197700200-7-23-2021-12-CC-BTSA-C57NNH-20210723103647

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700200
Report Date: 07/23/2021
Date Signed: 07/23/2021 10:36:56 AM

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:	ADENIRAN, ADRIANNE FAMILY CHILD CARE		FACILITY NUMBER:	197700200
ADMINISTRATOR:	ADRIANNE ADENIRAN		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(310) 920-3354
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93534
CAPACITY:	14	CENSUS: 0	DATE:	07/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:17 AM
MET WITH:	Adrianne Adeniran		TIME COMPLETED:	10:40 AM

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	On 07/23/2021 at 9:17AM, Licensing Program Analyst (LPA) Brigitte Tsutaoka conducted an unannounced Annual/1 Year Required inspection. LPA disclosed the purpose of the inspection and was granted entry by Licensee Adrianne Adeniran who guided the LPA on a tour of the facility. Upon entry to the facility the LPA observed 0 children in care. Per Licensee, the facility has been closed due to COVID-19 and has not had day care children attend her facility. The inspection conducted was primarily consultation as no children were present to verify Licensee was in compliance when she intends to reopen as of September 2021. This is a two-story family home. There is a living room, office, kitchen, dining room, 4 bedrooms, 3 restrooms, and garage. The entire upstairs is off-limits (4 bedrooms, loft, and 2 restrooms). Main care is provided in the living room (referred to as the day care area), office, and formal dining room. The children use the bathroom located down the hall adjacent to the stairs. The off-limits areas include the entire upstairs, garage, and backyard. Backyard is in process of undergoing renovations so it will remain off-limits until renovations are completed. The day care home provides breakfast, lunch, and afternoon snack. According to Licensee the operating childcare hours are Monday through Friday from 5:30AM - 5:30 PM. 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. The knives are in kitchen drawer made inaccessible by infant safety lock. Medications are kept in lock box in off-limits upstairs bedroom. Cleaning supplies and detergents are stored in the garage (off limits) and under kitchen sink (made inaccessible by infant safety lock).

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

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: ADENIRAN, ADRIANNE FAMILY CHILD CARE	FACILITY NUMBER: 197700200
	VISIT DATE: 07/23/2021

NARRATIVE

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There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons/firearms in the facility.

The First Aid kit was observed and complete. The required fire extinguisher (2A10BC) is in green. The smoke and carbon monoxide detector are in operable condition (tested 9:45AM). Licensee advised to conduct Fire/Safety drills every 6 months and record. LPA observed a log on Parent Board ready for when facility reopens. Licensee's Pediatric CPR and First Aid certificate expire 11/20/2021. LPA advised Licensee to schedule CPR/First Aid renewal class prior to expiration date to maintain compliance.

Licensee had all the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148). The licensee provided proof of required vaccinations. LPA advised Licensee of requirement to maintain a facility roster and provided consultation regarding maintenance of child files. LPA provided consultation regarding the Infant Sleep Plan requirement, addressed the need for an Individual Infant's Sleeping Plan (LIC9227) should she enroll infants at her facility.

The backyard has a designated play area that is gated all around. The outdoor play area was inspected and observed to be free of hazards. The backyard has age appropriate toys, dirt, and concrete flooring. Per Licensee, the facility is in process of renovating the back yard to add cushioned bark and more toys prior to reopening in September.

The following were discussed: No smoking, infant walkers, Johnny jumpers, exersaucers and any other item that falls into that category are permitted in the facility. The LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements and penalty.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

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: ADENIRAN, ADRIANNE FAMILY CHILD CARE	FACILITY NUMBER: 197700200
	VISIT DATE: 07/23/2021

NARRATIVE

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The licensee was informed that all adults living in or having access to the home are required to have fingerprint clearances with Department of Justice, FBI and Child Abuse Index prior to having contact with children. If the aforementioned is not adhered to, a Civil Penalty of up to $500, per non-cleared adult will be assessed immediately. Please advise your analyst of any person who will be visiting regularly or for longer than #1 week.
Safe Sleep regulations and Infant Sleep Plan were discussed with Licensee and referred to the CCL web site for additional information and PINS.
Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Providers must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com. LPA provided consultation regarding requirement to complete Mandated Reporter Training prior to reopening in September 2021.

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
Child Care Advocates:
To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541 The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

No deficiencies cited today, 07/23/2021. An exit Interview was conducted, a copy of this Report and a Notice of Site visit was provided to the Licensee Adrianne Adeniran.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2021

LIC809 (FAS) - (06/04)

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