smoking, no infant walkers, johnny jumpers, exersaucers and any other item that falls into that category. Also discussed were earthquake, fire & disaster drills shall be documented at least once every six months.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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: OLMEDO FAMILY CHILD CARE
FACILITY NUMBER: 197404424
VISIT DATE: 02/11/2020
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Posting requirements were discussed such as the posting of the Parent’s Rights poster in a visible location for the children’s authorized representatives. Children records requirements, mandated child abuse and injury/ death reporting, background check clearance transfer requirements, SIDS, Infants Safe Sleep on Back, and Never Shake A Baby were all discussed. Licensee agrees children shall be positioned for sleep on their back.

Licensee and staff have the required immunizations for pertussis, measles, and influenza. Licensee and staff have also completed the 1207 Mandated Reporter Training.

**Licensee informed to review updates/regulations for 2016/2017/2018 on the department website: www.ccld.ca.gov ; AB 1207 - all child care employees must complete mandated reporter training beginning January 1, 2018; AB 1387 - and AB 2236 process to request a formal review of deficiency and establishes an appeal process for civil penalties; SB 792 - requires all staff and volunteers to show proof of immunization against influenza, pertussis and measles, and TB clearance, beginning September 1, 2016; AB 2231 Effective July 1, 2017 - Civil Penalty Amount changes. LPA reviewed and discussed Proposed Safe Sleep Guide and Regulations and during this visit license was provided with an Community Care Licensing Quarterly Update for Winter 2020.

No deficiencies were cited today, this facility was found to be operating in substantial compliance of Title 22 Regulations. A copy of this report was discussed and left with licensee.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
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