197492906-3-4-2020-12-CC-LPHS-BMDW4L-20200304155742

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197492906
Report Date: 03/04/2020
Date Signed: 03/04/2020 03:57:50 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:	MALONE FAMILY CHILD CARE		FACILITY NUMBER:	197492906
ADMINISTRATOR:	MALONE, JANQUIL & MARVIN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 533-3005
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93552
CAPACITY:	14	CENSUS: 14	DATE:	03/04/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:05 PM
MET WITH:	JANQUIL MALONE		TIME COMPLETED:	04:10 PM

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On March 4, 2020 2:05 PM, Licensing Program Analyst (LPA) Loyce Phillips arrived at Malone Family Child Care for the purpose of conducting an unannounced required 1 Year inspection. LPA met with Licensee, Janquil Malone who guided analyst on a tour of the home. This is two story family 5 bedrooms, 4 bathrooms home with living room, kitchen, dining room, family room, laundry room, office and attached garage. There is no pool, spa or other bodies of water on the premises.

Present during inspection were Licensee, 2 assistants, and 14 day care children. Days/hours of operation are Monday through Friday 6:00 AM to 6:30 PM.

Main care is provided in the living room. Children have access to the bathroom located off to the right next to the office, the family room, dining area office and backyard. Off limits areas includes the kitchen, laundry room, bedroom #5, bathroom #3, attached garage and home's entire 2nd floor which includes 4 bedrooms and 2 bathrooms. The upstairs is inaccessible by children's safety gate. The backyard is completely fenced off, with grass and concrete for active play with age appropriate toys.

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.

Per Licensee, there are no weapons or firearms on the premise. LPA did not observe any in the home. There are age appropriate toys. Age appropriate napping equipment which includes cots. The required Fire Extinguisher (2A10BC) was last purchase on 3/23/2016. Smoke Detector and Carbon Monoxide Detector are in working condition. The home has a fireplace which is covered with a glass screen.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce Phillips	TELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: MALONE FAMILY CHILD CARE	FACILITY NUMBER: 197492906
	VISIT DATE: 03/04/2020

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The home has central AC and heat. CPR/First Aid expires 04/13/2020. Licensee has required immunization. Mandated Reporter training completed on 3/27/18. The First Aid kit was observed and is complete.

Facility roster was complete and maintained. Earthquake/fire drills is current. Last drill completed on 2/18/2020. LPA reviewed 5 children files for immunization records and signed Notification of Parents' Rights form.

Requirements for fingerprint clearances and associations were discussed with the Licensee. The "Notification of Parent's Rights" poster must be posted in an area of the home accessible to parents.

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 (call within 24 hours and submit the report within 7 days) and on the form LIC624B.

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 this requirement is not met, civil penalties in the amount of $100 per violation will be assessed.

The following was discussed with the Licensee:

Capacity requirements, Notification of Parent's Rights, Roster requirements (keep updated names and blue sheet), Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children’s files and provider’s files, and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed. Licensee reminded that supervision is always required to children in care. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce Phillips	TELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: MALONE FAMILY CHILD CARE	FACILITY NUMBER: 197492906
	VISIT DATE: 03/04/2020

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Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family day 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.

Incidental Medical Services (IMS) policy was discussed. No Incidental Medical Services are currently being provided. 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.html

Licensee informed to review Quarterly updates/regulations for 2015-2019 on the department website: Summer 2015 - Incidental Medical Services information.

Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.

Licensee was informed of responsibility to report suspected Child Abuse, 1-800-827-8724

Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

Licensee was advised visit www.shotsforschool.org for Immunization information.

The on-Duty Worker is available for questions Monday through Friday at (661) 789-6944 from 8:00 AM - 5:00 PM.

1 Type B deficiencies were cited during this inspection. LIC 809D was given. Appeal Rights were also given to licensee.

An exit interview was conducted, and a copy of this report was read and provided to Licensee, Janquil Malone.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce Phillips	TELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

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: MALONE FAMILY CHILD CARE	FACILITY NUMBER: 197492906
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/04/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 03/20/2020 Section Cited	1 2 3 4 5 6 7	102417(g) Operation of a Family Child Care Home. The home shall be free from defects or conditions which might endanger a child. This requirement was not met as evidenced by: based on observations licensee failed to have proof of purchase or service tag for a fire extinguisher within the last year.
	8 9 10 11 12 13 14	This poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Loyce Phillips	TELEPHONE: (661) 305-5243
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

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