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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197416274
Report Date: 02/11/2020
Date Signed: 02/11/2020 01:11:50 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:HILL FAMILY CHILD CAREFACILITY NUMBER:
197416274
ADMINISTRATOR:HILL, HEIDIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 575-0292
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:14CENSUS: 6DATE:
02/11/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:48 AM
MET WITH:Heidi Hill TIME COMPLETED:
01:28 PM
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Licensing Program Analyst (LPA) Victoria Hunt met with licensee Heidi Hill who guided analyst on a tour of the facility for an annual random inspection. During the time of this inspection licensee had six children in care. Children were observed to be actively playing in the playroom located in the by the front door. No assistant was present during the initial time of the inspection. Residing in the residence includes licensee, her spouse, another adult and minor child.

Per LIS, facility annual fees are current. All adults living in the home have been background cleared. Licensee was operating facility within ratio during the time of inspection. Licensee was observed providing adequate supervision at the time of the inspection. This facility operates from 6:00 am- 6:00 pm Monday thru Friday.

The home was inspected as follows: Living room, family room, kitchen, dining room, laundry room and garage, bedrooms and bathrooms in the home; long with the backyard area.



This family child care facility is a two-story home with 5 bedrooms, 3 bathrooms. There is a kitchen, living room, dining room, family room, laundry room, and an attached garage. The garage was inspected during this inspection. The garage was observed to locked during the time of this inspection by a child proof security knob that was located on the door. The garage is used for storage only, the garage is off limits to children.

Main care is conducted in the living room with is the designated (playroom). In the living room, there is a security gate separates the the playroom from the kitchen and entry into the hallway near the front door. Another security gate was observed on the staircase that prevents children from accessing the upstairs rooms. Each security gate was operational during the time of this inspection.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: HILL FAMILY CHILD CARE
FACILITY NUMBER: 197416274
VISIT DATE: 02/11/2020
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In the playroom LPA observed, age appropriate toys and furniture for the children to play with. There are cubbies and storage shelves in which games, books and toys are stored on. There are several containers and bins filled with various play toys ( blocks, legos, puzzles and other play items for the children). Learning and educational material was observed to be posted throughout the walls of the playroom. There are several play houses along with, bean bag chairs for story time and a dress wardrobe for with cloths for active play. There is a TV that was observed for playing or streaming educational videos.

Napping equipment was observed to be on premises. LPA observed (1) infant crib (2) play yards and (6) vinyl napping mats on premises. The napping equipment was in good and sanitary condition.

Children utilize a bathroom that is located on the right side in the hallway. The bathroom was inspected and was observed to be free and clear of hazardous and or dangerous items. The bathroom was clean, sanitary, and in good condition. A child proof latch was observed on the front door of the cabinet.

The kitchen was inspected, it was clean, orderly and in good repair. The licensee keeps sharp objects such as knives in a plastic container. Lower cabinets were observed to have child proof latches.

In the family room, a fireplace observed. The fireplace is screen via glass panel doors; and is inaccessible to children. There were (2) napping play yards observed to be in the room; along with (1) crib.

Per licensee there are no weapons or firearms on the premise. Off limits areas include: all bedrooms and bathrooms upstairs, the garage, and laundry room area.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: HILL FAMILY CHILD CARE
FACILITY NUMBER: 197416274
VISIT DATE: 02/11/2020
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Licensing documents were observed to be posted near the (playroom area). All electrical outlets were properly covered. The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector and carbon monoxide in operational condition. There is a fire extinguisher, 2A10BC that meets fire marshal standards. The fire extinguisher was operational during the visit. The home has a working telephone service available. Per licensee, disaster/fire drills are conducted every six months. LPA observed that licensee's pediatric CPR & First Aid are valid until: 7/2021 as indicated on the certificate. Licensee has a current roster. Fire disaster drills are completed every six months the disaster drill log was observed during the inspection. Children records were reviewed and were complete. LPA observed that the licensee's Amanda S. assistant has a valid Pediatric CPR Card that is valid until 01/2021.

Children have access to the backyard area the backyard was inspected by LPA. The backyard is completely surrounded by fencing. During this inspection, there was in ground pool observed in the backyard area. LPA inspected fencing around the pool. The pool fencing was at least five feet high and made of wrought iron. The fence is constructed so that it does not obscure the pool from view. The wrought iron gate swings away from the pool. The pool has a self-closing latch located no more than four inches from the top of the gate. The gate is able to close with no assistance by itself. Pool can be observed through the glass door in the kitchen and a window located in the living room. Two small age appropriate play sides, along with several bikes and a play wooden house for children that was observed to be on the backyard. There is a dog run on the right side of the home, in which a dog is kept, there is a wooden gate that is lock. The dog is inaccessible to children.

IMS was discussed, Licensee is not will not be providing IMS services. Applicant will not be providing any medical services. Incidental Medical Services (IMS) policy was discussed. LPA advised 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
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: HILL FAMILY CHILD CARE
FACILITY NUMBER: 197416274
VISIT DATE: 02/11/2020
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Licensee informed that children enrolled to her family day care must have received immunization's required by California Law. Licensee shall have the parents submit a copy of the immunization record for child's file on a blue card PM286B. LPA informed licensee she may visit www.ShotsForSchools.Org for details on California immunization laws. Other reference materials.

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 and staff have the required immunizations for pertussis, measles, and influenza. Licensee and staff have also completed the 1207 Mandated Reporter Training.

**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. AB 1207 Mandated Reporter Training must be completed every two years. LPA reviewed and discussed Proposed Safe Sleep Guide and Regulations and during this visit license was provided with an Community Care Licensing Quarterly Update for Winter 2020. Lead Testing Brochure provided to licensee at the time of this appointment.

No deficiencies were cited today, this facility was found to be operating in substantial compliance of Title 22 Regulations. A copy of this report was discussed and left with licensee.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4