197411710-6-26-2019-12-CC-VHUT-BDHUKM-20190626153921

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411710
Report Date: 06/26/2019
Date Signed: 06/26/2019 03:39:31 PM

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:	BROOKS FAMILY CHILD CARE		FACILITY NUMBER:	197411710
ADMINISTRATOR:	BROOKS, REGINA L.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 943-0958
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93551
CAPACITY:	14	CENSUS: 11	DATE:	06/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:31 PM
MET WITH:	Regina Brooks		TIME COMPLETED:	03:51 PM

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) Victoria Hunt met with Regina Brooks licensee, who guided analyst on a tour of the facility for an annual random inspection. Licensee had eleven children in care during this inspection. Children were observed to be napping on cots in the living/family room areas during the inspection. Residing in the home includes: adult (licensee), and her spouse. Per LIS, facility annual fees are current. All adults living and working in the home have been background cleared. Licensee was operating facility within ratio during the time of inspection. Licensee was observed providing adequate care and supervision during the inspection. The licensee's assistant Maria C. Ortiz was present during this inspection. This facility operates from 6:00 am- 5:30 pm Monday through Friday. This family child care facility is a single story 5 bedrooms, 3 bathrooms with kitchen, living room, family room, dining room, laundry room, and attached garage. The garage is located in a hallway, it was observed to have a dead bolt lock on garage door. The garage is used for storage only, the garage is off limits to children. This facility was inspected in accordance to the facility sketch and inspected in side and out. Main care is conducted in the following areas: living room, family room, dining room, playroom, and the back yard areas. LPA observed a play room on the left side of the home in which children play in. There is a ample supply of books, toys, games and learning/educational material for the children. LPA observed that the toys and furniture are age appropriate. There are cubbies in which children can store their belongings. Books and toys are stored on shelves. LPA inspected the kitchen, the kitchen was clean, sanitary and in good condition. Lower level cabinets drawers and doors were observed to have child proof latches on them in secure and good condition. All medication, detergents and cleaning items are locked and inaccessible to children. LPA observed knives and other sharp objects are stored in the pantry on the top shelve. All hazardous items are inaccessible to children.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: BROOKS FAMILY CHILD CARE	FACILITY NUMBER: 197411710
	VISIT DATE: 06/26/2019

NARRATIVE

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In the living room, LPA observed a fireplace that is properly screened. The fireplace has glass panel doors which prevent children from accessing the fireplace. The fireplace is inaccessible to children in care. There is a bathroom located in the right side of the home located down the hallway which the children utilized. The bathroom was inspected and was observed to be free, and clear of hazardous items. No hazardous cleaning detergents or cleaning compounds were observed in the bathroom. The bathroom was clean and in sanitary condition.

There is a closet in the hallway in which napping equipment is stored. LPA observed 8 cots in the closet that were in sanitary and good condition. There were other napping cots on the premises of this facility.

There is a second bathroom located further down the hallway; it is only utilized if the other bathroom is occupied. The second bathroom was inspected it was sanitary and free and clear of hazardous items. There is a room that was observed to have a crib for an infant child to nap.

Per licensee, there are no firearms or weapons on premise. There are no bodies of water on premises. Children have access to the back yard and during the time of this inspection the back was inspected. The back yard is partially surrounded by brick and wrought iron fencing on the side at least 5 feet high. There is a attached patio for shade and a grassy area for active play. There is a wooden play apparatus on the right side corner of the back yard. The wooden play apparatus has a total of three swings and a slide. The play apparatus is securely anchored to the ground and in good condition and is free of loose articles. Underneath the play apparatus their is an adequate supply of wood chips for cushioning. There are two sheds that were observed to be in the back yard. The sheds were observed to have tools and other items in them. The sheds were observed to have locks on them and are inaccessible to children. There is a basketball court on premises at this facility.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: BROOKS FAMILY CHILD CARE	FACILITY NUMBER: 197411710
	VISIT DATE: 06/26/2019

NARRATIVE

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LPA reviewed children records, were complete. Staff files were reviewed. The licensee and her assistant have a current Pediatric First Aid and CPR with and expiration date of 06/2021. LPA obtained copy for the file. LPA observed that licensee had immunizations for for pertussis, measles, and influenza. LPA observed a first aid kit on premises at this facility.

All required licensing document were posted and electrical outlets were properly covered. The home is clean, orderly, comfortable and well ventilated. LPA observed a working dual smoke and carbon monoxide detector. A fully charged 2A10BC fire extinguisher is operational condition that meets fire marshal standards. The home has a working telephone service available. Per licensee, disaster/fire drills are conducted every 6 months. LPA observed disaster/fire drill log.

The following areas are off limits: all bedrooms, laundry room, and garage.

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 18^th birthday must be fingerprinted immediately or at least within 30 days or less of turning 18.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

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: BROOKS FAMILY CHILD CARE	FACILITY NUMBER: 197411710
	VISIT DATE: 06/26/2019

NARRATIVE

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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. 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 completed mandated reporter training AB 1208.

**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. Licensee advised on new proposed safe sleep regulations for infants. The licensee was referred to the following websites :safe sleep regulations requirement for homes and https://www.nichq.org/resource. During this inspection licensee was provided with a quarterly updated summer 2019.

This facility is in compliance with Title 22 Regulations no citations were issued during this visit. Licensee advised that she shall post the Notice of Site Visit for 30 days.

Exit interview was conducted and a copy of this report was read and discussed with licensee.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 06/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019

LIC809 (FAS) - (06/04)

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