364843735-11-6-2019-12-CC-SMOA-BHNPPX-20191106103016

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364843735
Report Date: 11/06/2019
Date Signed: 11/06/2019 10:30:31 AM

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:	FIGUEROA DE GARCIA FAMILY CHILD CARE		FACILITY NUMBER:	364843735
ADMINISTRATOR:	IRMA FIGUEROA DE GARCIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(760) 244-3732
CITY:	HESPERIA	STATE: CA	ZIP CODE:	92345
CAPACITY:	14	CENSUS: 4	DATE:	11/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:29 AM
MET WITH:	Irma Figueros		TIME COMPLETED:	10:35 AM

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) Steven Montoya met with licensee Irma Figueroa. 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 for the capacity of 14 children. There are (11) children enrolled in the family child care and 4 present during the time of this inspection. Licensee, spouse, 1 adult son reside in the home and have all Criminal Record Clearance. LPA 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: Monday Thru Sunday (6:00 am- 8:00 pm) The home is set-up as follows: This is a single story house with 4 bedrooms, 3 bathrooms, kitchen/dining room, living room, and attached garage. Per Licensee the living room, kitchen, 1 bathroom, 1 bedroom and backyard is utilized for the family child care activity area. Per licensee off-limit areas of the home is the 3 bedrooms, 2 bathrooms and garage.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 789-8932
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

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: FIGUEROA DE GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 364843735
	VISIT DATE: 11/06/2019

NARRATIVE

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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 items are made inaccessible to children during the time of this inspection. Per licensee meals and snacks are being provided to children. LPA observed age appropriate safe toys and napping equipment on the premises. Per licensee children nap in the one bedroom. LPA observed all electrical outlets made inaccessible to children with safety covers. The home has a current roster of the children in care. There are (4) children present during today’s inspection. Per licensee, there are no weapons or firearms on the premises. LPA did not observe a swimming pool or bodies of water on the premises. LPA observe in the backyard swing set which is not anchored in the ground).

LPA observed the required fire extinguisher (2A10BC) fully charged, smoke detectors and carbon monoxide devices tested 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 (01/2020) (3) hours of Preventive Health and Safety Training. Licensee 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 11-19-2020, vehicle insurance with expiration date unknown and vehicle registration with the expiration date of 07-02-2020. Licensee will provide vehicle insurance via email within 5 days.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 789-8932
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

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: FIGUEROA DE GARCIA FAMILY CHILD CARE	FACILITY NUMBER: 364843735
	VISIT DATE: 11/06/2019

NARRATIVE

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LPA reviewed 3 children’s records. LPA reviewed the child care facility roster and the fire drills, earthquake drills log and documentation for both. Incidental Medical Services (IMS) were discussed. Per licensee, the facility is not currently providing IMS. LPA 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.

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.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 789-8932
LICENSING EVALUATOR SIGNATURE:	DATE: 11/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/06/2019

LIC809 (FAS) - (06/04)

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