364802796-7-19-2022-12-CC-KZIS-CGGSHG-20220719135331

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364802796
Report Date: 07/19/2022
Date Signed: 07/19/2022 01:53:51 PM

Document Has Been Signed on 07/19/2022 01:53 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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	MANNING FAMILY DAY CARE		FACILITY NUMBER:	364802796
ADMINISTRATOR:	MANNING, DEBRA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 365-8816
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	14	CENSUS: 7	DATE:	07/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Licensee Debra Manning		TIME COMPLETED:	02:05 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) Zirbes met with Licensee, Debra Manning who guided analyst on a tour of the facility for the One Year Required inspection. This is single story home with three bedrooms, three bathrooms, kitchen, dining room, living room, daycare play room, and front and back yard. In addition, the home has a attached Grandma house with a kitchen, living room, bedroom and craft room. Per Licensee the kitchen, living room, dining room, daycare play room, bathroom within day care room, the first bedroom (located down the hallway to the left ) and a portion of the backyard are utilized for the family child care activities. At the time of this inspection the on limits bedroom was not being utilized during day care hours and had storage boxes in the room. Licensee stated the bedroom is not being utilized at this time and will not be utilized unless all boxes are removed. The door to this bedroom was locked with a key lock. Per licensee off-limit areas of the home are the master bedroom/bathroom, bedroom two, bathroom two, grandmas house, and a portion of the backyard. Upon arrival, LPA observed six children in care (two school age and five preschool age children) with the Licensee and staff 1 (S1) providing supervision. Currently living in the home is the Licensee. All adults and staff are associated and have eligible clearances. Current days and hours of operation are Monday through Friday 6:30am to 05:30pm. Physical Plant: 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. According to Licensee and LPAs observation, all cleaning products are stored in the cabinet under the kitchen sink and in a cabinet in the Daycare room. The cabinets were equipped with a child safety locks therefore all cleaning products were inaccessible to the children in care. Sharp knives were stored in a kitchen drawer equipped with a child safety lock. Medication for the child care children was stored in a locked box in the day care room. Household medications were stored in the master bedroom. The master bedroom was inaccessible via a key locked door at the time of this inspection. Per recorded documentation Fire/earthquake drills were last completed in May 2022, the fire extinguisher was serviced May 2022. Report continued on page two

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: MANNING FAMILY DAY CARE	FACILITY NUMBER: 364802796
	VISIT DATE: 07/19/2022

NARRATIVE

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Report continued from page one

Safe and age appropriate toys, play equipment and materials were present. The smoke detector and carbon monoxide detector were operable.
Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. The kitchen area is the designated area for ill children in the child care.

Per Licensee, there are zero firearms stored in the home. The home has a fire place located in the living room. A permanent metal fireplace screen prevented the children from having access to the fireplace. The home has central AC and heating.

Bathroom: Toilet, sink, faucet were clean and operable. On limits bathroom was located in the daycare play room.

Outdoor: The backyard was divided into off limit and on limit areas. The off limit areas was made inaccessible via a four foot chain link fence Per statement of the Licensee and LPA observations there were zero bodies of water on the premises. The backyard was inspected and play equipment was observed to be free of hazards. LPA observed approximately 10 tiny tikes climbing toys, some where equipped with slides. LPA reminded the Licensee to regularly monitor the play equipment for potential hazards.

At the time of this inspection there are zero household pets.

CPR/First Aid expires 8/30/2022 and mandated reporter training expires on 07/25/2023.

Review of records to be maintained: LPA reviewed with licensee 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.

LPA reviewed ten child files, the Licensees and two staff member files. Based on LPAs record review the staff and child files were complete and included all required information.
Documents Provided and/or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep.
Report continued on page three

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: 07/19/2022

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The following were observed: Notification of Parents' Rights (PUB394), Roster (LIC9040), License, Emergency and Disaster Information (LIC610A).

The following was discussed with the licensee:

Licensee reminded that 100% supervision is required at all times to children in care. Licensee was made aware that it is he/her responsibility to know the regulations as well as anyone who assists in providing care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified

The regulation prohibits the smoking of tobacco in a private residence that is licensed as a family childcare home and in those areas of the family day care home where children are present (24/7 ban). State law prohibits baby walkers, bouncy seats, exersaucers, and any other items that fall into that category.

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.

Based on LPAs record review there were zero citations issued today.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee Debra Manning.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2022

LIC809 (FAS) - (06/04)

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