364843612-3-4-2020-12-CC-AMAA-BME3EQ-20200304171131

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364843612
Report Date: 03/04/2020
Date Signed: 03/04/2020 05:11:41 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:	TERRAZAS FAMILY CHILD CARE		FACILITY NUMBER:	364843612
ADMINISTRATOR:	DELIA TERRAZAS		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 977-0095
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92344
CAPACITY:	14	CENSUS: 0	DATE:	03/04/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Delia Terrazas		TIME COMPLETED:	05:22 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 the above date and time Licensing Program Analyst (LPA) Aaron Mabika met with licensee Delia Terrazzas and access was granted. The purpose of the inspection is to conduct a Safety Inspection. Licensee is licensed to provide care and supervision for a Large Family Child Care for the capacity of 14 children and has a dual license. Per licensee's spouse currently there are currently only foster children enrolled in the family child care. Present during the time of this inspection is licensee, , spouse and 5 foster children and 1 grandson (30 minutes to 2 hours a day after school). Per licensee residing in the home on the above is licensee, spouse 1 son, one grandson and 5 foster children. Per licensee, all adults residing in the home have a Criminal Record Clearance. Licensee and LPA toured the areas of the home utilized for the Family Child Care to ensure the home is in compliance with Community Care Licensing Title 22 Regulations. The days and hours of operation are originally 24/7 before taking a break from day care. The home is set-up as follows: This is a two story house with 6 bedrooms, 3 bathrooms, kitchen/dining room, living room, and attached garage. Per Licensee the living room, dining room and one bathroom is utilized for the family child care activity area. Per licensee off-limit areas of the home is the whole upstairs bedrooms and garage. Licensee states she had gates separating the downstairs and the stairways. 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. LPA observed all cleaning agents and laundry detergents were locked up in the upstairs laundry room and made inaccessible to children during the time of this inspection. LPA observed that all the sharps were locked in a high cabinet above the stove and micro wave with a magnetic lock. All the bedrooms were inspected for safety and there were no dangerous items observed in all the 5 bedrooms upstairs.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: TERRAZAS FAMILY CHILD CARE	FACILITY NUMBER: 364843612
	VISIT DATE: 03/04/2020

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
26
27
28
29
30
31
32

The bathrooms too did not show evidence of dangerous items and substances in the drawers. LPA observed age appropriate safe toys and napping equipment (6 pieces) stacked in the day care room. Per licensee, children nap in the day care room. LPA observed all electrical outlets made inaccessible to children with safety covers. LPA observed some marks of a safety gate on the stairs, now stored in the garage (per licensee). There was a treadmill in the second living room and Licensee stated that there was a gate blocking off the living rooms when Licensee had day care children. There are 5 foster children present during today’s inspection. LPA tested hot water at a safe temperature between 105-120 degrees. Per licensee, there are no weapons or firearms on the premises. No swimming pool on the premises. LPA observed artificial turf, a slide set, 4 trees, a grill in the garage (with a propane tank inside). Licensee's spouse states he has not used it and is going to give it away.

Incidental Medical Services (IMS) were discussed. Per licensee, the facility is not currently providing IMS as there are no children requiring that service for now.

LPA observed the required fire extinguisher (2A10BC) fully charged with a service date of February 3, 2020; smoke detectors and carbon monoxide devices that tested operable. The First Aid Kit was observed complete with supplies and first aid manual (locked up in a steel cabinet along with medications).
LPA observed licensee has current Pediatric CPR and First Aid Training completed on February 2, 2020, 1 hour of nutrition training, (7) hours of Preventive Health and Safety Training. Licensee/Staff has proof of being immunized against influenza, pertussis and measles. Licensee provided a written statement declining the influenza vaccination. Per licensee transportation is being provided for children. LPA observed licensee valid California driver license with the expiration date of 06/03/2025 ( Spouse 10/24/2024), vehicle insurance with expiration date 12/22/2020 and vehicle registration with the expiration date of 12/08/2020. Per licensee meals and snacks are being provided to children in care (when they resume day care).

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: TERRAZAS FAMILY CHILD CARE	FACILITY NUMBER: 364843612
	VISIT DATE: 03/04/2020

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
26
27
28
29
30
31
32

LPA reviewed 0 children’s records as there were no children in care save for foster children. LPA reviewed the child care facility roster and the fire drills , earthquake drills logs are completed every 6 months and documentation for both is on display.
· 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 (Completed 02/22/2020)

No deficiencies were cited according to the Health & Safety codes. Licensee stated she informed CCL about her break from providing care and stopped officially on November 22, 2019. When they are ready to resume, Licensee was advised to contact CCL The fees are current, per Licensee. Licensee is not so sure if the application to go Inactive reached CCL. On the whole, the safety check was in line with licensing standards.
Exit interview conducted with Licensee Delia Terrazas. A copy of this report, notice of site inspection, were given and explained during this inspection. Notice of Site Visit has been posted (LIC9213). The notice shall be posted for 30 consecutive days. Failure to maintain posting as required will result in a $100.00 civil penalty. Copies of this report must be posted for 30 days in visible location the authorized representatives of children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Aaron Mabika	TELEPHONE: (661) 305-7599
LICENSING EVALUATOR SIGNATURE:	DATE: 03/04/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3