334843696-3-21-2022-09-CC-ECOL-CCQT79-20220321142821

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 334843696
Report Date: 03/21/2022
Date Signed: 03/21/2022 02:28:35 PM

Document Has Been Signed on 03/21/2022 02:28 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 ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	CARDENAS FAMILY CHILD CARE		FACILITY NUMBER:	334843696
ADMINISTRATOR:	CARDENAS, ANDREA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 641-2442
CITY:	DESERT HOT SPRINGS	STATE: CA	ZIP CODE:	92240
CAPACITY:	14	CENSUS: 2	DATE:	03/21/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:25 PM
MET WITH:	Licensee - Andrea Cardenas		TIME COMPLETED:	02:45 PM

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 2 children present in care with Licensee. A review of the Facility Personnel Report Summary on 03/07/2022 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 – Sunday, 5 AM – 12 AM. A tour of the inside and outside of the facility was conducted with Licensee Andrea. Rooms available to children in care were observed to have age appropriate play equipment. Off limits areas are made inaccessible by means of children gates or safety doorknobs. The main childcare area consists of the living room which has a children safety gate. 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 observed. Licensee stated Poisons/Hazardous items are not kept on the premises. The children's bathroom, toilet and hand-washing sink were observed to be clean, sanitary and in good repair. The facility has not conducted an emergency drill within the past six months. 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. 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, the outdoor area was enclosed by appropriate fences. 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: CARDENAS FAMILY CHILD CARE	FACILITY NUMBER: 334843696
	VISIT DATE: 03/21/2022

NARRATIVE

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There were two machine cutting saws observed to be in the backyard. Licensee stated both saws will be removed today and photos will be provided to LPA by 03/22/2022. The 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 Staff and Children Files. Licensee’s file contained the required documentation. Licensee’s Pediatric CPR/First Aid expires on 02/2023. Mandated Child Abuse Reporter training was completed on 12/09/2021. Review of Licensee’s record also contains proof of immunization against influenza, pertussis, and measles. Children files contained required identification and emergency information. 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.

CCLD website www.ccld.ca.gov was provided to licensee to access regulations, updates, and licensing forms. Licensee was advised to register with childcareadvocatesprogram@dss.ca.gov to receive quarterly updates.
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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: CARDENAS FAMILY CHILD CARE	FACILITY NUMBER: 334843696
	VISIT DATE: 03/21/2022

NARRATIVE

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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

Director was reminded a request to transfer, associate/disassociate individuals can be submitted to Associations_Disassociations862@dss.ca.gov. Director was also informed of their Reporting Requirements, Unusual Incident Reporting inbox was provided UnusualIncidentReportsDO09@dss.ca.gov. Lastly, Director 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 receive a Technical Violation for the outdoor space which had 2 Machine Cutting Saws that were accessible to children in care. Licensee will remove cutting saws today 03/21/2022 and outdoor play will not occur today. Photos will be provided to LPA to show saws have been removed. Licensee will also be given a Technical Assistance for not conducting a Fire/Disaster Drill within 6 months. Licensee stated she will conduct a Fire/Disaster Drill by 03/25/2022 and provide documentation to LPA. A second Technical Assistance will be issued for not having 2 Children's Immunization Records. Both children are siblings and today 03/21/2022 is their first day in care. Licensee will request copy of Immunization records from parent and provide to LPA by 03/25/2022.

Exit interview was conducted and Evaluation Report was reviewed with Licensee Andrea Cardenas. 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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