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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364841901
Report Date: 08/12/2019
Date Signed: 08/12/2019 04:31:01 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME:ARCHILA FAMILY CHILD CAREFACILITY NUMBER:
364841901
ADMINISTRATOR:VILMA ARCHILAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 628-6705
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY:14CENSUS: 12DATE:
08/12/2019
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
01:11 PM
MET WITH:Vilma ArchilaTIME COMPLETED:
04:45 PM
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On 08/12/2019 at 1:11 pm, Licensing Program Analysts (LPAs) Aaron Mabika and Victoria Hunt met with licensee, Vilma Archila. The purpose of the inspection is to conduct an Annual/Random Inspection. Licensee is license to provide care and supervision for a Large Family Child Care Home, with a capacity of 14 children. There are currently 18 children enrolled in the family child care. Present during the time of this inspection is licensee, and her spouse. Residing in the home includes: licensee, spouse, and minor children. Per licensee all adults residing in the home have obtained Criminal Record Clearances. Licensee and LPAs toured the areas of the home utilized for the Family Child Care to ensure the home is incompliance with Community Care Licensing Title 22 Regulations. The days are hours of operation are from 6.00 am to 6.00 pm. Monday through Friday.

The home is set-up as follows:
This is a single story house with 5 bedrooms, 2 bathrooms, kitchen/dining room, family/daycare room, living room, and attached garage. Per Licensee the living room, and family room/kitchen, 1 bathroom are utilized for the family child care activity area. Per licensee off-limit areas of the home is the all bedrooms, master bathroom, laundry room, and garage.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 364841901
VISIT DATE: 08/12/2019
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 Children have access to the backyard and in the backyard LPA's observed, a plastic kid's slide, several fruit trees, a basketball hoop with other age appropriate toys. LPAs did not observe a swimming pool or bodies of water on the premises. LPAs also observed in the backyard a trampoline. Per, licensee the trampoline is off limit to children due to locking mechanism is broken. LPA's obtained declaration from licensee regarding trampoline being off limits to children. Licensee will ensure that children are always supervised while outside in the backyard.

The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, poisons, detergents/cleaning compounds, medicines and hazardous items that can pose a danger to children. LPAs observed all items are made inaccessible to children under lock and key during the time of this inspection. LPAs observed age appropriate safe toys and napping equipment on the premises. Licensee stores napping equipment in the bedroom near the front door entrance. Per licensee children nap in the living room. LPAs observed all electrical outlets made inaccessible to children with safety covers. LPAs tested hot water at a safe temperature between 105-120 degrees. Per licensee, there are no weapons or firearms on the premises.

LPAs inspected the kitchen and observed that all lower cabinets and drawer have child proof latches that are in good condition. Children utilize a bathroom that is in the hallway. The bathroom was inspected and was in clean, sanitary and in good condition. There was a ample supply of towels and soap available for the children to use. There was one cabinet that was observed to have a child proof latch on it; hand soap was observed in the cabinet. There was another cabinet that was not locked and was observed to have toilet paper in it.

Incidental Medical Services (IMS) were discussed. Per licensee, the facility is not currently providing IMS. LPAs informed licensee to refer to IMS information in the 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.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 364841901
VISIT DATE: 08/12/2019
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LPA observed the required fire extinguisher (3A40BC)that was fully charged, smoke detectors and carbon monoxide devices were tested and are operable. The First Aid Kit was observed complete with supplies and first aid manual.
LPA observe licensee has current Pediatric CPR and First Aid Training with expiration date 04/06/2021. Licensee/Staff does have proof of being immunized against influenza, pertussis and measles. Per licensee transportation is being provided for children. LPA observe licensee valid California driver license with the expiration date of 07/24/2023, a current vehicle insurance with and vehicle registration. Per licensee meals and snacks are being provided to children on site at the facility.

LPAs reviewed 7 children’s records. LPAs reviewed the child care facility roster and the fire drills, earthquake drills log and documentation for both.

The following information 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 was discussed.
· Licensee was made aware that it is their responsibility to know and review updates/regulations and forms online at www.ccld.ca.gov as well as anyone who assists in providing care.
· The licensing department must have the facility’s phone number. If the phone number is changed, the licensing department must be notified.
· Licensee is aware that all adults 18 years and older living in the home or visiting for extended periods of time should have criminal background clearances. Failure to comply will result in Civil Penalty assessments.
· .
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 364841901
VISIT DATE: 08/12/2019
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On January 1, 2018 or before March 30, 2018, a person who, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the on-line mandated reporter training and shall complete renewal mandated reporter training every two years. @www.mandatedreporterca.com
· AB 290 - for each new license issued, at least one director or teacher at a child care center or family child care home shall have at least one hour of childhood nutrition training;
· Senate Bill AB 2231 Civil Penalty Amount Changes. Changes Effective 7/1/2017.
· Each report (documenting a Type A citation) shall remain posted for 30 days along with the Notice of Site Visit (printed out during this inspection). **In addition; A copy of this report must be provided to the authorized representatives of all currently enrolled children and any newly enrolled child for the following 12 months.
· The ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORTS (LIC9224) shall be signed and kept in each of the children’s records. The report shall be provided no later than the next business day or the next day the child is in care.
· Failure to meet the posting requirements shall result in an immediate $100.00 civil penalty
· Licensee is made aware that Title 22 Regulation prohibits the smoking of tobacco in a private residence that is licensed as a family child care home, and in those areas of the family day care home where children are present (24/7 ban).
· **§1597.622 Employees or volunteers at family day care home; immunization requirements; records; exemptions (a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a family day care home if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550
FACILITY NAME: ARCHILA FAMILY CHILD CARE
FACILITY NUMBER: 364841901
VISIT DATE: 08/12/2019
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· **Senate Bill AB 633 - Child Care Facilities: Parent Notification Requirements
· Summary: This bill amends Health and Safety Code (HSC) sections 1596.859, 1596.8595, 1596.8895, and 1597.05 to improve the transparency of licensing records and to ensure that parents/guardians using a licensed child care facility are aware of situations that present the greatest danger to children.
· State law prohibits baby walkers, bouncy seats, exersaucers and any other items that fall into that category.
· Licensee advised visit www.shotsforschool.org for Immunization information.
· Child Care Advocates: You can now sign up for Quarterly Updates and PINs for one or more programs through our DSS website at www.ccld.ca.gov. Click on “Receive Important Updates” located in the right middle part of the page, immediately above the Quick links. Put your email address and choose which program(s) you would like to subscribe to and click “subscribe”.

No citations were issued during this inspection. This facility meets Title 22 Regulations. Exit interview conducted with License, Vilma Archila. A copy of this report, notice of site inspection, Confidential Names List (LIC 811) were given and explained during this inspection.


SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 568-8081
LICENSING EVALUATOR NAME: Aaron MabikaTELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2019
LIC809 (FAS) - (06/04)
Page: 5 of 5