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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364840545
Report Date: 12/22/2022
Date Signed: 12/22/2022 02:22:34 PM


Document Has Been Signed on 12/22/2022 02:22 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:CRAWFORD FAMILY CHILD CAREFACILITY NUMBER:
364840545
ADMINISTRATOR:SAIYAN C CRAWFORDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 956-1301
CITY:HESPERIASTATE: CAZIP CODE:
92344
CAPACITY:14CENSUS: 2DATE:
12/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Saiyan Crawford, LicenseeTIME COMPLETED:
02:30 PM
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On December 22, 2022, Licensing Program Analyst's (LPAs) Kuliema Calloway and Andrea Pittman met with Licensee, Saiyan Crawford allowed access and guided analysts on a tour of the facility for an Annual Random inspection. Family members residing in the home include 3 adults (licensee, licensee spouse, and licensee mother) All adults living in the home have been background cleared. Present during inspection were licensee, and (licensee mother), and two children in care. Upon arrival, LPA's observed children playing. Per the licensee, the hours of operation are: Monday through Friday 6:00 a.m. to 6:00 PM. This home is considered a large family child care. Incidental Medical Services (IMS) policy was discussed.

The Home set up is as follows:
This is a single story 3-bedroom, 3-bathroom home with kitchen/dining, formal dining room, living room, laundry room, and garage. There is no pool, spa or bodies of water on the premises. All windows have screens and are free of cracks, bugs, and debris.
Main Area: Main care is provided in Living Room with an infant napping area located in the Office area. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (stored in high shelf above the oven), medicines (in cabinet in office area) and hazardous items (sharp knives in upper cabinet above the stove) that can pose a danger to children. Fire/earthquake drills complete and maintained current. Roster complete and maintained current.
Children Bathroom #3 located in the hallway on the right. The bathroom was toured and inspected sink/toilet are in operable condition. There were no poisons and medications that are made accessible to children. The bathroom was observed to be clean, sanitized, in good repair, and free and clear of hazardous items.

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SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: CRAWFORD FAMILY CHILD CARE
FACILITY NUMBER: 364840545
VISIT DATE: 12/22/2022
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Kitchen/Dining Room: The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children. In the kitchen, all sharp utensils, poisons, and medications are made inaccessible to children.
Backyard: The backyard was inspected; The backyard is fenced all around. There are no pets. Children play in the backyard. The right side has a gate with a padlock. All play toys are safe and in good repair. LPA's observed debris in the yard from a storage unit.
Off limit areas: Include all Bedrooms, Bathroom #1, Garage and Laundry. LPA observed a door lock or key lock on the door. Licensee keeps the doors locked.
Others:
AC/Heating Unit was observed. AC/Heating Unit is located on the right side of the home and is inaccessible to children.
Electrical outlets: All unused electrical outlets are plugged in and made inaccessible to children.
Fire extinguisher (2A10BC): LPA observed there is a required fire extinguisher (2A10BC) that is reading in Green and located in the kitchen inaccessible to children. It meets standards established by the State Fire Marshall.
Fireplace: The fireplace was observed in the off-limits living room and is screened to make it inaccessible to the children.
Hanging window blind cords: The cords are inaccessible to children.
Incidental Medical Services (IMS): 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 the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
The Licensee will not be providing IMS to the children at this time.
· Isolation area (Illness): Per the licensee, if the child shows signs of illness, he/she will be separated from other children and stay in the office area until the parents pick up the children.


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SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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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: CRAWFORD FAMILY CHILD CARE
FACILITY NUMBER: 364840545
VISIT DATE: 12/22/2022
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· Medications and cleaning solutions: Detergents/cleaning compounds are in the upper kitchen cabinet. Medications are in the off-limits bedroom.
· Napping: Children will nap in the designated nap areas with adult supervision. LPA observed ten mats in the corner of the day care area.
· Safe Sleep: Always place infant on their back for sleep or naps. No pillows, blankets, toys inside the crib. Firm mattress with fitted sheet, no crib bumpers or sheepskins. Dress baby in a one-piece sleeper.
· Overnight Care: Per licensee, she does provide overnight care for twenty-three (23) hours Monday-Sunday.
· Pets: None.
· Phone service: There is a working landline or cell phone.
· Smoke Detectors and Carbon Monoxide: The smoke detectors and carbon monoxide devices were tested and are operable.
· The First Aid kit is located in the office on a high shelf inaccessible to children. The First Aid Kit was observed complete with supplies and a first aid manual.
· Transportation: The licensee does not provide transportation for children.
· Weapons or Firearms: Per Licensee, there are No Firearms at the facility at this time. LPA did not observe any firearms.

