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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700053
Report Date: 09/27/2019
Date Signed: 09/27/2019 12:32:22 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:O'NEAL FAMILY CHILD CAREFACILITY NUMBER:
197700053
ADMINISTRATOR:O'NEAL, PATRINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 547-1184
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:14CENSUS: 8DATE:
09/27/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Patrina O'NealTIME COMPLETED:
12:47 PM
NARRATIVE
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Licensing Program Analyst (LPA's) Phillips and Lawson met with licensee, Patrina O'Neal for the purpose of a Random inspection. This is a 2 story home with 5 bedrooms and 3 bathrooms with kitchen/dining room, living room, backyard, 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 2 adults (licensee and adult daughter) and 1 child. There were 8 child care children present during this inspection. Incidental Medical Services (IMS) policy was discussed.
Main care is provided in the living room and family room. Children use the bathroom located down the hallway on the left. All other areas of the home are off limit areas which includes entire upstairs area, kitchen 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, medicines, and hazardous items that can pose a danger to children. Medicines are kept in an off limits area inaccessible to children in care. Sharp knives are in the kitchen pantry stored away in a storage container. Cleaning compounds and detergents are stored upstairs, inaccessible to children. Facility roster was observed.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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 4
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: O'NEAL FAMILY CHILD CARE
FACILITY NUMBER: 197700053
VISIT DATE: 09/27/2019
NARRATIVE
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Children play in the backyard. There is grass and a concrete area for active play and age appropriate toys. There is a self latching gate on the right side of the backyard that close inwards. Per licensee, there are no weapons or firearms of any kind in the facility. LPA's did not observe any weapons. LPA's observed age appropriate toys and equipment on the premises. The required fire extinguisher (2A10BC), carbon monoxide detector and smoke detector are in operable condition. Fireplace is properly screened and blocked by a bookcase. Home has central AC and heat. Licensee's CPR/First Aid expired 05/2019. Licensee has a First Aid kit. LPA's observed required documents are posted. A sample of children's files were reviewed. Licensee was reminded that Mandated Reporter training for child care must be completed by licensee and any adults assisting at the child care at the website, www.mandatedreporterca.com, every 2 years.
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.

Requirements for fingerprint clearances and associations were discussed with licensee.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: O'NEAL FAMILY CHILD CARE
FACILITY NUMBER: 197700053
VISIT DATE: 09/27/2019
NARRATIVE
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 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.

During the visit the facility was found to be operating outside of compliance of Title 22 Regulations, 2 Type B citations were cited during the inspection. See LIC 809-D.

Exit interview was conducted, appeal rights were provided, and a copy of report was read and provided to Licensee on this date.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: O'NEAL FAMILY CHILD CARE
FACILITY NUMBER: 197700053
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/28/2019
Section Cited

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102416 Personnel Records: (d) All personnel records shall be maintained at the child care home and shall be available to the licensing agency for review.
This requirement was not met as evidenced by:
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Based on observations and records review, Licensee failed to maintain completed staff records, which can pose a health and safety risk to children in care.
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Type B
10/28/2019
Section Cited

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102416 Personnel Requirements: (c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866. This requirement was not met as evidenced by:
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Based on observations and records review, Licensee failed to maintain current CPR/First Aid certifications for herself and staff, which can pose a health and safety risk to children in care.
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Licensee to provide copies of current pediatric CPR/First Aid Certifications to LPA by plan of correction date 10/28/19.
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 YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Loyce PhillipsTELEPHONE: (661) 789-6944
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4