367700003-6-23-2022-12-CC-SMOA-CFNV4F-20220623160617

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 367700003
Report Date: 06/23/2022
Date Signed: 06/23/2022 04:06:44 PM

Document Has Been Signed on 06/23/2022 04:06 PM - 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:	CERON FAMILY CHILD CARE		FACILITY NUMBER:	367700003
ADMINISTRATOR:	CERON,JULIA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 339-5858
CITY:	VICTORVILLE	STATE: CA	ZIP CODE:	92392
CAPACITY:	14	CENSUS: 0	DATE:	06/23/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Julia Ceron licensee		TIME COMPLETED:	04:15 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) Steven Montoya conducted an unannounced annual random inspection. The LPA met licensee Julia Ceron who guided the LPA to tour of the family child care home FCCH. LPA is aware the licensee will be moving to new location facility # 367700269 with the next few days, however annual is due for the year. Upon entry to the facility the LPA observed 0 children in care. Hour of Operation 6:00 am to 5:00 pm. Monday through Friday. This is a one-story family home. There is a living room, family room, play room (immediately to the right upon entering home) kitchen/dining area, three bedrooms, two restrooms and garage. Main care is provided in the family room, The off-limits areas include two of the homes bedrooms, one restroom (master bathroom), laundry area, side area of the backyard and garage. LPA observed three sleeping children in the area.The children use the bathroom located in the hallway. LPA observed the bathroom to be free of any hazards to children in care. LPA inspected the home's kitchen, there are no restrictions in place to prevent children from accessing the kitchen. LPA observed no hazards in the kitchen that could be harmful to children. LPA toured the home and backyard, per Licensee the only section that is off-limits is one side of the backyard which is made inaccessible by gate. LPA observed two German Shepherds behind the off-limit area gate in the backyard. LPA observed the backyard to be safe and free of debris which could be harmful to children.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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: CERON FAMILY CHILD CARE	FACILITY NUMBER: 367700003
	VISIT DATE: 06/23/2022

NARRATIVE

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The home was inspected inside and out for safety, comfort, cleanliness, telephone service, heating and ventilation, inaccessibility to poisons, detergents, cleaning compounds, medicines, and hazardous items that can pose a danger to children. The knives are kept out of reach of children in the kitchen pantry. All cleaning chemicals are stored underneath the sink and maintained locked with a child safety latch. Medications are stored on the top kitchen cabinet inaccessible to children. There are age appropriate toys and equipment on the premises. Per the licensee there are no weapons or firearms of any kind in the facility. Licensee reports not having fire arms or weapons.

The homes first aid kit was observed. The home has required fire extinguisher (2A10BC), LPA observed the fire extinguisher is fully charged but has no service tag. Per licensee she is unsure when she bought the fire extinguisher and does not have the receipt. Smoke and carbon monoxide detector are in operable condition. While interviewing licensee it was found that the licensee has not conducted a disaster drill. Licensee's Pediatric CPR and First Aid certificate expires on 08/30/2022.

The facility annual fees are current. Licensee had all the required posted documents: Facility License (LIC 203, Notice of Parent's Rights Poster (PUB 394), Emergency Disaster Plan (LIC 610A), and Earthquake Preparedness Checklist (LIC 9148)

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

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: CERON FAMILY CHILD CARE	FACILITY NUMBER: 367700003
	VISIT DATE: 06/23/2022

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Child Care Advocates:

To sign up for our Quarterly Updates please email the Child Care Advocates at
chilcareadvocatesprogram@dss.ca.gov & (916) 654-1541

The licensee was informed of the responsibility to report suspected Child Abuse by calling the Child Abuse Hot-line at 1-800-540-4000.

The licensee was advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809 or LIC9099) must also be posted for 30 days. If these requirements are not met, civil penalties in the amount of $100 per violation will be assessed. Copies of the reports must also be provided to each parent when a serious deficiency, Type A, is cited (LIC9224).

No deficiencies were cited.

An exit interview was conducted, a copy of this Inspection report, appeals rights and a Notice of Site visit provided to licensee Julia Ceron.

SUPERVISOR'S NAME: Claretta Yates	TELEPHONE: (661) 202-3407
LICENSING EVALUATOR NAME: Steven Montoya	TELEPHONE: (661) 202-4701
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2022

LIC809 (FAS) - (06/04)

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