364841498-8-9-2023-12-CC-KDIZ-CUJQDG-20230809120442

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364841498
Report Date: 08/09/2023
Date Signed: 08/09/2023 12:09:25 PM

Document Has Been Signed on 08/09/2023 12:09 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:	CRISTALES FAMILY CHILD CARE		FACILITY NUMBER:	364841498
ADMINISTRATOR:	CRISTALES, PATRICIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 669-5988
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	14	CENSUS: 0	DATE:	08/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Patricia Cristales		TIME COMPLETED:	12:12 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	On 8.9.23, Licensing Program Analyst (LPA) Kris Diaz met with the Licensee, Patricia Cristales for an unannounced annual/random inspection. The licensee gave the LPA access to the home and LPA inspected the home for safety. People who reside in the home are the licensee, her spouse, her adult son (visiting from college), and her minor son (14). Both adults have fingerprint clearance. The licensee has the required immunizations against pertussis (TDAP), measles (MMR) and has a signed statement declining the flu vaccine. At the time of the visit Licensee had no children in care. Per licensee, she has not had children in care since prior to the pandemic in 2019. LPA reminded licensee that 100% supervision required at all times when children in care. Per the licensee, the large family childcare home operates 6:00am-6:00pm Mon-Fri. Per licensee, she has not paid licensing fees due to current divorce proceedings. Licensee may be interested in changing status to inactive. LPA provided LIC 9211 for licensee to submit after fees are paid in full. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have childcare children who need IMS currently. This is a two story 6-bedroom, 3-bathroom home with kitchen, living room, family room, laundry room, loft and garage. The garage is used for storage only and no childcare activities are conducted there. There is a pool/or body of water on the premises. LPA observed Jacuzzi has a cover with a lock to make it inaccessible to children. Children have access to bathroom in kitchen. LPA observed age-appropriate toys, books, play structures, and activities in the childcare area and backyard. Off-limits areas include the home's entire upstairs, downstairs bedroom (only used for napping), and the garage. The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds (kept in kitchen cabinet under sink with safety latch), medicines (kept in locked pantry), and hazardous items that can pose a danger to children. Sharp knives are kept in upper kitchen cabinet above stove inaccessible to children. The facility roster is complete and maintained current.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina Diaz	TELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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: CRISTALES FAMILY CHILD CARE	FACILITY NUMBER: 364841498
	VISIT DATE: 08/09/2023

NARRATIVE

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Per licensee fire/earthquake drills are kept current. LPA observed fire/earthquake drills log from last time children were in care. The licensee has a small dog that does not interact with the children.

Per licensee, there are no weapons or firearms of any kind in the home. The LPA did not observe any weapons. Children nap in the childcare room. Mats and blankets are provided. The required fire extinguisher (2A10BC), smoke detector and carbon monoxide detector are in operable condition. Home has central air and heat. LPA advised licensee to complete Pediatric CPR/First aid as soon as possible and prior to going on inactive status. The licensee has a first aid kit in the childcare room that is inaccessible to children. LPA advised licensee to purchase new First aid kit. LPA observed the parent board and required documents are posted. The licensee was reminded that Mandated Reporter Training for childcare must be completed by licensees and any adults assisting in the childcare home every 2 years. LPA reminded licensee that inactive status will not be granted until training is completed, and proof is provided to LPA.

The following was discussed with the licensee:

Mandatory Forms for the children’s files and provider’s files, Requirements for fire drills, earthquake drills and documentation for both. Role and responsibilities of being a mandated reporter were reviewed. Licensee reminded that 100% supervision is required at all times to children in care. The licensee was advised how to access forms and Regulations for Family Child Care online at www.ccld.ca.gov. Licensee was made aware that it is her responsibility to know the regulations as well as anyone who assists in providing care. The licensee was advised that inaccessibility of hazards must be constantly reassessed depending on the children in care. Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified. 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 childcare 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.

Requirements for fingerprint clearances and associations were discussed with the licensee. Licensee can be cited a civil penalty of $100 per day, up to $500.00 for the 1st offense and up to $3000.00 for the 2nd offense within a 12-month period, PER PERSON.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina Diaz	TELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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: CRISTALES FAMILY CHILD CARE	FACILITY NUMBER: 364841498
	VISIT DATE: 08/09/2023

NARRATIVE

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Beginning on January 1, 2018, Assembly Bill 1207 (2015) requires all licensed providers, licensees, directors, and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. Licensees must meet requirements as a precondition to licensure. New employees shall have 90 days from date of employment to complete training as required. The training may be conducted at the following website www.mandatedreporterca.com.

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

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. Handout of Safe Sleep Concepts was given to the licensee.

Licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent and a copy of the Acknowledgment of receipt of licensing report (LIC9224) must be kept in each child's file. In addition, any child enrolled within the following 12 months must also receive a copy of the Type A Citation.

Exit interview was conducted, report was read with and provided to Licensee on this date.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Kristina Diaz	TELEPHONE: (661) 202-3372
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

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