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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 367700253
Report Date: 01/21/2022
Date Signed: 01/21/2022 12:09:53 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:MCDOWELL FAMILY CHILD CAREFACILITY NUMBER:
367700253
ADMINISTRATOR:PATIENCE MCDOWELLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
7605967315
CITY:JOSHUA TREESTATE: CAZIP CODE:
92252
CAPACITY:14CENSUS: 0DATE:
01/21/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:Patience McdowellTIME COMPLETED:
12:30 PM
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Licensing Program Analysts (LPA) Babatunde Ibitoye conducted an announced visit with Applicant PATIENCE MCDOWELL who guided analyst on a tour of the home for a Pre licensing Inspection. This is a one-story home with 3 bedrooms, 2 bathrooms, kitchen, dining area, living room, garage, and laundry room. There is a Jacuzzi in the patio fill with water on the premises. Family members residing in the home include (Applicant and 1 Child). Days/hours of operation will be Monday through Friday from 6:30 AM to 5:30 PM.

Physical Plant: Home is clean and orderly, there is a fireplace in the living room area inaccessible with screen lock , LPA observed age appropriate toys and play equipment, working smoke detector and carbon monoxide detector, and fully charged 2A10BC Fire Extinguisher. Per licensee no one smokes in the home. There is a designated area for ill child(ren)in Living room area as necessary, no weapon/firearms, facility sketch complete and current, off limit areas include 2 bedrooms, 1 bathroom, garage, laundry room and second section of the Back yard. The laundry room will made inaccessible by child gate. There is a working telephone (cell phone), poisons and cleaning items are on top of kitchen cabinet inaccessible to children.

Kitchen/bathroom: The following are inaccessible: Sharp items (above kitchen counter in a cabinet), medications (above the kitchen cabinet) and chemicals (above kitchen cabinet) are inaccessible to children. The kitchen entrance is inaccessible with child gate. Toilets and faucets are clean and operable.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
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 4
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700253
VISIT DATE: 01/21/2022
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Outdoor: LPA observed the homes backyard. The backyard includes two sections. The patio section of the backyard is where the children will play. LPA observed the backyard toys and equipment to be in good condition. LPA did not observe any items that could be hazardous to children in care. The off-limits area of the backyard includes the fenced area with Jacuzzi which will be made inaccessible to the daycare children.

Advisory/Other: First Aid kit readily available. CPR/First Aid expire 01/2023. The electrical outlets are covered. LPA observed 2cribs, 7 mats for children/infants to nap. Per licensee the children will nap in the play area and living room. Applicant always reminded to supervise children at all time.

Pets: Per Applicant there are 2 pets in the home. LPA observed 2 dogs during the pre-licensing inspection. The applicant will send copy of there Vaccination record to the department.

LPA advised Applicant All adults living/residing in the home are fingerprint cleared and associated.

Documents Provided and or Discussed: The following were discussed regarding Title 22 requirements: Safe Sleep and Large Family Child Care Home Ratios

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

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700253
VISIT DATE: 01/21/2022
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The following was discussed with the Applicant: Mandatory licensing forms for the children’s files, facility forms/records, and information to be posted in the family child care home; Requirements to conduct fire and disaster drills once every six months and record it; Role and responsibilities of being a mandated reporter were reviewed; Applicant reminded that 100% supervision is required at all times to children in care; Applicant made aware that it is her/their responsibility to know the regulations as well as anyone who assists in providing care; Licensing must have the facility’s phone number at all times; if the phone number is changed, licensing must be notified; Regulation prohibits the smoking of any kind during the operation of the day care.

Applicant advised of the requirement to report Unusual Incidents. A report shall be made to the department by telephone or fax during the department's normal business hours before the close of the next working day following the occurrence during the operation of family day care home. In addition, a written report shall be submitted to the department within seven days following the occurrence of any events specified above. The applicant was informed to utilize the Unusual Incident Report/Injury Report LIC624B when submitting the report to the department.

Applicant advised that the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days whenever a licensing inspection is conducted. If a Type A deficiency is cited, a copy of the licensing report must also be posted for 30 days. The same report must be provided to parents/guardians of children newly enrolled at the facility during the next 12 months & licensee must obtain a signed Acknowledgement of Licensing Reports (LIC 9224) from parent/guardian & place it in each child's file. Copies of the reports must be provided to each parent when a Type A violation is cited along with Acknowledgment of Receipt of Licensing Reports LIC 9224. If these requirements are not met civil penalties per violation will be assessed.

SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
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: MCDOWELL FAMILY CHILD CARE
FACILITY NUMBER: 367700253
VISIT DATE: 01/21/2022
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Prior to making alterations or additions to a family child care home or grounds, the licensee shall notify the Department of the proposed changed, including, but not limited to, the following: Conversion of a garage (either attached or detached) into a "child care" room; Room additions to the family child care home. Any change from an area of the family childcare home previously identified as "off limits" to an area where care and supervision will be provided to children in care. The licensee shall provide the Department with a copy of an inspection report when an inspection is required by the local building inspector because of the alteration, addition, or construction.

Corrections needed by 01/28/2022 before application can be submitted for approval:


1.) Patio section with Jacuzzi should me made inaccessible to day-care children
2.) Laundry room should be made inaccessible to day-care children
3.) The Vaccination records for the 2 dogs will be submitted to the department

Exit interview conducted and a copy of this report was given to Applicant PATIENCE MCDEOWELL.
SUPERVISOR'S NAME: Claretta YatesTELEPHONE: (661) 789-6944
LICENSING EVALUATOR NAME: Babatunde IbitoyeTELEPHONE: 661-568-8179
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2022
LIC809 (FAS) - (06/04)
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