197411895-12-15-2023-12-CC-AALH-CYJR2T-20231215113852

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197411895
Report Date: 12/15/2023
Date Signed: 12/15/2023 11:39:10 AM

Document Has Been Signed on 12/15/2023 11:39 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	ERAGODA FAMILY CHILD CARE		FACILITY NUMBER:	197411895
ADMINISTRATOR:	ERAGODA, GEETHA S.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 259-4867
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	14	CENSUS: 8	DATE:	12/15/2023
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Licensee Geetha Eragoda		TIME COMPLETED:	12:30 PM

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On 12/15/2023 Licensing Program Analyst (LPA) Andrew Alemoh, met with licensee, Geetha Erogada who guided analyst on a tour of the facility for the One Year Required inspection. This is a one story home with 3 bedrooms and 2 bathrooms. Upon arrival LPA observed 8 children(2 infants) with the licensee and licensee husband providing caring and supervision. Family members residing in the home include 2 adults (licensee, licensee's husband). Facility hours of operation are Monday - Friday 7:15AM- 6 PM. Overnight care is not provided. Incidental Medical Services (IMS) policy was discussed.

There are no bodies of water on the premises.

Physical Plant: Main care is provided in the play room(classroom). LPA observed 4 cribs for the infants to use. Safe and age appropriate toys, play equipment and materials were observed. A changing table was observed in the classroom area, along with extra diapers and cleaning wipes. The children use the bathroom located in the hallway to the left. The off-limits areas are all three bedrooms, second restroom and kitchen. Laundry room and garage are also off limits and are kept locked during business hours.

The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons,

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ERAGODA FAMILY CHILD CARE	FACILITY NUMBER: 197411895
	VISIT DATE: 12/15/2023

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detergents/cleaning compounds which are kept underneath the kitchen/bathroom sink with a safety latch, medicines are kept in licensee's bedroom and hazardous items (sharp knives are kept in the kitchen in the kitchen cabinet with a safety latch making it inaccessible to children.

The smoke detector, carbon monoxide detector and Fire Extinguisher (2A10BC) are all in operable condition. Electrical outlets are inaccessible. No recalled and or prohibited toys or sleep/play equipment were observed on the premises. There is a designated area for ill children as necessary in the 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 drills are maintained current. Last fire disaster drill was completed on November 27th, 2023. A fireplace was observed to be located in the family room and observed to be inaccessible to children by being locked.

Bathroom: LPA observed the bathroom to be clean. Toilet and bathroom sink are in operable condition. The shower/tub area are free of prohibited items. Underneath the bathroom sink their are extra cleaning supplies with a safety latch making it inaccessible to children.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. The home has a clean and fully stocked refrigerator/freezer. Cleaning supplies are underneath the kitchen sink with a safety latch. Breakfast, lunch, afternoon snack are provided. Licensee stated she currently does have a food program. Naps are provided on mats the classroom area.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ERAGODA FAMILY CHILD CARE	FACILITY NUMBER: 197411895
	VISIT DATE: 12/15/2023

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Outdoor: The front yard is off limits. The backyard is completely fenced in with a white fence. There are no pets on the premises. LPA observed age appropriate toys, well secured and safe for children. Their is turf grass in the backyard as well as concrete for active play. A shaded area as well was located on the left side of the backyard. The AC unit was observed to be covered making in inaccessible to children.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires 12/08/25. Mandated Reporter expires on 03/04/24. LPA reminded licensee; mandated reporter training must be completed every 2 years.

Documents Provided and or Discussed: Fire Drill Log, Postings, Employee's and Children's records, Safe Sleep PIN 20-24-CCP and Individual Sleeping Plan (LIC9227). Licensee does not currently does have child care insurance

Licensee Geetha 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 Geetha and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ERAGODA FAMILY CHILD CARE	FACILITY NUMBER: 197411895
	VISIT DATE: 12/15/2023

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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.

An exit interview was conducted, a copy of this report was reviewed and provided to licensee along with the appeal rights.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Andrew Alemoh	TELEPHONE: 661-202-3365
LICENSING EVALUATOR SIGNATURE:	DATE: 12/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/15/2023

LIC809 (FAS) - (06/04)

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