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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364810655
Report Date: 01/15/2020
Date Signed: 01/15/2020 01:21:37 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:DE HARO FAMILY CHILD CAREFACILITY NUMBER:
364810655
ADMINISTRATOR:DE HARO, FLAVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 886-0254
CITY:SAN BERNARDINOSTATE: CAZIP CODE:
92404
CAPACITY:14CENSUS: 7DATE:
01/15/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:19 PM
MET WITH:Flavia DeHaro, LicenseeTIME COMPLETED:
01:35 PM
NARRATIVE
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This Case Management is conducted independent of another inspection. While conducting and unrelated inspection, LPA noticed a Wall Heater in the living room without a barricade in place. LPA also observed 7 children in care all wearing jackets, and fully clothed. LPA asked Licensee does her wall heater work and she responded yes, LPA asked Licensee did it appear cold in the home to her (Licensee was also wearing a fleeced jacket), Licensee answered "No, it's not cold to me". LPA proceeded to attempt to explain regulations with regards to wall heater, LPA noticed that English was not Licensee's first language, she contacted the PRO and solicited assistance from LPA Rodriguez whom is a Bi-lingual LPA. LPA explained the issue to LPA Rodriguez who translated the information to Licensee. Licensee stated the following:

She does not turn the heater on while day care children are present, she states she turns the heater on early in the morning until the home is warm according to her standards, she then turns the heater off as children arrive. LPA issued a Type B citation today, as this was not a imminent danger to children. According to Section 102417 (g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (1) Fireplaces and open-face heaters shall be screened to prevent access by children
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2020
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: DE HARO FAMILY CHILD CARE
FACILITY NUMBER: 364810655
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/05/2020
Section Cited

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(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not be limited to: (1) Fireplaces and open-face heaters
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shall be screened to prevent access by children. This requirement was not met as evidenced by a lack of barricade in place on the wall heater to prevent access to children.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Donna MaddoxTELEPHONE: (661) 568-8971
LICENSING EVALUATOR SIGNATURE:
DATE: 01/15/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/15/2020
LIC809 (FAS) - (06/04)
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