197492782-12-17-2019-12-CC-SSMH-BJXSHD-20191217125324

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492782
Report Date: 12/17/2019
Date Signed: 12/17/2019 12:54:15 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	OCHOA FAMILY CHILD CARE		FACILITY NUMBER:	197492782
ADMINISTRATOR:	OCHOA, SARA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 998-7341
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	14	CENSUS: 4	DATE:	12/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Sara Ochoa		TIME COMPLETED:	01:05 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)Smith met with licensee, Sara Ochoa for the purpose of an unannounced Annual/Random inspection. This is a two story 6 bedroom, 3 bathroom home with kitchen/dining area, formal dining room, living room, laundry room, family room and garage. The garage is used for storage only and no child care activities are conducted there. There is no pool, spa or other bodies of water on the premises. Family members residing in the home include 4 adults. Licensee's assistant and 4 child care children (1 infant) were present during this inspection. Incidental Medical Services (IMS) were discussed. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds (child locked kitchen cabinet under sink and child locked bathroom cabinet), medicines (child locked upper kitchen cabinet), and hazardous items that can pose a danger to children. Main care is provided in the family room, living room and formal dining room. Children use the bathroom down the hall to the left. Children have access to the backyard, not in use at this time due to weather. Off limit areas include the home's entire gated upstairs (4 bedrooms, 2 bathrooms), kitchen (gated on both sides), laundry room (child locked), and the garage. Sharp knives are made inaccessible in child locked drawer. Fireplace is inaccessible (barricaded). Facility roster is complete and maintained current. Fire/earthquake drills are also current. Parent board current with appropriate forms posted. A sample of children's records were reviewed as well as staff records.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: OCHOA FAMILY CHILD CARE	FACILITY NUMBER: 197492782
	VISIT DATE: 12/17/2019

NARRATIVE

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Children play in the backyard, (not in use due to weather). There are large anchored play structures and age appropriate toys. There is a grassy area and a concrete area for active play. There are no pets.

Right side of the home is gated where tools are stored and made inaccessible to children.
Per licensee, there are no weapons or firearms of any kind in the facility. The LPA did not observe any weapons. LPA observed age appropriate toys and napping equipment on the premises. There is a separate area (dining room) for infants (crib observed). A see-through gate separates the area for infants from the area for older children. The required fire extinguisher (2A10BC), carbon monoxide detector, and smoke detector are in operable condition. Home has central AC and heat. Licensee has current Pediatric CPR/First Aid (expires 08/2021) and assistant (expires 02/2020). Licensee has a First Aid kit. LPA observed the parent board and required documents are posted.

The following was discussed with the licensee:
Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were reviewed. Licensee reminded that 100% supervision is required at all times to children in care. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov . Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child care home and in those areas of the family child care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: OCHOA FAMILY CHILD CARE	FACILITY NUMBER: 197492782
	VISIT DATE: 12/17/2019

NARRATIVE

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Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 for the 1^st offense and up to $3000.00 for the 2^nd offense within a 12 month period, PER PERSON.

Incidental Medical Services (IMS) policy was discussed. 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

Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B. The "Notification of Parent's Rights" poster must be posted in an area of the home accessible to parents. The information regarding new legislation with regards to exemptions and Parent’s Rights was also discussed.
Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent and a copy of the Acknowledgment of receipt of licensing report (LIC9224) must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

No deficiencies were cited during this inspection.

Exit interview was conducted and a copy of report was read and provided to licensee on this date.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

LIC809 (FAS) - (06/04)

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