364819052-8-8-2022-12-CC-KZIS-CH4URM-20220808154858

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364819052
Report Date: 08/08/2022
Date Signed: 08/08/2022 03:49:09 PM

Document Has Been Signed on 08/08/2022 03:49 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:	PRINGLE FAMILY CHILD CARE		FACILITY NUMBER:	364819052
ADMINISTRATOR:	PRINGLE, ANA S.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 221-8531
CITY:	YUCCA VALLEY	STATE: CA	ZIP CODE:	92284
CAPACITY:	14	CENSUS: 7	DATE:	08/08/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Licensee Ana Pringle		TIME COMPLETED:	03:55 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, Ana Pringle who guided analyst on a tour of the facility for the one year required inspection. This is single story home with three bedrooms, two bathrooms, kitchen, dining room, living room, laundry area, daycare room, front/backyard and detached garage. Per Licensee the living room, hallway bathroom, day care room, dining room and backyard are utilized for the family child care activities. Per licensee off-limit areas of the home are all three bedrooms, the master bathroom, and the detached garage. The off limits areas were inaccessible via latches placed 5ft high on the doors. Upon arrival, LPA observed seven children in care with the Licensee and one staff member providing supervision. Currently living in the home are the Licensee, and three adults. All adults are associated and have eligible clearances. Current days and hours of operation are Monday through Friday 6:00am to 5:30pm. 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. LPA observed cleaning products in the hallway bathroom and laundry area and pantry. The cleaning products were in a cabinet secured with child safety latches. Sharp knives were stored in a kitchen drawer equipped with a child safety latch. Per recorded documentation Fire/earthquake drills were last completed in June and July 2022, the fire extinguisher was serviced in May 2022. 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 living room is the designated area for ill children in the child care. 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: 08/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022

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: PRINGLE FAMILY CHILD CARE	FACILITY NUMBER: 364819052
	VISIT DATE: 08/08/2022

NARRATIVE

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Report continued from page one

Per Licensee, there are zero firearms stored in the home. The home has two wood burning stoves one located in the living room and one in the day care room. The wood burning stoves were each inaccessible via gates/screens. Per Licensee the wood burning stoves are not utilized. The home has zero window blinds.

Bathroom: Toilet, sink, faucet were clean and operable. The following were inaccessible: Sharp items, mouthwash, shampoo, razor, nail polish. The cabinet under the bathroom sink was equipped with cleaning products. The cleaning products were inaccessible via a child safety latch. Hygiene supplies were located in a cabinet equipped with a child safety latch.

Outdoor: The backyard is made up of areas of concrete and dirt. LPA observed multiple tables for activities, and toys for children ages toddler to school age. The stairs leading to a upper patio were blocked. The outdoor area has two storage sheds. One storage shed held chemicals and was made inaccessible via a key lock. The second storage shed had toys, games and outdoor activities for the children. The detached garage was locked and inaccessible to the children in care during this inspection. There were zero bodies of water on the premises at the time of this inspection.

Per Licensee, the family has one dog who are current on shots. Per Licensee, the dog only interacts with the child care children when supervised by a staff member.

CPR/First Aid expires 1/21/2024 and mandated reporter training expires on 02/27/2024.

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, two staff member files and two household member files. Based on LPAs record review the household, staff and child files were complete and included all required information.
Documents Provided and/or Discussed: Fire Drill Log, Roster, Postings.

The following were observed: Notification of Parents' Rights (PUB394), Roster (LIC9040), License, Emergency and Disaster Information (LIC610A). 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: 08/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: PRINGLE FAMILY CHILD CARE	FACILITY NUMBER: 364819052
	VISIT DATE: 08/08/2022

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Report continued from page two

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 Ana Pringle.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 202-3359
LICENSING EVALUATOR NAME: Kendal Zirbes	TELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022

LIC809 (FAS) - (06/04)

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