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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364802796
Report Date: 01/31/2020
Date Signed: 01/31/2020 05:07:33 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:MANNING FAMILY DAY CAREFACILITY NUMBER:
364802796
ADMINISTRATOR:MANNING, DEBRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 365-8816
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:14CENSUS: 8DATE:
01/31/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:11 PM
MET WITH:Debra ManningTIME COMPLETED:
05:16 PM
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On the above date and time Licensing Program Analyst (LPA) Aaron Mabika met with licensee Debra Manning and access was granted. The purpose of the inspection is to conduct an Annual/Random Inspection. Licensee is license to provide care and supervision for a Large Family Child Care for the capacity of 14 children. There are currently 26 children enrolled in the family child care. Present during the time of this inspection is licensee, 4 Assistants, and 8 children in care. Per licensee residing in the home on the above is licensee, and parent. Per licensee, all adults residing in the home have a Criminal Record Clearance. Licensee and LPA toured the areas of the home utilized for the Family Child Care to ensure the home is in compliance with Community Care Licensing Title 22 Regulations. The days and hours of operation are Monday through Friday 06:30 AM to 5:30 PM.
The home is set-up as follows:
This is a single story house with 3 bedrooms, 4 bathrooms, kitchen, dining room, living room, and daycare room and a Grandma's cottage attached to the house. Per Licensee 1 bedroom, the living room, 1 daycare bathroom, and backyard is utilized for the family child care activity area. Per licensee off-limit areas of the home is master bath Bedrooms # 2 & 3, BARN & MOTHER-IN-LAW QTRS
The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. LPA observed all items are made inaccessible to children during the time of this inspection. Medicines were observed to be locked up in a cabinet in the master bedroom and cleaning supplies were locked up in the laundry room. LPA observed age appropriate safe toys and napping equipment 14 mats, 1 cot on the premises. Per licensee children nap in the in the 1 st Bedroom and care room. LPA observed all electrical outlets made inaccessible to children with safety covers. LPA observed 3 safety gates one by the hallway and another by the bedroom.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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: MANNING FAMILY DAY CARE
FACILITY NUMBER: 364802796
VISIT DATE: 01/31/2020
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Bedrooms were observed to be all locked. There are 7 children and 1 infant present during today’s inspection. LPA tested hot water at a safe temperature between 105-120 degrees. Per licensee, there are no weapons or firearms on the premises. . LPA did not observe a swimming pool or bodies of water on the premises. LPA observed a patio, a tree for shade, sand for cushioning, 4 slide sets, a locked tool shed and a perimeter fence in the backyard.
Incidental Medical Services (IMS) were discussed. Per licensee, the facility does currently prove IMS. LPA informed licensee to refer to IMS information in the 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 observed 2 required fire extinguishers (2A10BC) fully charged (service date April 3 2019), smoke detectors and carbon monoxide devices tested operable. The First Aid Kit was observed complete with supplies and first aid manual.
LPA observed licensee has current Pediatric CPR and First Aid Training with expiration date 04/28/2020, 1 hour of nutrition training, 7 hours of Preventive Health and Safety Training. Licensee and Staff has proof of being immunized against influenza, pertussis and measles. Per licensee transportation is being provided for children. LPA observe licensee valid California driver license with the expiration date of 07/07/2023, vehicle insurance with expiration date April 2020 and vehicle registration with the expiration date of 11/10/2020. Per licensee 2 meals and 2 snacks are being provided to children.
LPA reviewed 4 children’s records. LPA reviewed the child care facility roster and the fire drills, earthquake drills log and documentation and both were observed to be up to date.
The following information was discussed with the licensee:
· Mandatory Forms for the children’s files and provider’s files.
· Requirements for fire drills, earthquake drills and documentation for both.
· Role and responsibilities of being a mandated reporter was discussed.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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: MANNING FAMILY DAY CARE
FACILITY NUMBER: 364802796
VISIT DATE: 01/31/2020
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· Licensee advised visit www.shotsforschool.org for Immunization information.
· Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.
· The following deficiencies are being cited in accordance to Title 22 of the California Code of Regulations and/or Health & Safety codes. Please refer to LIC809D for documentation of deficiencies cited:

Exit interview conducted with Licensee Debra Manning. A copy of this report, notice of site inspection, Appeal Rights (LIC 9058). Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
LIC809 (FAS) - (06/04)
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