197700297-7-29-2021-12-CC-BTSA-C5DTXH-20210729150711

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700297
Report Date: 07/29/2021
Date Signed: 07/29/2021 03:07:25 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:	BYRNE FAMILY CHILD CARE		FACILITY NUMBER:	197700297
ADMINISTRATOR:	BYRNE, APRIL		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(661) 886-1120
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93536
CAPACITY:	14	CENSUS: 5	DATE:	07/29/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	April Byrne		TIME COMPLETED:	03:25 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	On July 29, 2021 at 12:25PM, 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's Assistant. Licensee April Byrne joined LPA for inspection shortly after entry and guided LPA on a tour of the facility. Upon entry, LPA observed 5 children in care. This is a single-story family home. There is a living room, kitchen, dining room, linen closet, laundry room, garage, 3 bedrooms and two restrooms. Main care is provided in the living room. The children use the bathroom located in the hall to the left of the living room. The off-limits areas are all the three bedrooms, master bathroom, and garage. The day care home provides breakfast, morning snack, lunch, afternoon snack, and dinner as needed. According to Licensee the operating childcare hours are Monday through Friday from 6:00 AM to 6:00 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 a kitchen drawer made inaccessible by child safety lock. Medications are kept in the kitchen on a top cabinet inaccessible to children. All cleaning supplies and detergents are locked under kitchen sink inaccessible to children. There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons/firearms on the premises. LPA did not observe any during inspection.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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: BYRNE FAMILY CHILD CARE	FACILITY NUMBER: 197700297
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/13/2021 Section Cited	1 2 3 4 5 6 7	1596.8662(4)(b)(1)... a person who... is a licensed child care provider... of a licensed child day care facility shall complete the mandated reporter training... and shall complete renewal mandated reporter training every two years... This requirement was not met as evidence by:
	8 9 10 11 12 13 14	Based no record review, Licensee failed to renew mandated reporter training which expired 2/14/2021, which 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: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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: BYRNE FAMILY CHILD CARE	FACILITY NUMBER: 197700297
	VISIT DATE: 07/29/2021

NARRATIVE

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The First Aid kit was observed and complete. The required fire extinguisher (2A10BC) is in green and meets Fire Marshal standards. The smoke and carbon monoxide detector are in operable condition. Fire and disaster drills are conducted every six-months, last emergency drill was conducted 02/21/2021. Pediatric CPR and First Aid certificate expires on 9/05/2022. Licensee has current immunizations.

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).

LPA observed a current child roster. Child files were found to be complete.

The backyard is gated all around. The outdoor play area was inspected and was observed to be free of hazards, loose and sharp parts.

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. LPA also discussed earthquake safety and necessity of drills, required forms for children’s files, facility files and posting requirements and penalty.

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 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. Applicants 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. Licensee provided Mandated Reporter Training certificate which expired 2/14/2021. Licensee has not renewed Mandated Reporter Training by expiration date. See LIC809D for deficiency details.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

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: BYRNE FAMILY CHILD CARE	FACILITY NUMBER: 197700297
	VISIT DATE: 07/29/2021

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
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.

Type B deficiency cited during inspection and appeal rights provided to Licensee on this date.

An exit Interview was conducted, a copy of this Report, and a Notice of Site visit was provided to the licensee April Byrne

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Brigitte Tsutaoka	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2021

LIC809 (FAS) - (06/04)

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