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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197411710
Report Date: 06/18/2021
Date Signed: 06/18/2021 02:44:34 PM

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:BROOKS FAMILY CHILD CAREFACILITY NUMBER:
197411710
ADMINISTRATOR:BROOKS, REGINA L.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 733-4340
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: 13DATE:
06/18/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Regina BrooksTIME COMPLETED:
02:58 PM
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Licensing Program Analyst (LPA) Carol Heath met with Regina Brooks licensee, who guided analyst on a tour of the facility for a One Year Require Inspection. Licensee has 13 children enroll the facility. The licensee explained to LPA, they have a celebration today for "Life". 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. 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 childcare 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 inside and out.



Main care is conducted in the following areas: living room, family room, dining room, playroom, and the backyard areas. LPA observed a playroom on the left side of the home in which children play in. There are age appropriate learning/educational materials and furniture for the children. There are cubbies in which children can store their belongings. Books and toys are stored on shelves.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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: BROOKS FAMILY CHILD CARE
FACILITY NUMBER: 197411710
VISIT DATE: 06/18/2021
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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.
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 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.

There is a closet in the hallway in which napping equipment is stored.

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.

Per licensee, there are no firearms or weapons on premise. There are no bodies of water on premises.


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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: BROOKS FAMILY CHILD CARE
FACILITY NUMBER: 197411710
VISIT DATE: 06/18/2021
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The back yard is partially surrounded by brick and wrought iron fencing on the side at least 5 feet high. Children have access to the backyard and during the time of this inspection the back was inspected. 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 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 locks on them and are inaccessible to children. There is a basketball court on premises at this facility.

The following areas are off limits with safety latches / door knobs: all bedrooms, laundry room, and garage.

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 06/2023. LPA obtained copy for the file. LPA observed that licensee had immunization 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.


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
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: BROOKS FAMILY CHILD CARE
FACILITY NUMBER: 197411710
VISIT DATE: 06/18/2021
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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 fingerprint 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.

Safety sleet.

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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: BROOKS FAMILY CHILD CARE
FACILITY NUMBER: 197411710
VISIT DATE: 06/18/2021
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**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: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Carol HeathTELEPHONE: (661) 202-3709
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5