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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 334842610
Report Date: 03/09/2022
Date Signed: 03/09/2022 04:00:57 PM


Document Has Been Signed on 03/09/2022 04:00 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, 3737 MAIN STREET, STE 700
RIVERSIDE, CA 92501



FACILITY NAME:HENTON FAMILY CHILD CAREFACILITY NUMBER:
334842610
ADMINISTRATOR:HENTON, MICHELLEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(808) 341-5634
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY:14CENSUS: 12DATE:
03/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Licensee Michelle HentonTIME COMPLETED:
04:10 PM
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On 03/09/2022 at 12:15 PM Licensing Program Analyst (LPA) Susan Brewer arrived at the facility to conduct an annual inspection. LPA was granted entry by Licensee Michelle Henton. LPA toured the facility, inside and out, reviewed records, and observed and/or discussed the following: Present at the facility was one resident child assisting the Licensee. A census was taken of 12 daycare children present. Normal days and hours of operation are Monday- Friday, 6:30AM to 5:00 PM

OFF-LIMIT AREAS INCLUDE: Entire 2nd Floor, Garage, Laundry Room and East Side of Backyard and North-West gated side yard.

· The inspection consisted of reviews of the following domain: Physical Plant, Care and Supervision, Records, Facility Administration, Staffing Ratio and Capacity, Personal Rights. The inspection found the facility to be in compliance in these domains, except as noted on the LIC9102 Technical Assistance for 102417(g)(6) Operation of a Family Child Care. Deficiencies not cited this visit on 03/09/2022.


· The facility is operating within the licensed capacity and appropriate ratios
· The Licensee is present in the home and has ensured that children in care are supervised.
· When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children
· A working telephone is present.
· Appropriate fire extinguisher inspected on 06/25/2021 by Fire Department, smoke detector and carbon monoxide detector are present and were tested by the Licensee during this inspection.
· All hazardous items are inaccessible, this includes detergents, cleaning compounds, medications and other items which could pose a danger to children
· Storage of poisons is inaccessible to children and locked
· There is a properly barricaded fireplace.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:
DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/09/2022
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: HENTON FAMILY CHILD CARE
FACILITY NUMBER: 334842610
VISIT DATE: 03/09/2022
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· No guns or weapons present as stated by the Licensee Michelle Henton on 03/09/2022. Licensee understands all guns, weapons and ammunition must be key locked separately and made inaccessible per Title 22 regulations.
· Stairs are barricaded on 03/09/2022.
· Home is clean and orderly, with heating and ventilation for safety and comfort
· Safe and appropriate toys and equipment are present for both indoor and outdoor activities. The licensee owns a trampoline that was observed to be locked and ladder removed preventing children from accessing the equipment. Trampoline is not used during daycare hours.
· Outdoor play areas are fenced. At 12:37 PM LPA observed the fence on the East side of the back yard to be leaning in 2 separate sections which requires mending.
· Appropriate supervision is present during the inspection on 03/09/2022
· Verification of control of property on file.
· Property owner/landlord notification on file and consent is NOT on file from the landlord. The licensee understands that without Property owner/landlord consent, the facility is only able to operate with a capacity up to a total of 12 children in care.
· Pediatric CPR and First Aid Card expire on 06/2022
· Health & Safety Certificate - completed on 08/01/2020
· Mandated reporter: General: 10/11/2021 Child Care Expires: 10/2021
· Fire clearance: 07/15/2020
· Documentation of fire & earthquake drills to be conducted every six months: Last fire drill conducted on 02/08/2022 at 9:30 AM, lasted 15 minutes, 12 children and 1 staff present and went to the front yard.
· There are no bodies of water on 03/09/2022. Licensee understands all bodies of water including ponds, above ground pools & spas, in-ground pools & spas, and some fountains must be properly covered or fenced per Title 22 regulations. The Department must be notified before and after installation of the above types of bodies of water. In addition, all wading pools or similar product must be emptied immediately after use and stored in an upright position.
· Clean, safe and age appropriate toys.
· Children’s files are complete on 03/09/2022.
· To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
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 STREET, STE 700
RIVERSIDE, CA 92501
FACILITY NAME: HENTON FAMILY CHILD CARE
FACILITY NUMBER: 334842610
VISIT DATE: 03/09/2022
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· 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. A plan has been created but the licensee does not have any children enrolled with a need for IMS.
· LPA reviewed with [applicant, licensee, or facility representative] the LIC 311D, Forms/Records To Keep In Your Family Child Care Homes, children’s forms/records, facility forms/records, and information to be posted.

· Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


· LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. 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.
· 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.

· A notice of site visit was given and must remain posted for 30 days.

· Exit interview conducted and report was reviewed with the licensee Michelle Henton.
SUPERVISOR'S NAME: Pauline BeschornerTELEPHONE: (951) 782-6641
LICENSING EVALUATOR NAME: Susan BrewerTELEPHONE: (951) 970-0343
LICENSING EVALUATOR SIGNATURE:

DATE: 03/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2022
LIC809 (FAS) - (06/04)
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