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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197408081
Report Date: 07/12/2024
Date Signed: 07/12/2024 11:44:36 AM


Document Has Been Signed on 07/12/2024 11:44 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:GATLIN FAMILY CHILD CAREFACILITY NUMBER:
197408081
ADMINISTRATOR:AIDA GATLINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 533-3902
CITY:PALMDALESTATE: CAZIP CODE:
93550
CAPACITY:11CENSUS: 7DATE:
07/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:39 AM
MET WITH:Aida Gatlin, Licensee TIME COMPLETED:
12:15 PM
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On 07/12/2024, Licensing Program Analyst (LPA) Justeene Tamayo met with Licensee Aida Gatlin, who guided analyst on a tour of the facility for the One Year Required inspection. This is a one story, 4 bedroom, 2 bathroom home with kitchen/dining, family room, living room, playroom, laundry room and garage. There is no pool/spa or body of water on the premises. Upon arrival LPA observed 6 school age children, and 1 preschool child in care. Licensee currently does not have any infants in care but does understand the requirements. Family members residing in the home include 2 adults (licensee and licensee's spouse) and 0 minor children. Facility operation are Monday-Friday 5:30AM-7PM. Incidental Medical Services (IMS) policy was discussed.

Physical Plant: Main care is provided in the living room, and playroom area. The playroom is located at the rear of the home and is an enclosed patio room. Children use the bathroom in hallway on the right in the hallway area. Children have access to the living room, dining room area, and playroom. Off limit areas include all bedrooms, bathroom #2, laundry room, and garage. 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), and hazardous items (sharp knives in kitchen cabinet with safety latch) that can pose a danger to children. Per licensee, she does not have any medications in the home. LPA observed a fireplace in the the living room to be fully screened. Safe and age appropriate toys, play equipment and materials were observed. The smoke detector and carbon monoxide detector are in operable condition.

LPA observed a 1A10BC fire extinguisher in the kitchen area, that does not follow licensing requirements. LPA advised licensee, she will need to purchase either a 2A10BC FIre Extinguisher or 3A40BC Fire Extinguisher. Facility has been cited a Type B Citation. Please see LIC809-D for deficiency page. Licensee will send proof of required fire extinguisher to LPA Tamayo no later than 07/19/24.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2024
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: GATLIN FAMILY CHILD CARE
FACILITY NUMBER: 197408081
VISIT DATE: 07/12/2024
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Per Licensee no one smokes in the home. Electrical outlets are inaccessible. LPA reminded licensee, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment are allowed. There is a designated area for ill children as necessary in family room. 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 01/17/2024.

Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). LPA 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. Licensee currently has a food program. Breakfast, lunch, snacks and dinner are provided. Naps are provided on cots in the living room.

Outdoor: The backyard was inspected; The backyard is fully fenced. LPA did not observe bodies of water on the premises. There is turf and concrete area for active play. There is a Step 2 play set (swing, slide) that is anchored, large swing/slide set (anchored) Little Tikes toys. Large trampoline is in the backyard. Per licensee, she allows one child at time. There are two sheds with locks. LPA observed two small dogs on the right side of the yard (gated). LPA reminded licensee, barbecue pits, shovels/and or other hazardous items must be inaccessible to day care children in care, and in off limits areas. Licensee will send a picture of the hazardous items in off limit area no later than 07/19/24.

Advisory/Other: First Aid kit was observed with supplies readily available. Licensee cannot find her last CPR/First Aid certification. Licensee will send proof of completed CPR/First Aid Certificate to LPA Tamayo no later than 07/26/2024. Facility has been cited a Type B Citation. Please see LIC809-D for deficiency page. Licensee could not find her last mandated reporter certificate. Licensee will retake her mandated reporter training at www.mandatedreporterca.com and send proof of completion to LPA Tamayo no later than 07/19/2024. There are no window cords accessible to children.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene TamayoTELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
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: GATLIN FAMILY CHILD CARE
FACILITY NUMBER: 197408081
VISIT DATE: 07/12/2024
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Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep PIN 20-24-CCP, Individual Sleeping Plan (LIC9227), and Safe Sleep Log. Licensee stated currently does not have child care insurance.

Licensee Gatlin 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.

LPA discussed the safe sleep regulations with licensee Gatlin 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. LPA 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 Aida Gatlin, along with a copy of her appeal rights and Notice of Site Visit.

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

DATE: 07/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 07/12/2024 11:44 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: GATLIN FAMILY CHILD CARE
FACILITY NUMBER: 197408081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/12/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102417(g)(1)
Operation of A Family Child Care Home
(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (1) Fireplaces and open face heaters shall be screened to prevent access by children. The home shall contain a fire extinguisher and smoke detector device which meet standards established by the State Fire Marshall.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above. LPA Tamayo observed a 1A10BC fire extinguisher, and does not follow Title 22 regulations, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/19/2024
Plan of Correction
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Licensee will send proof of purchased 2A10BC fire extinguisher/or 3A40BC fire extinguisher and send proof of completion to LPA Tamayo no later than 07/19/24.
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 record review,, the licensee did not comply with the section cited above. Licensee could not find her current CPR/First aid certificate, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/26/2024
Plan of Correction
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Licensee will enroll in an EMSA in person approved CPR class and send proof of completion to LPA Tamayo no later than 07/26/24.
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: 07/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2024
LIC809 (FAS) - (06/04)
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