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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841806
Report Date: 08/10/2023
Date Signed: 08/10/2023 02:14:06 PM

Document Has Been Signed on 08/10/2023 02:14 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:RUSTON FAMILY CHILD CAREFACILITY NUMBER:
364841806
ADMINISTRATOR:DIANA RUSTONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 680-9583
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
08/10/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:31 AM
MET WITH:Diana RustonTIME COMPLETED:
02:12 PM
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On 8.10.23, Licensing Program Analyst (LPA) Kris Diaz met with the Licensee, Diana Ruston for an unannounced annual/random inspection. The licensee gave the LPA access to the home and guided a tour of the childcare area. People who reside in the home are the licensee, her spouse, her 2 adult daughters, and her minor child (12). Three of the four adults have fingerprint clearance. Licensees’ other adult daughter turned 18 on 8.1.23 and is in process of applying for fingerprint clearance. The licensee has the required immunizations against pertussis (TDAP), measles (MMR) and a flu declination is on file. At the time of the visit LPA observed 3 children in care (all under 24 mos). LPA reminded licensee that 100% supervision required at all times when children in care. Per the licensee, the large family childcare home (FCCH) operates 24 hours. LPA reminded licensee that staff should be awake when children are awake. Incidental Medical Services (IMS) were discussed. Per the licensee, she does not have childcare children who need IMS currently.

This is a two story 5-bedroom, 3-bathroom home with kitchen, living room, garage, and addition to the home that is used for childcare. All childcare activities are conducted in the additional area of the home that includes a restroom that the children have access to. The garage is used for storage and laundry only and no childcare activities are conducted there. Children have access to the backyard from the childcare area. The entire home is off-limits to the children and made inaccessible with double doors that have hook lock. There is no pool, spa or additional bodies of water on the premises. LPA discussed the large FCCH Single Action Door Handle Requirements and provided licensee with PIN 23-11-CCP.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds (kept in cabinet under sink and made inaccessible with large padlock, medicines (kept in off-limits area made inaccessible with double doors that lock with hook), and hazardous items that can pose a danger to children.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE: DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2023
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: RUSTON FAMILY CHILD CARE
FACILITY NUMBER: 364841806
VISIT DATE: 08/10/2023
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Sharp knives are kept in the upper cabinet in the kitchenette area inaccessible to children. The facility roster is complete and maintained current. Per licensee fire/earthquake drills are kept current. LPA observed current fire/earthquake drills log. The licensee has a dog that remains in the off-limits area of the home.

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. Pediatric CPR/First aid is current and expires 1/24. All assistants have CPR/First aid that is current. LPA advised licensee to have staff complete the Preventive Health Practices training. Licensee has a first aid kit in the childcare room that is inaccessible to children. LPA observed the parent board and required documents are posted. The licensee has current Mandated Reporter Training that expires 8/25.

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. LPA provided licensee with sample packet of licensing forms and records requirements. Role and responsibilities of being a mandated reporter were reviewed. 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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023
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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: RUSTON FAMILY CHILD CARE
FACILITY NUMBER: 364841806
VISIT DATE: 08/10/2023
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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.
SUPERVISORS NAME: Claretta Yates
LICENSING EVALUATOR NAME: Kristina Diaz
LICENSING EVALUATOR SIGNATURE:

DATE: 08/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/10/2023 02:14 PM - It Cannot Be Edited


Created By: Kristina Diaz On 08/10/2023 at 01:28 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: RUSTON FAMILY CHILD CARE
FACILITY NUMBER: 364841806

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
102418(g)
Immunizations
(g) The licensee shall document each child's immunizations as required by the California Code of Regulations, Title 17, Section 6070, and shall maintain such documentation for as long as the child is enrolled.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in children's files which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/25/2023
Plan of Correction
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LPA reviewed regulations regarding documentation of each child's immunizations or the requirement to show proof of enrollment in public or private school. Licensee stated she has sent text messages to parents of all children whose files do not have immunization or proof of enrollment. Licensee stated she will provide proof of correction by the above POC due date or contact LPA to request extension to complete.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Claretta Yates
LICENSING EVALUATOR NAME:Kristina Diaz
LICENSING EVALUATOR SIGNATURE:
DATE: 08/10/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2023


LIC809 (FAS) - (06/04)
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