197700430-8-6-2021-12-CC-IORA-C5MRJ4-20210806130319

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197700430
Report Date: 08/06/2021
Date Signed: 08/06/2021 01:03:26 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:	ROSALES FAMILY CHILD CARE		FACILITY NUMBER:	197700430
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 5	DATE:	08/06/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Jimena Rosales		TIME COMPLETED:	01:15 PM

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On 8/06/2021, Licensing Program Analyst (LPA) Isabel Ortega was greeted by Licensee, Jimena Rosales. LPA was at the facility to conduct an unannounced case management licensee initiated inspection for the purpose of an increase of capacity from a Small Family Child Care Home to a Large Family Child Care Home(FCCH) up to 14 children. LPA disclosed the purpose of the inspection and was granted entry by the licensee, who guided LPA on a tour of the Family Child Care Home. Upon entry LPA observed 5 children in care.

Licensee was initially licensed on 7/13/2020 as a Small Family Child Care Home. The Fire Department has inspected the facility and a fire clearance for 14 children has been granted effective 8/05/2021. This is a single-story family home with an attached garage. There is a children's playroom, living room, kitchen, dining room, three bedrooms, two restrooms and a shed in the backyard. Main care is provided in the children's playroom referred to as the child day care area. The children utilize the bathroom located near the kitchen. The off-limits areas are the three bedrooms, kitchen, dining room, and the shed in the backyard.

The day care home provides breakfast, am snack, lunch, pm snack, and dinner as needed. According to Licensee she is currently participating in a Food Nutrition Program. The operating child care hours are Monday to Friday from 6:00am to 7:00pm.

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. There are age appropriate toys and equipment on the premises. LPA did not observe a fireplace or any bodies of water at the above facility. Per the licensee there are no weapons or firearms of any kind in the facility at this time, nor did the LPA observe any weapons during the inspection. LPA observed cots for napping, and licensee stated she provides blankets for nap time although most of the children bring their own and take they home weekly.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

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: ROSALES FAMILY CHILD CARE	FACILITY NUMBER: 197700430
	VISIT DATE: 08/06/2021

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The backyard is used by the children for outside play, and is fenced all around. The outdoor play area was inspected and play equipment was observed to be free of hazards, loose and sharp parts. LPA observed age appropriate toys both inside and outside of the home.

The facility’s fire extinguisher (2A10BC) met the State Fire Marshal standards. Smoke and carbon monoxide detectors were found to be in operable conditions. The facility annual fees are current. Licensee's CPR expires 06/11/2023. The parent board was reviewed and all of the required forms are posted and visible to parents.

Licensee was informed with a capacity increase a qualified Assistant is required to be present whenever more than 8 children are in care. Licensee has a capacity and ratio handout pertaining to large Family Child Care Homes and the various age groups that can be under care at one given time.

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

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. There are age appropriate toys and equipment on the premises. Per Licensee there are no weapons or firearms of any kind in the facility at this time, nor did the LPA observe any weapons during this inspection. LPA observed cots and mats for napping.

Effective today 8/06/2021 Rosales Family Child Care Home has been approved for a Large (FCCH);an increase of capacity of 14 children has been granted. Copy of this report was read and provided to licensee with Notice of Site Visit and appeal rights on this day.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Isabel Ortega	TELEPHONE: (661) 202-3786
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021

LIC809 (FAS) - (06/04)

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