330926807-3-21-2022-09-CC-ECOL-CCQNQF-20220321103953

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 330926807
Report Date: 03/21/2022
Date Signed: 03/21/2022 10:40:07 AM

Document Has Been Signed on 03/21/2022 10:40 AM - 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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	GAYLE FAMILY DAY CARE		FACILITY NUMBER:	330926807
ADMINISTRATOR:	GAYLE, G		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(951) 845-8674
CITY:	CHERRY VALLEY	STATE: CA	ZIP CODE:	92223
CAPACITY:	14	CENSUS: 3	DATE:	03/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Gloria Gayle		TIME COMPLETED:	10:55 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	Licensing Program Analyst (LPA) Corral conducted a required Annual Inspection on today’s date. Upon entrance to the Facility, there were 3 children present in care. A review of the Facility Personnel Report Summary on 03/04/2022 indicates all facility staff who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Family Child Care Home. A civil penalty of $100 minimum per day and up to $500 maximum per day per person will be assessed if this regulation is violated. The hours of Operation are Monday – Friday, 6 AM – 5:30 PM. A tour of the inside and outside of the facility was conducted with Licensee Gloria Gayle. Rooms available to children in care were observed to have age appropriate play equipment. Off limits areas are made inaccessible by means of door locks and children gates. The childcare area consists of the bedroom to the far left of the kitchen, the kitchen, and 2 bedrooms down the hallway to the right that are used for napping. Equipment was found to be in good condition, free of sharp, loose, or pointed edges. Items which could pose a danger to children such as detergents, cleaning compounds, and medications were not stored out of the reach of children. Licensee stated Poisons/Hazardous items are not kept on the premises. The children's bathroom, toilet and handwashing sink were observed to be clean, sanitary and in good repair. The facility has conducted an emergency drill within the past six months and keeps documentation of drills. The facility has one working smoke detector, carbon monoxide detector and fire extinguisher. LPA Corral verified there is working phone service. Facility meets all posting requirements. Licensee understands the Family Child Care Home shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children. Continue to Page 2.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

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, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GAYLE FAMILY DAY CARE	FACILITY NUMBER: 330926807
	VISIT DATE: 03/21/2022

NARRATIVE

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The outdoor activity area was also inspected for compliance. The outdoor activity was observed to have age appropriate equipment and to be in good condition. Outdoor area was enclosed by appropriate fences and the surface of the outdoor activity space were free of hazards. TThe Licensee was reminded to ensure facility is free of flies, other insects and rodents. Licensee was reminded visual supervision is required during outdoor play. There are no bodies of water present on on-site, Licensee was informed all wading pools or similar product must be emptied immediately after use and stored in an upright position.

During today’s inspection, LPA Corral also conducted Record Review of Licensee and Children Files. Licensee’s Pediatric CPR/First Aid expires on 06/19/2022. Mandated Child Abuse Reporter training was not completed. Review of Licensee’s record also contains proof of immunization against influenza, pertussis, and measles. Children files contained required identification and emergency information. One infant file that was reviewed did not have a Sleeping 15 minute log or the Individual Sleeping Plan (LIC 9227). Licensee was reminded not to exceed the conditions, limitations and capacity specified on the license. Licensee was also informed to ensure each child is accorded a safe, healthful and comfortable accommodations, furnishings and equipment to meet the child's needs.

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

LPA discussed the Safe Sleep Regulations and the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

Page: 2 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: GAYLE FAMILY DAY CARE	FACILITY NUMBER: 330926807
	VISIT DATE: 03/21/2022

NARRATIVE

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CCLD website www.ccld.ca.gov was provided to licensee to access regulations, updates, and licensing forms. Licensee was advised to register through childcareadvocatesprogram@dss.ca.gov in order to receive quarterly updates. Licensee was advised of their responsibility to review the Provider Information Notices (PIN) found on the CCLD website. A copy of the California Department of Social Services Lead Information Brochure was explained and provided to the licensee.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process

Licensee was reminded a request to transfer, associate/disassociate individuals can be submitted to Associations_Disassociations862@dss.ca.gov. Licensee was also informed of their Reporting Requirements, Unusual Incident Reporting inbox was provided UnusualIncidentReportsDO09@dss.ca.gov. Lastly, Licensee was informed the Duty Officer is available to answer questions Monday – Friday from 8:00am to 5:00pm at (951)782-4200.

Based on Today’s inspection, Facility will be given a Technical Violation for not completing the Mandated Reporter Training, website was provided. Licensee stated she will complete training and provide certification by 04/01/2022. Licensee will also receive a Technical Assistance for the for the 15 minute check Infant's Sleeping Log and the Individual Sleeping Plan (LIC 9227), Licensee stated she will also complete the Sleeping Log and the Infant Sleeping Plan by 04/01/2022.

Exit interview was conducted and Evaluation Report was reviewed with Licensee Gloria Gayle. A Notice of Site Visit was provided, Licensee was reminded it must remain posted for 30 days.

End of Report.

SUPERVISOR'S NAME: Kimberly Williams	TELEPHONE: (951) 248-0228
LICENSING EVALUATOR NAME: Eileen Corral	TELEPHONE: 951-233-7183
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022

LIC809 (FAS) - (06/04)

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