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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700379
Report Date: 03/18/2021
Date Signed: 03/18/2021 03:14:01 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:FOX FAMILY CHILD CAREFACILITY NUMBER:
197700379
ADMINISTRATOR:FOX, CHERYLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(302) 312-3042
CITY:SANTA CLARITASTATE: CAZIP CODE:
91387
CAPACITY:14CENSUS: 10DATE:
03/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Cheryl Fox, LicenseeTIME COMPLETED:
03:30 PM
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On March 18, 2021 Licensing Program Manager (LPM) Mariela Ramon and Licensing Program Analyst (LPA) Monique Ayala conducted a Case Management inspection for the purpose of inspecting the bedroom that has a door with direct access to the swimming pool.

Upon arrival LPM and LPA were greeted by licensee and observed 7 preschool age children, 2 infants and 1 school age child. LIcensee's assistant was also present.

During the Pre-Licensing inspection conducted on 03/09/2020, LPM and LPA inspected a second bedroom located on the first floor and observed a door that gives direct access to the backyard area where the swimming pool and spa are located. Licensee stated the door that gives access to the backyard is always locked and the bedroom door located in the hallway will remain lock at all times when children are in care.

The swimming pool is enclosed by four property walls. One of the walls has a door that gives direct access to the bodies of water. On the same property wall there is a 5 foot fence that has a gate that was tested and observed to to be self-closing/self-latching and it opens away from the bodies of water. The fence separates the backyard area where children play making the pool and spa inaccessible to children.

After further review, the Regional Office determined that licensee's intent to make the bedroom with the door leading to the swimming pool did not ensure the health and safety of day care children.

LPM and LPA toured the facility. Licensee guided LPM and LPA to the bedroom that has a door that gives direct access to the swimming pool.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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: FOX FAMILY CHILD CARE
FACILITY NUMBER: 197700379
VISIT DATE: 03/18/2021
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During this inspection LPM and LPA observed licensee has installed a wall to cover the bedroom door to make the swimming pool inaccessible. The door has been blocked by the wall that goes across the entire side where the door is located. LPA has taken photographs of the bedroom wall to place in the facilities file.

Licensee will be using this bedroom as a napping room now that the door has been made inaccessible. Licensee will submit an updated facility sketch reflecting the usage of the this bedroom.

An exit interview was conducted, a copy of this report along with Notice of Site Visit was provided to the licensee.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 369-2168
LICENSING EVALUATOR NAME: Monique Jessica AyalaTELEPHONE: (661) 202-3365
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
LIC809 (FAS) - (06/04)
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