364841901-2-25-2020-12-CC-VHUT-BM5SH6-20200225125301

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364841901
Report Date: 02/25/2020
Date Signed: 02/25/2020 12:53:13 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME:	ARCHILA FAMILY CHILD CARE		FACILITY NUMBER:	364841901
ADMINISTRATOR:	VILMA ARCHILA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 628-6705
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92395
CAPACITY:	14	CENSUS: 5	DATE:	02/25/2020
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Vilma Archilla		TIME COMPLETED:	12:52 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	Licensing Program Analyst (LPA) Hunt conducted an unannounced case management other inspection at the above facility. LPA discussed the purpose of the visit and met with licensee, Vilma Archilla who guided LPA on a tour of the facility. An inspection is being conducted due to the facility's compliance history. During the time of this inspection licensee had 5 children in care. There were a total of two infants and three preschool children. Children were observed to be coloring in the playroom located in the by the front door. The licensee's assistant was present during the time of this inspection. Residing in the home includes: adult (licensee), her spouse, and minor children. Per LIS, facility annual fees are current. All adults living in the home have been background cleared. Licensee was operating facility within ratio during the time of inspection. Licensee was observed providing adequate supervision at the time of the inspection. This facility operates from 6:00 am- 6:00 pm Monday thru Friday. This family child care facility is a single story home with 5 bedrooms, 2 bathrooms. There is a kitchen, living room, dining room, laundry room, and an attached garage. The garage was inspected during this inspection. The garage was observed to locked during the time of this inspection by a child proof security knob that was located on the door. The garage is used for storage only, the garage is off limits to children. Main care is conducted in the, family room (playroom), and the living room (infant area and additional playroom), and the backyard. In the family room, LPA observed age appropriate toys and furniture for the children. There are cubbies and storage shelves in which games and toys are stored on. The toys and games were observed to be in good condition at the time of this inspection.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARCHILA FAMILY CHILD CARE	FACILITY NUMBER: 364841901
	VISIT DATE: 02/25/2020

NARRATIVE

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There are cubbies in which children can store their belongings. Learning and educational material was observed to be posted on the walls of the playroom. There are books, games, and a small changing table with 1 inch padding was observed in the room. The changing table was in good and sanitary condition. The playroom was set up like a classroom and there were several small tables in which child can use for coloring or completing art projects. There is an office adjacent the playroom that was observed to be locked with a child proof knobs on door.

The living room was inspected the room was observed to have a mounted TV which plays educational videos for the children. Underneath the TV a 25 lb fish tank was observed to have a lid/cover that was properly secure. The fish tank is inaccessible to children. A fireplace was observed in the room, the fireplace is inaccessible to children it was observe to have glass panel doors on it. There is a small enclosed barricade for small infants that was observed to have toys in it.

The kitchen was inspected to ensure hazardous and dangerous items were inaccessible to children. LPA observed in the kitchen there is a pantry that was locked which stored knives and other shap objects. All knives and sharp objects are inaccessible to children. All cabinets and drawers were inspected and hazardous and or dangerous items are accessible to children. There are five high chairs observed in the kitchen used for feeding small children. The high chairs were free or crack and appeared to be in good condition at the time of this inspection. All napping equipment on premises was in good and sanitary condition, there are six napping mats and small play pins were observed in a office that is locked by a child proof security knob.

Children utilize a bathroom that located in the hallway. The bathroom was observed to be free and clear of hazardous items. The bathroom was observed to have working toilet, sink, and an ample supply of towels and soap accessible for the children to use. There are two cabinet doors locked via a child proof security latch. The cabinets were observed to have shampoo and other items inaccessible to children. All security latches observed in the bathroom were in good condition. The bathroom was clean, sanitized and in good repair.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARCHILA FAMILY CHILD CARE	FACILITY NUMBER: 364841901
	VISIT DATE: 02/25/2020

NARRATIVE

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All cleaning compounds/detergents were stored so that they are inaccessible to children. All cleaning compounds are stored in the laundry room that was observe to have a chain link lock on the top right side of the door.

Child have access to the backyard area. The backyard is concrete landscaping and is completely surrounded by brick fencing. LPA observed several toys in the back yard area in which children have access to ( several small play houses, and other toys). All toys were inspected and were in good condition free of cracks or loose articles. There is a trampoline on the backyard that was observed to be lock. Children do not play on the trampoline in the backyard.

Licensing documents were observed to be posted in the family room (playroom area). All electrical outlets were properly covered. The home is clean, orderly, comfortable and well ventilated. LPA observed a working smoke detector and carbon monoxide in operational condition. There is a fire extinguisher, 2A10BC that meets fire marshal standards. The fire extinguisher was operational during the visit. The home has a working telephone service available. Per licensee, disaster/fire drills are conducted every six months. LPA observed disaster/fire drill log as current.

This home was clean, orderly and comfortable for children in care. This facility has a first aid kit on premises. LPA observed that licensee has a valid Pediatric CPR and First Aid card that expires on 04/2021. Licensee's assistant Pediatric CPR and First Aid card that expires on 04/2021. This facility has a current roster. All children records were reviewed and were complete.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARCHILA FAMILY CHILD CARE	FACILITY NUMBER: 364841901
	VISIT DATE: 02/25/2020

NARRATIVE

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Per licensee there are no weapons or firearms on the premise. There are no pools or bodies of water on premises at this facility. Areas off limit include: bedrooms, office, garage, and laundry room.

Licensee is not providing any medical services to children. 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

The following was discussed: Individuals who are 18 years of age or older living in the home must be finger print cleared prior to being in the home. Individuals within one month of their 18^th birthday must be fingerprinted immediately or at least within 30 days or less of turning 18.

There shall be no smoking, no infant walkers, johnny jumpers, exersaucers and any other item that falls into that category. Also discussed were earthquake, fire & disaster drills shall be documented at least once every six months. Posting requirements were discussed such as the posting of the Parent’s Rights poster in a visible location for the children’s authorized representatives. Children records requirements, mandated child abuse and injury/ death reporting, background check clearance transfer requirements, SIDS, Infants Safe Sleep on Back, and Never Shake A Baby were all discussed. Licensee agrees children shall be positioned for sleep on their back.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: ARCHILA FAMILY CHILD CARE	FACILITY NUMBER: 364841901
	VISIT DATE: 02/25/2020

NARRATIVE

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Licensee and staff have the required immunizations for pertussis, measles, and influenza.

**Licensee informed to review updates/regulations for 2016/2017/2018 on the department website: www.ccld.ca.gov ; AB 1207 - all child care employees must complete mandated reporter training beginning January 1, 2018; AB 1387 - and AB 2236 process to request a formal review of deficiency and establishes an appeal process for civil penalties; SB 792 - requires all staff and volunteers to show proof of immunization against influenza, pertussis and measles, and TB clearance, beginning September 1, 2016; AB 2231 Effective July 1, 2017 - Civil Penalty Amount changes. LPA reviewed and discussed Proposed Safe Sleep Guide and Regulations. An updated LIC394, Parent's Right Notification was given to licensee at the time of this inspection.

No deficiencies were cited today, this facility was found to be operating in substantial compliance of Title 22 Regulations. A copy of this report was discussed and left with licensee.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Victoria Hunt	TELEPHONE: (661) 568-8930
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2020

LIC809 (FAS) - (06/04)

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