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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197492906
Report Date: 03/16/2022
Date Signed: 03/16/2022 03:36:00 PM


Document Has Been Signed on 03/16/2022 03:36 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:MALONE FAMILY CHILD CAREFACILITY NUMBER:
197492906
ADMINISTRATOR:MALONE, JANQUIL & MARVINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 878-1339
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:14CENSUS: 10DATE:
03/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:22 PM
MET WITH:Janquil Malone, LicenseeTIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA's) Justin Dorsey and Justeene Tamayo met with Licensee, Janquil Malone, who guided analyst on a tour of the facility for the One Year Required Inspection. 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. Upon arrival LPA's observed 10 children.

Physical Plant: Main care is provided in the converted 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, inaccessibility to poisons, detergents/cleaning compounds (locked under the sink), medicines (located in master bedroom) and hazardous items (sharp knives inaccessible on top of refrigerator) that can pose a danger to children. Fireplace is screened. 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. Stairs have a gate. 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 in licensee's office and/or family room. Per Licensee there are no weapon/firearms in the home.

The last fire/earthquake drill was completed 11/2021, LPA advised licensee to conduct a disaster drill every six months and to document when disaster drills are conducted. Roster complete and maintained current.

Bathroom: Shower/tub are free of hazards (child care bathroom). Toilet and faucet is clean and operable.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:
DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/16/2022
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 2


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: 03/16/2022
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Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. 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 locked under the sink. No chemicals in the kitchen were observed to be accessible. Breakfast, AM snack, lunch, PM snack and dinner are provided.

Outdoor: The backyard is safe for children. The backyard is completely fenced. The backyard has grass and concrete areas for children to play. LPA observed the toys in the backyard to be in safe condition. The backyard also has a fenced off-limits area on the side of the house.

Advisory/Other: First Aid kit was readily available. CPR/First Aid expires 06/20/2023. Mandated Reporter will need to be retaken up to date. LPA's advised licensee to take the Mandated Reporter training, and email a copy to LPA Dorsey. Children nap on cots in the family room.

Documents discussed: Safe Sleep PIN 20-24-CCP and Infant Sleeping Plan.

Licensee Malone 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.

LPA discussed the safe sleep regulations with licensee Malone and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Malone of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted. Report and appeal rights was reviewed with the licensee Janquil Malone.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3318
LICENSING EVALUATOR NAME: Justin DorseyTELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2022
LIC809 (FAS) - (06/04)
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