197415132-2-3-2023-12-CC-JDOY-CNPRCJ-20230203115426

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197415132
Report Date: 02/03/2023
Date Signed: 02/03/2023 11:55:27 AM

Document Has Been Signed on 02/03/2023 11:55 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:	FABERY FAMILY CHILD CARE		FACILITY NUMBER:	197415132
ADMINISTRATOR:	FABERY, DEBRA J.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 364-8633
CITY:	SYLMAR	STATE: CA	ZIP CODE:	91342
CAPACITY:	14	CENSUS:	DATE:	02/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:19 AM
MET WITH:	Debra Fabery		TIME COMPLETED:	12:08 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 Analysts (LPA's) Justin Dorsey and Kris Diaz, met with Licensee, Deborah Fabery, who guided analyst on a tour of the facility for the One Year Required Inspection. There is two components to this home, the main home which consists of 4 bedrooms, 2 bathrooms, kitchen, living room and dining room. The second part of the home is an attached guest house, this is where child care takes place. The mother-in law quarters consists of a family room (main care area), kitchen, dining area/office and 1 bathroom. There is no pool on the premises. Upon arrival LPA's observed 4 children with the licensee. Physical Plant: Main care is provided in the family room. Children use the bathroom near the kitchen. Children have access to the family room, children's bathroom, dining area/office and backyard. Off limit areas include the kitchen and the entire main home excluding the living room (used for infant napping as necessary). The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (locked under the sink), medicines and hazardous items (sharp knives inaccessible on top of kitchen counter) that can pose a danger to children. Per licensee at this time there are no children with medications, per licensee children medications are stored inaccessible to children children upper cubbies. Fireplace is screened. The home has safe and age appropriate toys, play equipment and materials. The smoke detector and carbon monoxide detector, and Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any 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 living room or dining area/office. Per Licensee there are no weapon/firearms in the home. Per licensee she has not conducted a fire/earthquake drill since the pandemic due to the ages of the children. LPA reminded licensee that disaster drill must be completed and logged (date and time) every 6 months no matter the ages of the children in care. Roster complete and maintained current.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FABERY FAMILY CHILD CARE	FACILITY NUMBER: 197415132
	VISIT DATE: 02/03/2023

NARRATIVE

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Bathroom: During the visit LPA's observed the licensee stores supplies in the shower in the children's restroom. LPA observed that all hazardous items were inaccessible to children in care. Toilet and faucet is clean and operable.

Kitchen: Sharp utensils are inaccessible. Per licensee breakfast, AM snack, lunch, and PM snack are provided. LPA reminded licensee If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. Cleaning supplies are locked under the sink. No chemicals in the kitchen were observed to be accessible.

Outdoor: According to the licensee children are not playing outside due to their ages. LPA's observed the home has a jungle gum/swing set in the homes back yard that needs repair. Per licensee she plans on removing the jungle gym and children will not use it. LPA's advised licensee that the jungle/gym shall not be used by children in care. The backyard is completely fenced and has grass, and concrete areas for children to play.

Advisory/Other: First Aid kit was readily available. CPR/First Aid expire 03/12/2024. Mandated Reporter was completed 03/12/22. Children nap on cots and cribs in the living room. Per licensee at times an infant will nap in the main homes living room.

Documents discussed: Safe Sleep PIN 20-24-CCP, LIC 9227 and Infant Sleep Log.

Licensee 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 Carr 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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: FABERY FAMILY CHILD CARE	FACILITY NUMBER: 197415132
	VISIT DATE: 02/03/2023

NARRATIVE

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A notice of site visit was given 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 Debra Fabery.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin Dorsey	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2023

LIC809 (FAS) - (06/04)

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