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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197700429
Report Date: 07/27/2021
Date Signed: 07/27/2021 04:17:57 PM

Document Has Been Signed on 07/27/2021 04:17 PM - It Cannot Be Edited

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:CORONA FAMILY CHILD CAREFACILITY NUMBER:
197700429
ADMINISTRATOR:SINDY CORONAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 382-1385
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
07/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:07 PM
MET WITH:Sindy CoronaTIME COMPLETED:
04:32 PM
NARRATIVE
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Licensing Program Analyst (LPA) Justin Dorsey conducted an unannounced annual random inspection. The LPA met with licensee Sindy Corona who guided the LPA on a tour of the facility. Upon entry to the facility the LPA observed the licensee in care of 9 children with no assistant present. Per Licensee the assistant was not in the home and would return soon. LPA Dorsey observed Assistant #1 return to the home at 2:28pm.

This is a two story family home. The home consists of a kitchen, dining room, living room, four bedrooms (one which is converted to a play room), 3 bathrooms, attached garage, and swimming pool. The primary care for children is conducted in the converted main care area in the downstairs bedroom. The play room leads to the kitchen which is restricted by a sliding door and leads to the right side of the backyard play area. Children LPA Dorsey also observed a child safety gate near the homes stair case to prevent children from accessing the upstairs area. The off-limits areas include the homes entire upstairs, dining room, living room, kitchen and garage. The children have access to the play room, downstairs bathroom and play yard that is connected to the play room. Access to the rest of the home is barricaded by sliding glass doors and child gates.

LPA Dorsey observed the homes backyard. There are two areas to the homes back yard, the first area which the children have access too is connected to the play room. The toys and the equipment are in good repair, LPA Dorsey did not observe any hazardous items in the children's play area. The off-limits area of the homes back yard is restricted by a locked gate in the children's play area, the backyard is also accessible through a sliding glass door in the kitchen. Per licensee children at no time enter the kitchen. LPA observed the home has a pool in the off-limits back yard area which was surrounded by a mesh fence for additional safety.

The day care home provides breakfast, morning snack, lunch, afternoon snack and dinner. According to the licensee she has not transported children since opening the day-care. LPA advised licensee that if she begins transporting children that her auto insurance and drivers license must be current. The home is operating the child care Monday thru Friday: 6:00a.m. to 6:00p.m.
Claretta Yates
Justin Dorsey
DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2021
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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Document Has Been Signed on 07/27/2021 04:17 PM - It Cannot Be Edited


Created By: Justin Dorsey On 07/27/2021 at 03:19 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CORONA FAMILY CHILD CARE
FACILITY NUMBER: 197700429

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2021
Section Cited

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102416.5 Staffing Ratio and Capacity (b)(3) For a Small Family Child Care Home, the maximum number of children for whom care may be provided...shall be one of the following...More than six and up to eight children, without an additional adult attendant...This requirement is not met as eveidenced by:
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Based on observation LPA Dorsey observed the licensee in care of 9 children without the an assistant present, which poses an immediate heath or safety risk to children in care.
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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 Yates
LICENSING EVALUATOR NAME:Justin Dorsey
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2021


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: CORONA FAMILY CHILD CARE
FACILITY NUMBER: 197700429
VISIT DATE: 07/27/2021
NARRATIVE
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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 kept in kitchen cabinet above the sink and all cleaning chemicals are stored underneath the sink in the kitchen. LPA Dorsey observed a sliding glass door which restricts children's access to the kitchen. Per licensee children medications are stored in the emergency back pack in the classroom. LPA observed the back pack was inaccessible to children.

There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons or firearms of any kind in the facility. The LPA did not observe any weapons.

The homes first aid kit was observed. The required fire extinguisher (2A10BC) was serviced 06/29/21. Smoke and carbon monoxide detector are in operable condition (tested X). Fire and disaster drills are conducted atleast every six-months, last emergency drill was conducted 06/16/2021. Licensee's Pediatric CPR and First Aid certificate expires on 06/2023.

The facility annual fees are current. Licensee had the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394) and Emergency Disaster Plan (LIC 610A). LPA did not observe the Earthquake Preparedness Checklist (LIC 9148). LPA Dorsey printed the LIC 9148 for licensee to complete and post.


Licensee also provided Mandated Reporter certification of completion dated 06/21/2020.
The LPA observed a current child roster. Child files were found to be complete.

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.

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 analysis of any person who will be visiting regularly or for longer than #1 week.
SUPERVISOR'S NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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: CORONA FAMILY CHILD CARE
FACILITY NUMBER: 197700429
VISIT DATE: 07/27/2021
NARRATIVE
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The applicant was advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The applicant was informed to utilize the Unusual Incident Report/Injury Report form LIC624B when submitting the report to the department.

Safe Sleep new upcoming 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.

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.

SUPERVISOR'S NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
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: CORONA FAMILY CHILD CARE
FACILITY NUMBER: 197700429
VISIT DATE: 07/27/2021
NARRATIVE
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The 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 when a serious deficiency, Type A, is cited (LIC9224).

An exit interview was conducted, a copy of this Report and a Notice of Site visit was provided to licensee Sindy Corona. Appeal rights were provided and discussed with licensee Corona.

SUPERVISOR'S NAME: Claretta Yates
LICENSING EVALUATOR NAME: Justin Dorsey
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021
LIC809 (FAS) - (06/04)
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