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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819052
Report Date: 06/13/2019
Date Signed: 06/13/2019 02:22:01 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:PRINGLE FAMILY CHILD CAREFACILITY NUMBER:
364819052
ADMINISTRATOR:PRINGLE, ANA S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 418-5332
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:14CENSUS: 8DATE:
06/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:46 AM
MET WITH:Ana Pringle TIME COMPLETED:
02:36 PM
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Licensing Program Analyst (LPA) Victoria Hunt met with licensee Ana Pringle who guided analyst on a tour of the facility for an annual random inspection. During the time of this inspection licensee had eight children in care. Residing in the home includes: adult (licensee), her spouse, and two other adults. Per LIS, facility annual fees are current. Licensee was operating facility within ratio during the time of inspection. Licensee was observed providing adequate supervision during the inspection. Upon initial arrival, LPA observed that children were actively playing outside on the backyard. Licensee and her assistant were monitoring the children.

The home was inspected as follows: Living room, kitchen, dining room, laundry room the garage, all bedrooms and bathrooms in the home and the backyard.

The home is set up as follows: This is a single -story home with 3 bedrooms, 2 bathrooms, kitchen/dining, living room, laundry room and attached garage. The home was inspected for safety, comfort, cleanliness, telephone service, central air and heat and ventilation. Also for inaccessibility to poisons, detergents, cleaning compounds, medicines, and other hazardous items that can pose a danger to children. Per licensee there are no weapons/firearms on premises at this facility. The are no pools or bodies of water on premises at this facility. Licensee no longer has an above ground pool. There is a first aid kit on premises that is, fully stocked.

In the living room, LPA observed a fireplace that was properly screened. The fireplace is enclosed by a screen gate that prevent children from accessing the fireplace. The fireplace is inaccessible to children in care. There is a large TV in which educational videos can be viewed by the children.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: PRINGLE FAMILY CHILD CARE
FACILITY NUMBER: 364819052
VISIT DATE: 06/13/2019
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The kitchen was inspected, LPA observed that there were several lower cabinets that have child proof latches on the drawers. The child proof latches were in good condition during the time of this inspection. All medication, detergents and cleaning items are locked and made inaccessible to children. LPA observed that licensee keeps knives and sharp objects in cabinet drawers that are locked via child proof latches. Hazardous items are inaccessible to children.

There is a pantry on premises that was observed to have a child proof latch on top of the door. Other cabinets in the hallway were observed to child proof latches that are in good condition. The laundry area was inspected, cleaning detergents and cleaning compounds were observed to be locked via child proof latches. All cleaning detergents and cleaning items are inaccessible to children.

Children utilize a bathroom that located in the hallway. The bathroom was observed to be free and clear of hazardous items. The bathroom was observed to have working toilet, sink, and an ample supply of towels and soap accessible for the children to use. The bathroom was clean, sanitized and in good repair. Child proof latches were observed on the cabinet drawers and doors. No hazardous cleaning detergents or cleaning compounds were observed in the bathroom.

LPA observed there were age appropriate toys in the home. There is a playroom located in the home at the end of the hallway. Age appropriate toys and cubbies were observed in the playroom. In the playroom, LPA observed cubbies in which toys and games are stored on. Children store their belongings in cubbies that have their names on it. There is learning/education material posted on the walls of the playroom. There is a wood stove located in the playroom. The wood stove is barricaded by a metal gate and is properly gated with a latch that prevents children from accessing it.
LPA reviewed staff and children's records. All records were complete. Licensee and her assistant have a current Pediatric CPR and First Aid card that is valid until 02/2020. LPA observed that licensee and her assistant have the required immunizations for pertussis, measles, and influenza.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: PRINGLE FAMILY CHILD CARE
FACILITY NUMBER: 364819052
VISIT DATE: 06/13/2019
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All required licensing document are posted in the playroom area by the door. All electrical outlets are properly covered. The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector and carbon monoxide in operational condition. The fire extinguisher 2A10BC meets fire marshal standards and was operational during visit. The home has a working telephone service available. Per licensee, disaster/fire drills are conducted every six months. LPA observed disaster/fire drill log as current.

This facility has napping equipment in which the children can sleep on. The napping equipment/mats are in good and sanitary condition.

Area off limit include: all bedrooms, garage, and laundry room. All bedrooms were observed to have child proof latches or knobs on the doors. All bedrooms are inaccessible to children.

Licensee is not providing any medical services to children. 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

The following was discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the home. Individuals within one month of their 18th birthday must be fingerprinted immediately or at least within 30 days or less of turning 18.

Licensee and her assistant have completed the mandated reporter training AB1207.

SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
Page: 3 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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: PRINGLE FAMILY CHILD CARE
FACILITY NUMBER: 364819052
VISIT DATE: 06/13/2019
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This facility was evaluated in accordance to licensing laws and regulations to ensure the health and safety of children. No deficiencies were cited today. This facility is operating within compliance of the Title 22 Regulations.

**Licensee informed to review updates/regulations for 2017 on the department website: www.ccld.ca.gov ; AB 1207 - all child care employees must complete mandated reporter training beginning January 1, 2018; AB 1387 - and AB 2236 process to request a formal review of deficiency and establishes an appeal process for civil penalties; SB 792 - requires all staff and volunteers to show proof of immunization against influenza, pertussis and measles, and TB clearance, beginning September 1, 2016; AB 2231 Effective July 1, 2017 - Civil Penalty Amount changes. Licensee was advised of proposed safe sleep regulations.

Licensee was given a copy of the safe sleep regulations and referred to website: safe sleep regulations requirement for homes applicant was also referred to https://www.nichq.org/resource

LIC 9213- Notice of Site Visit was posted and visit report was issued during today’s visit. Notice of Site Visit must remain posted for 30 consecutive days. Failure to do so will result in an immediate civil penalty assessment of $100.

An exit interview was conducted and a copy of this report was read and discussed with licensee.
SUPERVISOR'S NAME: Mariela RamonTELEPHONE: (661) 789-6952
LICENSING EVALUATOR NAME: Victoria HuntTELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
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