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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197417170
Report Date: 07/12/2023
Date Signed: 07/12/2023 01:38:38 PM


Document Has Been Signed on 07/12/2023 01:38 PM - 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:HORNING FAMILY CHILD CAREFACILITY NUMBER:
197417170
ADMINISTRATOR:HORNINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 269-8047
CITY:ACTONSTATE: CAZIP CODE:
93510
CAPACITY:14CENSUS: 8DATE:
07/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:28 AM
MET WITH: Melanie Horning,TIME COMPLETED:
12:43 PM
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Licensing Program Analysts (LPA) Donna Maddox met with Licensee, Melanie Horning, who guided analyst on a tour of the facility for 1 yr Req inspection. This is a single story 4 bedroom, 3 bathroom home with kitchen, living room, dining room, shed/barn, laundry room, activity room (child care) and garage. There is no pool on the premises. Upon arrival LPA's observed 8 children present with the licensee and assistant #1.

Physical Plant: Main care is provided in the activity room (addition to right side of house, with permit). The laundry area room (washer/dryer, next to the child care room) used for storage. Children use the bathroom located in the activity room. There is a hallway door which keep children out of the kitchen area and other rooms of the home. Children have access to the gated portion of the backyard. Off limit areas include the home's 4 bedrooms, 2 bathrooms, living and dining rooms, a portion of the backyard area, barn and the garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds (upper cabinet in laundry area), medicines (located in the off limit areas inside home), and hazardous items (sharp knives inaccessible homes kitchen) that can pose a danger to children. Facility roster complete and maintained current. Fire/earthquake drills are current. Parents provide snack and lunch.
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/12/2023
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: HORNING FAMILY CHILD CARE
FACILITY NUMBER: 197417170
VISIT DATE: 07/12/2023
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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 outdoors. Per licensee isolated children are always supervised.. Per Licensee there are currently no weapon/firearms in the home.

The last fire/earthquake drill was completed 0711/2023.

Bathroom: Bathroom is free of hazards (child care bathroom). Toilet and faucet is clean and operable.

Kitchen: Kitchen is made inaccessible to children by a hallway door. Sharp utensils are inaccessible in the activity room. Per licensee parents provide snack and lunch. 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 kept in a top laundry room cabinet. No chemicals in the main care area were observed to be accessible.

Outdoor: The backyard is safe for children and completely fenced. The children play in a gated concrete area within the backyard. LPA observed the toys in the on-limits portion of the backyard to be in safe condition
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
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: HORNING FAMILY CHILD CARE
FACILITY NUMBER: 197417170
VISIT DATE: 07/12/2023
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Advisory/Other: First Aid kit was readily available. CPR/First Aid expire 10/2024. Mandated Reporter was last completed 9/2024.

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.

Licensee cares for children ages 3,4, and 5 yrs.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee Melanie Horning.

SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2023
LIC809 (FAS) - (06/04)
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