197408081-6-14-2019-12-CC-JNEL-BD5P5K-20190614110053

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197408081
Report Date: 06/14/2019
Date Signed: 06/14/2019 11:01:07 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	GATLIN FAMILY CHILD CARE		FACILITY NUMBER:	197408081
ADMINISTRATOR:	AIDA GATLIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 533-3902
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	11	CENSUS: 6	DATE:	06/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Aida Gatlin		TIME COMPLETED:	11:20 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	Licensing Program Analyst (LPA) Neal met with licensee, Aida Gatlin, for the purpose of a Random inspection. This is a single story 4 bedroom, 2 bathroom home with kitchen, living room, dining area, family room, playroom and garage. The playroom is located at the rear of the home and is an enclosed patio room. There is no pool, spa or other bodies of water on the premises. Family members residing in the home include 2 adults (licensee and spouse) and no children. There were 6 child care children present during this inspection. Incidental Medical Services (IMS) policy was discussed. Main care is provided in the playroom. Children use the bathroom located down the hallway to the right. Children have access to the family room, living room and backyard. Off limit areas include the home's bedrooms (child safety knobs), 1 bathroom and the garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. Sharp knives are stored in a butcher block above the refrigerator. Cleaning compounds are stored under the kitchen sink. Facility roster complete and maintained current. Children play in the backyard. There is a barbecue grill on the right side of the yard, which is off-limits to children. There is a concrete area for active play with outdoor mats underneath multiple small play structures. There is a swing that is anchored and other age appropriate toys. There are sheds locked and gated for inaccessibility. Licensee has 2 small dogs kept in the gated area.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: GATLIN FAMILY CHILD CARE	FACILITY NUMBER: 197408081
	VISIT DATE: 06/14/2019

NARRATIVE

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Per licensee, there are no weapons or firearms of any kind in the facility at this time. The LPA did not observe any weapons. There are age appropriate toys and napping equipment on the premises. Children nap on mats in the family room (at entrance on the right). The required fire extinguisher (2A10BC), carbon monoxide detector and smoke detectors are in operable condition. Fireplace is screened. Home has central A/C and heat. The First Aid kit was observed. Licensee has the required documents posted.
Upcoming regulations on safe sleep were discussed. Safe sleep concepts handout was given to licensee. Licensee was reminded that Mandated Reporter training for Child Care must be completed every 2 years.

The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files (LIC 311D given), Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were reviewed. Licensee reminded that 100% supervision is required at all times to children in care. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. The licensee 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.

Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 for the 1^st offense and up to $3000.00 for the 2^nd offense within a 12 month period, PER PERSON.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: GATLIN FAMILY CHILD CARE	FACILITY NUMBER: 197408081
	VISIT DATE: 06/14/2019

NARRATIVE

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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

Licensee 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. 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.

Licensee 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 and a copy of the Acknowledgment of receipt of licensing report (LIC9224) must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

2 Type B deficiencies were cited during this inspection. LIcensee was given LIC 809D. Appeal rights were also given to licensee.
Exit interview was conducted and a copy of report was read and provided to Licensee on this date.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: GATLIN FAMILY CHILD CARE	FACILITY NUMBER: 197408081
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/14/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 06/28/2019 Section Cited CCR 102417(g)(10)	1 2 3 4 5 6 7	Operation of a Family Child Care Home. A baby exersaucers is not permitted on the premises of a family child care home in accordance with Health and Safety Code Sections 1596.846 (b)and (c).	1 2 3 4 5 6 7	Licensee relocated exersaucer to off limits garage and it will be sent home with parent by the close of business day.
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: LPA observed an exersaucers in child care playroom in the facility which is a potential risk to health & safety of children. No child was in the equipment at this time.	8 9 10 11 12 13 14
Type B 06/28/2019 Section Cited CCR 102417(g)(4)	1 2 3 4 5 6 7	Operation of a Family Child Care Home.Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are	1 2 3 4 5 6 7	Licensee states she will repair child safety lock by POC due date and notify Licensing.
	8 9 10 11 12 13 14	inaccessible to children. This requirement is not met as evidenced by: LPA observed broken child safety latch under accessible kitchen sink where cleaning compounds are stored, potental heath & safety risk.	8 9 10 11 12 13 14

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 Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Jazelle Neal	TELEPHONE: (661) 568-8945
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019

LIC809 (FAS) - (06/04)

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