197700060-7-17-2019-12-CC-AMAA-BE6VF3-20190717162317

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700060
Report Date: 07/17/2019
Date Signed: 07/17/2019 04:23:33 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:	FOSTER FAMILY CHILD CARE		FACILITY NUMBER:	197700060
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 2	DATE:	07/17/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:42 PM
MET WITH:	Tecola		TIME COMPLETED:	04:43 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 Manager (LPM) Claretta Yates and Licensing Program Analysts Jacky San and Aaron Mabika conducted an unannounced inspection at the Foster Family Child Care Home. The purpose of the visit was to conduct a Case Management (Other) Inspection for a capacity increase. LPM and LPAs met with Licensee Tecola Foster. Licensee is requesting to be licensed for a Large Family Child Care with a capacity of 14 Children. Licensee is a dual license with Department of Children and Family Services (DCFS) Resource Family. LPM, LPAs and Licensee toured the facility to ensure the home meets licensing requirements. The home is set up as follows: This is a two story house with 3 bedrooms, 2 1/2 bathrooms, living room, family room, loft, kitchen, dinning area and attached garage. Per licensee the following areas of the home will utilize for child care. The living room, family room; 1/2 bathroom, dinning area and half of the backyard. Licensee states the off-limits area will be the upstairs 3 bedrooms, loft, two bathrooms, laundry room and attached garage and the gated portion of the backyard. Per licensee there is 4 children currently enrolled in the day care. Present during today's inspection is the licensee and 4 minor children. There were no day care children present during today's inspection.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

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: FOSTER FAMILY CHILD CARE	FACILITY NUMBER: 197700060
	VISIT DATE: 07/17/2019

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The following was observed during the time of the inspection.
Licensee has current Pediatric CPR/First Aid training with an expiration date of 06/23/2021, current Facility Roster and Fire Drill/Earthquake Drill and documentation for both. Four children's files were reviewed.The Smoke Detector and Carbon Monoxide devices were tested operable. Hot water was tested at a safe temperature between 105 and 120 degrees. All sharp knives, medications, cleaning solutions and poisons are made inaccessible to children with child safety latches on the kitchen cabinets and drawers. Bathroom inspected, toilet/sinks in operable condition. No medication, cleaning solutions or poisons observed in the bathroom. All electrical outlets are covered. Napping equipment observed. Fire extinguisher meets Fire Marshal standards. In the backyard there is a trampoline and swing sets made inaccessible to children in a off-limit/gated area. The backyard has no hazardous items observed. There is safe and age-appropriate toys observed.

During this time the home meets Title 22 Regulations and will be approved for a Large Family Child Care Home License with a capacity of 14 children.

No deficiency cited.

Exit interview conducted;: A copy of this report and notice of site inspection was discussed and left with licensee.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 07/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2019

LIC809 (FAS) - (06/04)

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