364844470-9-13-2023-12-CC-JTAO-CVMPYN-20230913114413

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364844470
Report Date: 09/13/2023
Date Signed: 09/13/2023 11:44:22 AM

Document Has Been Signed on 09/13/2023 11:44 AM - It Cannot Be Edited

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:	CATO FAMILY CHILD CARE		FACILITY NUMBER:	364844470
ADMINISTRATOR:	CATO, RAYNECIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 583-4793
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92394
CAPACITY:	14	CENSUS: 5	DATE:	09/13/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Raynecia Cato,Licensee		TIME COMPLETED:	12:10 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 09/13/2023, Licensing Program Analyst (LPA) Justeene Tamayo met with Licensee, Raynecia Cato who guided analyst on a tour of the facility for the One Year Required inspection. This is a two story, 4 bedroom, 3 bathroom home with kitchen/dining, family room, living room, loft, laundry room and garage. There is an above ground swimming pool on the premises that is currently empty and not in use.. Upon arrival LPA observed 2 infants and 3 preschool children in care. Family members residing in the home include 2 adults (licensee and licensee's fiance) and 2 minor children. Facility operation are Monday-Sunday for less than 24 hours a day. Incidental Medical Services (IMS) policy was discussed. Physical Plant: Main care is provided in the family room area. Children use the bathroom in hallway on the leff near the living room. Children only have access to family room area. LPA observed the family room to be fully barricaded by safety gate. Off limit areas include living room, all bedrooms (key locked), bathrooms #2 and #3, entire upstairs, laundry room(barricaded by safety gate), and garage. The home was inspected inside and out for safety, clean and orderly, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents/cleaning compounds (under kitchen sink with safety latch), medicines (master bedroom off-limits) and hazardous items (sharp knives in upper kitchen cabinet) that can pose a danger to children. Fireplace is screened. Safe and age appropriate toys, play equipment and materials were observed. The smoke detector and carbon monoxide detector, Fire Extinguisher (2A10BC) are in operable condition. Per Licensee no one smokes in the home. Electrical outlets are inaccessible, no baby bouncers saucer chairs, or any recalled and or prohibited toys or sleep/ play equipment were observed on the premises. There is a designated area for ill children as necessary in living room. Per Licensee there are no weapon/firearms in the home. The facility sketch is complete and current, there is working telephone (cell).

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551

FACILITY NAME: CATO FAMILY CHILD CARE	FACILITY NUMBER: 364844470
	VISIT DATE: 09/13/2023

NARRATIVE

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Fire/earthquake drills complete and maintained current. Last fire/earthquake drill was completed on 08/30/2023. Roster complete and maintained current. There are age appropriate napping mat equipment. Children nap on cots in family room area.

Bathroom: Shower/tub are free of hazards (child care bathroom). LPA did not observe any hazardous items in the children's bathroom. Toilet and faucet are clean and operable. Kitchen sink is safety latched.

Kitchen: Sharp utensils, open bottles or alcohol are inaccessible. If food is brought from the children’s home, the container shall be labeled with the child’s name and properly stored or refrigerated. The home has a clean and fully stocked refrigerator/freezer. Breakfast, lunch, snack and dinner are provided. Licensee currently does not have a food program.

Outdoor: At this time, the backyard is currently off limits to day care children and is currently being worked on. The backyard is completely fenced (with block cement). LPA observed an above ground swimming pool that is currently empty and not in use. LPA reminded licensee the pool cover must hold the weight of an adult. Licensee will either barricade the above ground pool completely or purchase a cover that holds the weight of an adult. Licensee will inform LPA of when above swimming pool is finished. LPA observed an outdoor air-conditioner accessible to day care children. Licensee will either purchase a safety gate or mesh covering for the outdoor air conditioner. LPA observed age appropriate toys. LPA did not observe any pets on the premises.

Advisory/Other: First Aid kit was observed with supplies readily available. CPR/First Aid expires 11/10/2023. Mandated Reporter training expires 03/07/2024. There are no window cords accessible to children.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

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: CATO FAMILY CHILD CARE	FACILITY NUMBER: 364844470
	VISIT DATE: 09/13/2023

NARRATIVE

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Documents Provided and or Discussed: Fire Drill Log, Roster, Postings, Safe Sleep Log, Safe Sleep PIN 20-24-CCP, and Individual Sleeping Plan (LIC9227). Licensee stated currently does not have child care insurance.

Licensee Cato was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee Cato and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

No deficiencies have been cited at this time.

A notice of site visit was given to licensee and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100

Exit interview conducted and report was reviewed with the licensee Raynecia Cato, along with her appeal rights and Notice of Site Visit.

SUPERVISOR'S NAME: Mariela Ramon	TELEPHONE: (661) 202-3798
LICENSING EVALUATOR NAME: Justeene Tamayo	TELEPHONE: 661-202-3796
LICENSING EVALUATOR SIGNATURE:	DATE: 09/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2023

LIC809 (FAS) - (06/04)

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