Documentation:
· Child files: LPA reviewed and observed two (2) children's files containing all required licensing documents.
· CPR/First Aid: LPA observed licensee has current Pediatric CPR and First Aid Training with expiration date 11/17/2022, 1 hour of nutrition training, (8) hours of Preventive Health and Safety Training.
· Criminal Record: Per Guardian, all adults who live in this facility have a criminal record clearance.


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SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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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: CRAWFORD FAMILY CHILD CARE
FACILITY NUMBER: 364840545
VISIT DATE: 12/22/2022
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·Facility fees: Per Licensing Information System, facility annual fees were current.
· Fire Drill and Disaster Drill: Per the licensee, fire and disaster drills are conducted every 6 months; the last drill was documented and conducted on 12/6/2022.
· Immunization: The licensee has the required immunization (MMR and DTAP, and Influenza).
· Infant Sleeping Plan (LIC 9227) and Sleeping Log: LPA’s observed no infants in care today. LPA shared the Safe Sleeping Regulation with the licensee was provided a LIC 9227 sleep log.
· The licensee has posted as required the Facility License, Emergency Disaster plan, Earthquake Preparedness, and Parent's Rights Poster
· Mandated Reporter Training: The licensee has completed and renewed the online mandated reporter training at www.mandatedreporterca.com on 11/18/2022.
· Staff Personnel File: LPA observed 1 staff information file. LPA observed LIC 508, 9052, IZ, TB test, LIC 9108, Mandated Reporter Training, and CPR/First Aid certificates. The file contained all required licensing documents.
· Staffing Ratio and Capacity: This is a small/large family childcare facility. LPA observed two (2) children (one toddler and one kindergarten child) during the inspection.
Ø The following information was discussed with the licensee:
ü Mandatory Forms for the children’s files and provider’s files.
ü Requirements for fire drills, earthquake drills, and documentation for both.
ü The licensee is reminded that 100% supervision is required for children at all times.
ü Capacity requirements, Roster requirements, Posting requirements, and Documentation requirements for disaster drills (fire and earthquake). Mandatory Forms for the children’s files and provider’s files, and Safe Sleep Awareness. The role and responsibilities of being a mandated reporter were reviewed. The licensee was reminded that supervision is always required for children in care.
ü Licensee was made aware that it is their responsibility to know the regulations as well as anyone who assists in providing care. Licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must always have the facility’s phone number; if the phone number is changed, licensing must be notified.

Continued on 809 C
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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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: CRAWFORD FAMILY CHILD CARE
FACILITY NUMBER: 364840545
VISIT DATE: 12/22/2022
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Licensee was advised of the requirement to report unusual incidents and/or injuries to the parent/guardian and Licensing within the time frame specified by the regulation and on the form LIC624B
ü The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-422-4453. Also, call the CCL office and follow up with a written Unusual Incident/Injury Report (LIC 624B).
ü Criminal Record Statement: 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 the 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.
ü Safe Sleep: LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://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.
ü Notice of Site Visit: A notice of site visit was given and must remain posted for 30 days.
ü Posting Requirements: Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
ü Also, LPA Calloway informed the licensee to provide a copy of this licensing report dated 12/22/2022 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

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SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
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: CRAWFORD FAMILY CHILD CARE
FACILITY NUMBER: 364840545
VISIT DATE: 12/22/2022
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üThe 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.
ü Licensee was advised to visit the CCL website (www.ccld.ca.gov) to obtain updates of courses and updates/changes to the regulations.
n Our Quarterly updates come out every 3 months they are also now in Spanish please log in to the CCLD website or you can email our advocates to have the quarterly updates sent directly to your email. Child Care Advocates information: www.childcareadvocatesprogram@cdss.ca.gov

ü The Duty Worker is available for questions Monday through Friday at (661) 202-3318 from 8:00 AM - 5:00 PM. Safe Sleep Proposed Regulations was provided to Licensee.

Licensee will send a photo to LPA that the debris from the storage unit has been removed.

No deficiencies are being cited at this time, the facility complies with Title 22 Regulations.


Exit interview conducted and a copy of the report was reviewed and left with with the licensee, Saiyan Crawford.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kuliema CallowayTELEPHONE: (661) 202-3381
LICENSING EVALUATOR SIGNATURE:

DATE: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/22/2022
LIC809 (FAS) - (06/04)
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