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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364819052
Report Date: 03/05/2024
Date Signed: 03/05/2024 02:40:12 PM


Document Has Been Signed on 03/05/2024 02:40 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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551



FACILITY NAME:PRINGLE FAMILY CHILD CAREFACILITY NUMBER:
364819052
ADMINISTRATOR:PRINGLE, ANA S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 221-8531
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY:14CENSUS: 7DATE:
03/05/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Licensee Ana PringleTIME COMPLETED:
02:50 PM
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On March 5, 2024 at 11:10 a.m., Licensing Program Analyst (LPA) Zirbes met with Licensee Ana Pringle who guided analyst on a tour of the home for the Required three year inspection. This is single story home with three bedrooms, two bathrooms, kitchen, dining room, living room, daycare room, front/backyard and detached garage. Per Licensee the living room, hallway bathroom, daycare room, dining room, laundry area 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, the front yard and the detached garage. The off limits areas were inaccessible via latches placed 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 one adult. 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 were stored in a bathroom cabinet and closet in the laundry area. The cleaning products were made inaccessible via child safety latches. Knives and sharp kitchen items were stored in a kitchen drawer equipped with a child safety lock. Household medications were stored in a inaccessible shelf in the kitchen and within the off limits master bathroom. The fire extinguisher was serviced in May 2023. Safe and age appropriate toys, play equipment and materials were present. LPA observed a smoke detector and carbon monoxide detectors throughout the home. The home has heating and air conditioning and was a comfortable temperature at the time of this inspection. There are two wood burning stoves in the home. One was located in the daycare room and the other was located in the living room. Both wood burning stoves were inaccessible via a fire place screen or a gate. Per Licensee the wood burning stoves are not utilized during child care hours. LPA did not observe baby bouncers/saucer chairs, or any recalled and or prohibited toys were observed on the premises
Report continued on page
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:
DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/05/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PRINGLE FAMILY CHILD CARE
FACILITY NUMBER: 364819052
VISIT DATE: 03/05/2024
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Per Licensee, there are zero firearms stored in the FCCH.

Bathroom (located in the hallway of the home): Toilet, sink, shower/tub were clean and operable. Cleaning products were stored in a cabinet equipped with a latch and were inaccessible. LPA reminded the Licensee to ensure all shampoos and personal hygiene materials are inaccessible to the children in care.

Outdoor: The backyard has on limit and off limit areas. The off limits areas are behind the detached garage, side of home and the upper patio. The off limit areas were inaccessible via gates. The on limit activity space has shaded areas, dirt areas and concrete play spaces. LPA observed multiple tables for activities, dramatic play houses, tiny tikes cars and toys for children. The outdoor area has two storage sheds. One storage shed held chemicals and was made inaccessible via a high inaccessible latch. 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, there is one dog and one cat on the property. Per Licensee the dog and cat do interact with the child care children. Licensee stated the dog and cat are current on shots and licensing.

LPA reviewed five child files and the Licensee file, one staff member file, and one household member file. Per LPA review, all files were complete and contained the required documentation.



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. Per recorded documentation the last fire drill occurred in January 2024.
The following was discussed with the licensee:

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.


Report continued on page three
SUPERVISOR'S NAME: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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
PALMDALE CHILD CARE, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: PRINGLE FAMILY CHILD CARE
FACILITY NUMBER: 364819052
VISIT DATE: 03/05/2024
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Report continued from page two

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-andresources/
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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During the exit interview, the Licensee Ana Pringle, confirmed that there are no Registered Sex
Offenders living in the facility and LPA completed the RSO profile in FAS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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: Lady KingTELEPHONE: (310) 568-1824
LICENSING EVALUATOR NAME: Kendal ZirbesTELEPHONE: (661) 202-3491
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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