197416781-2-25-2020-12-CC-JSAN-BM5RFT-20200225115941

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197416781
Report Date: 02/25/2020
Date Signed: 02/25/2020 11:59:50 AM

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:	WANSERSKE FAMILY CHILD CARE		FACILITY NUMBER:	197416781
ADMINISTRATOR:	WANSERSKE,CATHERINE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 943-3569
CITY:	QUARTZ HILL	STATE: CA	ZIP CODE:	93536
CAPACITY:	14	CENSUS: 4	DATE:	02/25/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:31 AM
MET WITH:	Catherine Wanserke		TIME COMPLETED:	12:17 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) Jacky San met with Licensee, Catherine Wanserke today on 02/25/2020 at 10:31am for the purpose of conducting an unannounced 1-year Annual Required inspection. LPA toured and inspected all areas according to the facility sketch. The home is set-up as follows: 1 story home, with 4 bedrooms, 3 bathrooms, Living room, Patio, Dining room, Garage and front and back yard. Main care is provided in the play room and also the patio. There is a pot belly stove/fireplace in the play room with the proper protected screen barrier/door. LPA observed a 100 gallons fish tank in the living room that has the proper led/cover. Licensee indicates the living room is used when children get ill and the playroom is for napping. Home utilize (mats) and (cots) as napping equipment and children nap around 12:00pm. LPA observed are age appropriate toys and napping equipment located in the playroom area. Upon arrival, LPA noted there were Licensee, Licensee spouse, and (4) Pre-school children presents during today inspection. Staff and children files were reviewed as part of this inspection. Licensee has her current immunization's (Measles, Pertussis, and Influenza) and is fingerprint associated and cleared. Licensee is certified and has a valid Pediatric CPR and First Aid certificate. Children's files were reviewed and contain all required forms. Facility Hour of operation are from Monday - Friday, 5:00am to 5:30pm. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation. Poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children were inaccessible. Home last Emergency Disaster Drill was conducted 02/20/2020. LPA observed fully charged (2A10BC) fire extinguishers last service on 10/2019. Carbon monoxide and Fire Alarm are in operable and working condition. Home contains a first aid kit that has all the required tools and equipment. Per Licensee, there are no weapons or firearms on the premise. LPA did not observe any in the home. Page 1 (continuation)

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Jacky San	TELEPHONE: (661) 305-3690
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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: WANSERSKE FAMILY CHILD CARE	FACILITY NUMBER: 197416781
	VISIT DATE: 02/25/2020

NARRATIVE

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Backyard is completely fenced. There are (3) Dogs that has all its current vaccination and immunization shots **Outdoor play was inspected and determined to clean and sanitary. There are no swing set and/or any play equipment observed. There is a in ground swimming pool in the premises. LPA observed there is a gated pool entrance that has a door alarm preventing day care children from entering the swimming area.

· LPA informed Licensee of the Departments Child Care Advocate’s (CCA’s) that can forward Quarterly updates regarding Child Care Licensing Rules and Regulations. You may contact the Child Care Advocate Program directly: Phone number: (916) 654-1541
Email address: childcareadvocatesprogram@dss.ca.gov

**Parent Board contained all documents that are required to be posted according to Title 22 Regulations.
Sign in and out sheets were inspected and contain full legal signatures.

LPA discussed the following:
Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed child care facility (Center or family child care home) are aware of situations that present the greatest danger to children. These situations include:
· Serious health and safety violations resulting in Type A citations;
· Non-compliance conferences; or
· Efforts by the Department to revoke a facility’s license. Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). Failure to meet the posting requirements shall result in an immediate civil penalty. In addition, all parents of currently enrolled children and any newly enrolled child for the following 12 months shall receive a copy of report and sign the LIC 9224 acknowledging receipt. Civil Penalty assessments will be assessed if all above requirements are not adhered to.

Licensee is advised to visit www.shotsforschool.org for Immunization information.

Licensee is informed of responsibility to report suspected Child Abuse, 1-800-540-4000.
Licensee is advised for quarterly updates to contact the Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

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SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Jacky San	TELEPHONE: (661) 305-3690
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: WANSERSKE FAMILY CHILD CARE	FACILITY NUMBER: 197416781
	VISIT DATE: 02/25/2020

NARRATIVE

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Regulation prohibits smoking of any kind of tobacco in a private residence that is licensed as a Child Care Center and in those areas of the center where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes 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

§1596.8662. Availability of information regarding detecting and reporting child abuse and neglect; training for mandated reporter who is licensed day care provider, administrator, or employee of a licensed child day care facility; proof of completion

(b) (1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every (2) year following the date on which he or she completed the initial mandated reporter training.

The on-Duty Worker/Officer is available to answer any questions and concerns at (661) 202-3318. Department hours of operation not including state holidays are Monday - Friday from 8:00am - 5:00pm

No deficiencies were cited during this inspection. Exit interview conducted with Licensee, Catherine Wanserke. A copy of this report, LIC 811 and Notice of Site Visit were discussed and provided to Licensee. Licensee's signature on this form acknowledges receipt of these rights.

Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

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SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Jacky San	TELEPHONE: (661) 305-3690
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

LIC809 (FAS) - (06/04)

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